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Falling through the gap: Dental treatment experiences of patients affected by cleft lip and/or palate

Stock, Nicola Marie; Sharratt, Nicholas D; Heath, Jennifer; Nankivell, David; Martindale, Anna; Ridley, Matthew; Ahmed, Anum; McMullin, Ailbhe; Cunniffe, Claire

Authors

Jennifer Heath jennifer3.heath@uwe.ac.uk

David Nankivell

Anna Martindale

Matthew Ridley matthew.ridley@uwe.ac.uk

Anum Ahmed

Ailbhe McMullin

Claire Cunniffe



Abstract

Introduction: In the UK, one in 600-700 infants are born with a cleft lip and/or palate (CL/P). Previous research has identified patients with CL/P to be at high risk of long-term oral health issues. Yet, few of these patients are currently accessing community dental care.

Aims: To assess patients’ dental treatment experiences and their suggestions for improving services.

Materials and methods: Five focus groups were conducted with 24 adults with CL/P. Thematic analysis was performed on the data.

Results: Participants perceived local dental practitioners to lack knowledge about CL/P and its treatment. Consequently, some participants had stopped visiting a dental practice altogether. Participants were also largely unaware of the specialist CL/P services they are entitled to.

Discussion: Suggestions are made for the integration of improved training and resources for local dental practitioners. Closer communication between specialist cleft teams and local dental practitioners could also help to bridge the gap in knowledge and improve patients’ engagement with dental services. The tertiary sector has a crucial role to play in empowering patients to take more control of their oral health and dental treatment.

Key words: cleft lip and palate; oral health; treatment; training

Journal Article Type Article
Publication Date Aug 10, 2018
Journal British Dental Journal
Print ISSN 0007-0610
Publisher Springer Nature [academic journals on nature.com]
Peer Reviewed Peer Reviewed
Volume 225
Pages 218-222
APA6 Citation Stock, N. M., Sharratt, N. D., Heath, J., Nankivell, D., Martindale, A., Ridley, M., …Cunniffe, C. (2018). Falling through the gap: Dental treatment experiences of patients affected by cleft lip and/or palate. British Dental Journal, 225, 218-222. https://doi.org/10.1038/sj.bdj.2018.542
DOI https://doi.org/10.1038/sj.bdj.2018.542
Keywords cleft lip and palate, oral health, treatment, training
Publisher URL https://doi.org/10.1038/sj.bdj.2018.542
Additional Information Additional Information : This is the author's accepted manuscript. The final published version is available here: https://doi.org/10.1038/sj.bdj.2018.542.
Corporate Creators : The VTCT Foundation Research Team at the Centre for Appearance Research

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