Review suggests cleft lip and or palate patients may have higher prevalence of caries

shutterstock_91019771 Clefts

Cleft lip and palate is a relatively common birth defect that occurs in around 1 in 700  births and there have been contradictory reports of caries prevalence in CLP populations  with some studies finding no difference and others an increase in prevalence.  The aim of this review was to evaluate caries prevalence in non-syndromic patient [read the full story…]

Does vomer or palatal flap have less adverse effect on maxillary growth in cleft patients? – No good evidence available


Cleft lip (CL) and cleft palate (CP) are common birth defects that affect around 1 in 700 children born.  Surgery to repair the palate is thought to affect maxillary growth. The vomer flap is assumed to cause less scarring and therefore have less impact on growth. The aim of this review was to investigate the [read the full story…]

New Cochrane Protocols February 2013


There are three new protocols on the February issue of the Cochrane Library The first protocol Carrasco-Labra A, Brignardello-Petersen R, Yanine N, Araya I, Rada G, Chadwick RG. Professionally-applied chemically-induced whitening of teeth in adults (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD010379. DOI: 10.1002/14651858.CD010379.  aims to assess the effects of [read the full story…]

Surgical advancement of the maxilla in cleft lip and palate patients appears to show a moderate relapse rate in the horizontal plane and a high relapse rate in the vertical plane


More than 25% of patients with cleft lip and palate (CLP) develop hyperplasia of the maxilla that requires surgical correction. This surgery is usual occurs in the final phase of their CLP treatment and is typically a Le Fort I osteotomy. The aim of this review was to assess the long term stability of this [read the full story…]

Lack of valid, reliable, and responsive instruments to measure patient-reported outcomes in cleft lip and palate surgery


Cleft lip and palate is one of the most commonly encountered congenital abnormalities.  Traditional outcomes measures have focussed on measures such as anatomical measurements  morbidity and mortality. Increasingly patient-reported outcomes measures (PROMs) such as aesthetic results, speech and quality of life are being used.  The main aim of this review  was to identify existing cleft [read the full story…]

Having older parents may increase the risk of oral clefts


Craniofacial anomalies are a highly diverse group of complex congenital defects, which affect a small but significant proportion of populations. Oral clefts (cleft lip and palate) are the most frequent craniofacial anomalies.  The aim of this study was to review the relationship of maternal and paternal age with the occurrence of non-syndromic oral clefts. The [read the full story…]

More dental anomalies in the permanent teeth of individuals born with oral clefts


This aim of this review was to identify if patients individuals born with non-syndromic oral clefts had a higher frequency of dental anomalies. Searches were conducted in Medline, BIREME, OVID all EBM Reviews, and the Cochrane Library. Papers reporting observational controlled studies of non-syndromic forms of oral clefts matched for dental anomalies in primary and/or [read the full story…]

Alveolar bone grafts for children with cleft lip and palate


About 75% of cleft lip and palate patients have a bony defect in the gum of the mouth (alveolar cleft). If not repaired it gives rise to many problems. While bone grafting is widely accepted by professionals in cleft care, there is still controversy around the technique, timing, site from which bone is taken and [read the full story…]