March 2010

Volume 27, Issue 1

Editorial -Improving services for cleft lip and palate. A work in progress

Authors: B. Shaw
doi: 10.1922/CDH_2611Shaw02

Abstract

An International Challenge Services and treatment protocols for the management of children with cleft lip and palate can be remarkably different within and between countries. In Europe, there is wide variation from poorly coordinated disparate services, as in Portugal or Greece, to highly centralised specialised teams as in Scandinavia. Clinical uncertainty is evident from a striking diversity of practices. In one survey, 201 European teams carrying out primary surgical repair for unilateral clefts, employed 194 different protocols, reflecting the paucity of published randomised trials in the field (Shaw et al, 2001). A series of WHO consensus conferences between 2000 and 2005 confirmed that service organisation and treatment uncertainty are widespread international problems, while lack of resources puts the most basic surgical treatment beyond the reach of thousands of children in the developing world (WHO, 2002).

£10 single article

Other articles in this issue

Article Pages Access
Editorial -Improving services for cleft lip and palate. A work in progress 2-3 £10 single article
Acknowledgement of Referees 4-4 £10 single article
Preventive care and recall intervals. Targeting of services in child dental care in Norway 5-11 £10 single article
National survey of oral health status of children and adults in Turkey 12-17 £10 single article
The influence of economic incentives on treatment patterns in a third-party funded dental service 18-22 £10 single article
Barriers to restorative care as perceived by dental practitioners in Tanzania 23-28 £10 single article
Social inequality in perceived oral health among Sri Lankan adolescents 29-34 £10 single article
Complications following oral piercing. A study among 201 young adults in Strasbourg, France. 35-40 £10 single article
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Are paediatric medicines risk factors for dental caries and dental erosion? 46-51 £10 single article
A study on neonatal factors and eruption time of primary teeth 52-56 £10 single article
Prevalence of aggressive periodontitis in 15-18 year old schoolchildren in Tehran, Iran 57-59 £10 single article
Chewing stick use among African immigrants in West Philadelphia: implications for oral health providers 60-64 £10 single article

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