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


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).


Other articles in this issue

Article Pages Access
Editorial -Improving services for cleft lip and palate. A work in progress 2-3 Download
Acknowledgement of Referees 4-4 Download
Preventive care and recall intervals. Targeting of services in child dental care in Norway 5-11 Download
National survey of oral health status of children and adults in Turkey 12-17 Download
The influence of economic incentives on treatment patterns in a third-party funded dental service 18-22 Download
Barriers to restorative care as perceived by dental practitioners in Tanzania 23-28 Download
Social inequality in perceived oral health among Sri Lankan adolescents 29-34 Download
Complications following oral piercing. A study among 201 young adults in Strasbourg, France. 35-40 Download
Is tooth wear in the primary dentition predictive of tooth wear in the permanent dentition? Report from a longitudinal study. 41-45 Download
Are paediatric medicines risk factors for dental caries and dental erosion? 46-51 Download
A study on neonatal factors and eruption time of primary teeth 52-56 Download
Prevalence of aggressive periodontitis in 15-18 year old schoolchildren in Tehran, Iran 57-59 Download
Chewing stick use among African immigrants in West Philadelphia: implications for oral health providers 60-64 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.