{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T23:08:56Z","timestamp":1789427336803,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T00:00:00Z","timestamp":1570579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the dental caries experience of New Zealand children born with orofacial cleft (OFC), to compare this to age\u2010specific national population\u2010based data and to investigate any differences by demographic characteristics, cleft type and exposure to community water fluoridation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nationwide retrospective study of 554 dental records from 478 children born after 1 January 2000 with OFC were assessed at aged 5 (n\u00a0=\u00a0333) and 12\u00a0years (n\u00a0=\u00a0221), with 76 children (15.9%) having records at both ages. Community Oral Health Service records were analysed to determine dental caries experience (dmft\/DMFT). Logistic regression was used to assess the likelihood of having experienced dental caries (d<jats:sup>3<\/jats:sup>mft\/D<jats:sup>3<\/jats:sup>MFT\u00a0\u2265\u00a01) and multivariable models for variables including demographic characteristics, cleft type and exposure to community water fluoridation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A higher (49.6%) caries prevalence (dmft\u00a0\u2265\u00a01) and mean dmft at 5\u00a0years old (2.3; SD 3.6) were found in children with OFC than 5\u2010year\u2010olds in the general population (prevalence 40.4% and mean dmft 1.8). The 12\u2010year\u2010old (37.6%) caries prevalence (DMFT\u00a0\u2265\u00a01) and mean DMFT 0.8 (SD 1.4) were similar to population\u2010based data (caries prevalence 37.3% and mean DMFT 0.9). Children with caries (dmf\/DMF\u00a0\u2265\u00a01) had means of 4.8 (SD 3.8) at age 5 and 2.1 (SD 1.4) at age 12\u00a0years. Greater caries experience was associated Pacific and M\u0101ori ethnicity, and not receiving community water fluoridation. No differences were detected by sex or cleft type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The dental caries experience for 5\u2010year\u2010old children with OFC was poor in relation to population\u2010based data and similar for 12\u2010year\u2010olds. Preventive guidelines for children with OFC from an early age should be a priority, along with the extension of community water fluoridation coverage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12499","type":"journal-article","created":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T12:14:34Z","timestamp":1570623274000},"page":"42-48","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["A retrospective nationwide study of the dental caries experience of New Zealand children with orofacial cleft"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9441-7410","authenticated-orcid":false,"given":"Peter V.","family":"Fowler","sequence":"first","affiliation":[{"name":"Hospital Dental Service Christchurch Hospital Christchurch New Zealand"},{"name":"Department of Paediatrics: Child and Youth Health Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbey","family":"Corbett","sequence":"additional","affiliation":[{"name":"Hospital Dental Service Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Lee","sequence":"additional","affiliation":[{"name":"Community Oral Health Service Hillmorton Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-381X","authenticated-orcid":false,"given":"John M. D.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"},{"name":"Department of Obstetrics &amp; Gynaecology Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,9]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"64","article-title":"The incidence of orofacial cleft in live births in New Zealand","volume":"129","author":"Thompson JM","year":"2016","journal-title":"NZ Med J"},{"key":"e_1_2_8_3_1","first-page":"109","article-title":"The dental management of children with clefts of the lip and palate","volume":"70","author":"Peat JH","year":"1974","journal-title":"NZ Dent J"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2017.581"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2007.00847.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000349911"},{"key":"e_1_2_8_7_1","first-page":"248","article-title":"The oral health of children with clefts\u2010a review","volume":"35","author":"Wong FW","year":"1998","journal-title":"Cleft Palate Craniofac J"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618776428"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-282"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1597\/10-043"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-162"},{"key":"e_1_2_8_12_1","unstructured":"Ministry of Health. New Zealand.Age 5 and Year 8 oral health data from the Community Oral Health Service 2016. Available at:https:\/\/www.health.govt.nz\/nz-health-statistics\/health-statistics-and-data-sets\/oral-health-data-and-stats\/age-5-and-year-8-oral-health-data-community-oral-health-service. Accessed Jan 4 2019."},{"key":"e_1_2_8_13_1","unstructured":"Ministry of Education.How deciles are calculated. 2018; Available at:https:\/\/www.education.govt.nz\/school\/running-a-school\/resourcing\/operational-funding\/school-decile-ratings\/#How. 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