{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:18:35Z","timestamp":1787015915207,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2015,11,16]],"date-time":"2015-11-16T00:00:00Z","timestamp":1447632000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Structured Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To compare oral health and hearing outcomes from the Clinical Standards Advisory Group (\n                      <jats:styled-content style=\"fixed-case\">CSAG<\/jats:styled-content>\n                      , 1998) and the Cleft Care\n                      <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">CCUK<\/jats:styled-content>\n                      , 2013) studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and sample population<\/jats:title>\n                    <jats:p>\n                      Two\n                      <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\n                      \u2010based cross\u2010sectional studies of 5\u2010year\u2010olds born with non\u2010syndromic unilateral cleft lip and palate undertaken 15\u00a0years apart.\n                      <jats:styled-content style=\"fixed-case\">CSAG<\/jats:styled-content>\n                      children were treated in a dispersed model of care with low\u2010volume operators.\n                      <jats:styled-content style=\"fixed-case\">CCUK<\/jats:styled-content>\n                      children were treated in a centralized, high volume operator system.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      Oral health data were collected using a standardized proforma. Hearing was assessed using pure tone audiometry and middle ear status by otoscopy and tympanometry.\n                      <jats:styled-content style=\"fixed-case\">ENT<\/jats:styled-content>\n                      and hearing history were collected from medical notes and parental report.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Oral health was assessed in 264 of 268 children (98.5%). The mean dmft was 2.3, 48% were caries free, and 44.7% had untreated caries. There was no evidence this had changed since the\n                      <jats:styled-content style=\"fixed-case\">CSAG<\/jats:styled-content>\n                      survey. Oral hygiene was generally good, 96% were enrolled with a dentist. Audiology was assessed in 227 of 268 children (84.7%). Forty\u2010three per cent of children received at least one set of grommets \u2013 a 17.6% reduction compared to\n                      <jats:styled-content style=\"fixed-case\">CSAG<\/jats:styled-content>\n                      . Abnormal middle ear status was apparent in 50.7% of children. There was no change in hearing levels, but more children with hearing loss were managed with hearing aids.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Outcomes for dental caries and hearing were no better in\n                      <jats:styled-content style=\"fixed-case\">CCUK<\/jats:styled-content>\n                      than in\n                      <jats:styled-content style=\"fixed-case\">CSAG<\/jats:styled-content>\n                      , although there was reduced use of grommets and increased use of hearing aids. The service specifications and recommendations should be scrutinized and implemented.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ocr.12110","type":"journal-article","created":{"date-parts":[[2015,11,16]],"date-time":"2015-11-16T00:57:04Z","timestamp":1447635424000},"page":"25-35","source":"Crossref","is-referenced-by-count":46,"title":["Functional outcomes in the Cleft Care\n                    <scp>UK<\/scp>\n                    study \u2013 Part 3: oral health and audiology"],"prefix":"10.1111","volume":"18","author":[{"given":"J.","family":"Smallridge","sequence":"first","affiliation":[{"name":"South Thames\u2019 Cleft Unit Guy's and St Thomas Hospital London UK"},{"name":"Cleft Net East Cleft Network Addenbrooke's Hospital Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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