{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T18:09:44Z","timestamp":1784225384151,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000732","name":"UK-India Education and Research Initiative","doi-asserted-by":"publisher","award":["P1025"],"award-info":[{"award-number":["P1025"]}],"id":[{"id":"10.13039\/501100000732","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019550","name":"Scheme for Promotion of Academic and Research Collaboration","doi-asserted-by":"publisher","award":["P1025"],"award-info":[{"award-number":["P1025"]}],"id":[{"id":"10.13039\/501100019550","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Oral health is a critical yet often neglected component of cleft care. Individuals with cleft lip and palate (CLP) are predisposed to a higher risk of dental caries and poor oral hygiene due to anatomical, functional, and behavioral challenges. Despite national public health efforts, limited data exist from India on the oral health status of this vulnerable group.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To evaluate the oral health status of 5, 12, and 20 year olds, non-syndromic unilateral cleft lip and palate (UCLP) patients regarding history of dental care and present dental status.\n                    <jats:bold>Methods:<\/jats:bold>\n                    This multicentric cross-sectional study, conducted as part of the Cleft Care India Study (CCIS), evaluated oral health parameters in individuals with non-syndromic UCLP across 14 cleft centers in India. Patients were assessed for various parameters of oral hygiene practices through a standardized data collection form. Descriptive statistics were used to report the results across the 3 age groups.\n                    <jats:bold>Results:<\/jats:bold>\n                    Of the 296 UCLP patients, 36% of 5 year olds, 41% of 12 year olds, and 29% of 20 year olds had never visited a dentist. Mean dmft\/DMFT for 5 year olds was 5.6, for 12 year olds was 3.4 and for 20 year olds was 3.0. Data on active caries showed 53% of 5 year olds, 34% of 12 year olds, and 14% of 20 year olds had untreated caries. Data on plaque levels showed 47%, 60%, and 76% of 5, 12 and 20 year olds had visible deposits. The prevalence of enamel hypoplasia was highest in 5 year olds (32%), and hypodontia was most common in 20 year olds (52%). Around 70% of 5 year olds, 75% of 12 year olds, and 80% of 20 year olds had never visited a pediatric dentist.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The findings highlight a substantial unmet need for dental care among Indian patients with UCLP. Channelized referral systems and service centralization could reduce this care burden. Integrating pediatric dental services within cleft care teams is essential for improving oral health outcomes in this high-risk population.\n                  <\/jats:p>","DOI":"10.1177\/10556656261465273","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:41:42Z","timestamp":1783939302000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cleft Care India Study: A National Audit on Patients with Non-Syndromic Unilateral Cleft Lip and Palate Patients. Part 2: Oral Health Outcomes"],"prefix":"10.1177","author":[{"given":"Panchali","family":"Batra","sequence":"first","affiliation":[{"name":"Jamia Millia Islamia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8793-3051","authenticated-orcid":false,"given":"Deborah","family":"Sybil","sequence":"additional","affiliation":[{"name":"Jamia Millia Islamia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishnamurthy","family":"Bonanthaya","sequence":"additional","affiliation":[{"name":"Smile Train Cleft Leadership Centre, Bhagwan Mahaveer Jain Hospital, Bangalore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subodh Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"G S Memorial Plastic Surgery Hospital, Varanasi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas Gosla","family":"Reddy","sequence":"additional","affiliation":[{"name":"GSR Institute of Craniomaxillofacial and Facial Plastic Surgery, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4201-4235","authenticated-orcid":false,"given":"Puneet","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, IN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7383-1137","authenticated-orcid":false,"given":"Suryakant","family":"Das","sequence":"additional","affiliation":[{"name":"SCB Government Dental College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3562-8263","authenticated-orcid":false,"given":"Syed Altaf","family":"Hussain","sequence":"additional","affiliation":[{"name":"The Cleft and Craniofacial Centre, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi K","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Amandeep Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj Gopal","family":"Reddy","sequence":"additional","affiliation":[{"name":"GSR Institute of Craniomaxillofacial and Facial Plastic Surgery, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Chugh","sequence":"additional","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Jodhpur Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayatri","family":"Moghe","sequence":"additional","affiliation":[{"name":"Tooth Buddies Dental Clinic, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4983-9742","authenticated-orcid":false,"given":"Nandlal","family":"Bhojraj","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, JSS Dental College and Hospital, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna Shama","family":"Rao","sequence":"additional","affiliation":[{"name":"Craniofacial Centre, Inga Health Foundation, Bangalore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Chethana","sequence":"additional","affiliation":[{"name":"Craniofacial Centre, Inga Health Foundation, Bangalore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukhdeep Singh","family":"Kahlon","sequence":"additional","affiliation":[{"name":"SGRD Institute of Dental Sciences and Research, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamlesh","family":"Singh","sequence":"additional","affiliation":[{"name":"Saraswati Dental College and Hospital"},{"name":"Smile Train Cleft Centre, Vivekananda polytechnic and Institute of Medical Sciences, Lucknow, UP, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjit H","family":"Kamble","sequence":"additional","affiliation":[{"name":"Sharad Pawar Dental College & Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruti","family":"Bijapur","sequence":"additional","affiliation":[{"name":"Smile Train Cleft Leadership Centre, Bhagwan Mahaveer Jain Hospital, Bangalore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Hari Kishore","family":"Bhat","sequence":"additional","affiliation":[{"name":"Centre for Craniofacial Anomalies, Yenepoya-ABMSS Cleft project, Yenepoya, Karnataka, India"},{"name":"Department of Orthodontics, Sree Balaji Dental College and Hospital, Chromepet, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi","family":"Katyal","sequence":"additional","affiliation":[{"name":"Jamia Millia Islamia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8386-4469","authenticated-orcid":false,"given":"Manoj","family":"Prathap","sequence":"additional","affiliation":[{"name":"Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthika","family":"Nambiar","sequence":"additional","affiliation":[{"name":"Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7809-8111","authenticated-orcid":false,"given":"Badri","family":"Thiruvenkatachari","sequence":"additional","affiliation":[{"name":"Cleft and Craniofacial Centre, Department of Orthodontics, Sree Balaji Dental College and Hospital, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/njms.njms_431_21"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijdr.IJDR_615_17"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40496-015-0064-9"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0300060519832165"},{"issue":"5","key":"e_1_3_3_6_2","first-page":"1400","article-title":"Caries in children with and without orofacial clefting: A systematic review and meta-analysis","volume":"28","author":"Grewcock RE","year":"2022","unstructured":"Grewcock RE, Innes NPT, Mossey PA, Robertson MD. 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Cleft Care India Study: A national audit on patients with non-syndromic unilateral cleft lip and palate patients. Part 1: Background skeletal dental arch and nasolabial outcomes. 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