Global Oral Health Inequalities: Challenges in the Prevention and Management of Orofacial Clefts and Potential Solutions

P.A Mossey; W.C Shaw; R.G Munger; J.C Murray; J Murthy; J Little

doi:10.1177/0022034511402083

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Global Oral Health Inequalities: Challenges in the Prevention and Management of Orofacial Clefts and Potential Solutions

Journal article

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Global Oral Health Inequalities: Challenges in the Prevention and Management of Orofacial Clefts and Potential Solutions

P.A Mossey, W.C Shaw, R.G Munger, J.C Murray, J Murthy and J Little

Advances in dental research, Vol.23(2), pp.247-258

05/2011

DOI: 10.1177/0022034511402083

PMCID: PMC6699117

PMID: 21490237

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Abstract

The birth prevalence of orofacial clefts, one of the most common congenital anomalies, is approximately one in 700 live births, but varies with geography, ethnicity, and socio-economic status. There is a variation in infant mortality and access to care both between and within countries, so some clefts remain unrepaired into adulthood. Quality of care also varies, and even among repaired clefts there is residual deformity and morbidity that significantly affects some children. The two major issues in attempts to address these inequalities are (a) etiology/possibilities for prevention and (b) management and quality of care. For prevention, collaborative research efforts are required in developing countries, in line with the WHO approach to implement the recommendations of the 2008 Millennium Development Goals ( www.un.org/millenniumgoals ). This includes the “common risk factor” approach, which analyzes biological and social determinants of health alongside other chronic health problems such as diabetes and obesity, as outlined in the Marmot Health inequalities review (2008) ( www.ucl.ac.uk/gheg/marmotreview ). Simultaneously, orofacial cleft research should involve clinical researchers to identify inequalities in access to treatment and identify the best interventions for minimizing mortality and residual deformity. The future research agenda also requires engagement with implementation science to get research findings into practice.

mortality

cleft lip

inequality

cleft palate

morbidity

Details

Title: Subtitle: Global Oral Health Inequalities: Challenges in the Prevention and Management of Orofacial Clefts and Potential Solutions
Creators: P.A Mossey - University of Dundee Dental Hospital & School, 1 Park Place, Dundee, DD1 4HR, Scotland, UK
W.C Shaw - Department of Oral Health and Development, Turner Dental School, University of Manchester, Manchester M15 6FH, UK
R.G Munger - Department of Nutrition and Food Sciences & Director, Center for Epidemiologic Studies, Utah State University, Logan, UT 84335, USA
J.C Murray - Division of Neonatology, Dept. of Pediatrics, University of Iowa, Iowa City, IA 52242, USA
J Murthy - Department of Plastic Surgery, Sri Ramachandra University, Porur, Chennai-600 116, India
J Little - Department of Epidemiology and Community Medicine, University of Ottawa, 451 Smyth Rd., Ottawa, Ontario K1H 8M5, Canada
Resource Type: Journal article
Publication Details: Advances in dental research, Vol.23(2), pp.247-258
DOI: 10.1177/0022034511402083
PMID: 21490237
PMCID: PMC6699117
NLM abbreviation: Adv Dent Res
ISSN: 0895-9374
eISSN: 1544-0737
Publisher: SAGE Publications; Sage CA: Los Angeles, CA
Language: English
Date published: 05/2011
Academic Unit: Anatomy and Cell Biology; Stead Family Department of Pediatrics; Epidemiology; Pediatric Dentistry; Craniofacial Anomalies Research Center; Dental Research
Record Identifier: 9984025467802771

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