Evidence map›Paper›PMID 34159833›Full record

SynthesisThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2022

Systematic Review of Clinical Practice Guidelines for Oral Health in Children With Cleft Lip and Palate.

Ankita Saikia, M S Muthu, Omolola O Orenuga, Peter Mossey, Lahcen Ousehal, Si Yan, Marina Campodonico, Rachael England, Sean Taylor, Pamela Sheeran

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. An Evaluation of Dental Caries Status in Children with Oral Clefts: A Cross-Sectional Study.International journal of environmental research and public health · 2025
    Article
  5. Review
  6. Article
  7. Provision of rehabilitation for congenital conditions.Bulletin of the World Health Organization · 2022
    Article
  8. Current Treatment of Cleft Patients in Europe from a Provider Perspective: A Cross-Sectional Survey.International journal of environmental research and public health · 2022
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 8 countries.

Ankita SaikiaConsulting Pediatric Dental Surgeon, Pedo Planet Children Dental Centre, Porur, Chennai, Tamilnadu, India.
M S MuthuCentre for Early Childhood Caries Research (CECCRe), Faculty of Dental Sciences, Department of Pediatric Dentistry, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamilnadu, India.ORCID 0000-0002-5847-9662
Omolola O OrenugaDepartment of Child Dental Health, College of Medicine University of Lagos, University Teaching Hospital, Lagos, Nigeria.
Peter MosseySchool of Dentistry, University of Dundee, Dundee, United Kingdom.
Lahcen OusehalDepartment of Orthodontics , University of Casablanca, Morocco.
Si YanDepartment of Preventive Dentistry, Peking University, Beijing, People's Republic of China.
Marina CampodonicoFoundation for Cleft Lip and Palate Children, Chile.
Rachael England225817FDI World Dental Federation, Geneva, Switzerland.ORCID 0000-0002-3516-5740
Sean Taylor225817FDI World Dental Federation, Geneva, Switzerland.ORCID 0000-0002-5031-3588
Pamela SheeranStrategic Programs and Partnerships, Comprehensive Cleft Care, Smile Train, NY, USA.
FDI World Dental Federation · CHAjman University · AEPeking University · CNSmile Train · USUniversity of Dundee · GBUniversity of Hassan II Casablanca · MAUniversity of Lagos · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveClinical practice guidelines (CPGs) exist to present recommendations and policies aimed at optimizing the oral health of children and adolescents born with cleft lip and/or palate. The aim of this review is to identify and assess the scope, quality, adequacy, and consistency of CPGs related to oral health in children and adolescents with clefts, along with reporting any differences and shortcomings.

methodsA systematic review of the literature of CPGs following Preferred Reporting Items for Systematic Reviews guidelines was conducted. Assessment of selected CPGs was performed using the Appraisal of Guidelines for Research & Evaluation II methodological quality instrument.

resultsOnly 7 CPGs fulfilled the criteria. Of these, 4 were from the American Cleft Palate-Craniofacial Association, and 1 each from the American Academy of Pediatrics, the Academy of Breastfeeding Medicine, and the American Academy of Pediatric Dentistry. The lowest overall mean scores were in the domain "Rigor of Development" (mean 29.58%, SD 17.11), revealing lower quality in methodology of the guideline. The domain "Clarity of Presentation" (mean 73.80%, SD 7.87) revealed the best score.

conclusionsOur review results reveal a lack of integrated high-quality CPGs that can be used as universal guidelines by health workers in a range of disciplines for improving oral health in children and adolescents with cleft problems.

Indexed as

Cleft LipCleft PalatePractice Guidelines as TopicAdolescentChildData CollectionHumansOral Healthchildrencleftguidelineoral healthsystematic review

Identifiers

PMID34159833
PMCPMC9121521
OpenAlexW3175004659

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.