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. 2022 Aug 17;10(8):1555. doi: 10.3390/healthcare10081555
Question Answer Options
(If Applicable)
In what country do you practise?
How many years has your centre/office collaborated in CLP treatment?
Please select where your centre/office is integrated: Hospital environment
University environment
Private practice
University hospital environment
What percentage of the time is an orthodontist present at your multidisciplinary clinic? 0–25%
26–50%
51–75%
76–100%
What percentage of your orthodontist’s practice is devoted to the care of CLP patients? 0–25%;
26–50%;
51–75%;
76–100%.
Please tick the approximate percentage of your patient population in each category:
  1. Dentofacial orthopaedics

  2. Orthodontic treatment

  3. Orthodontic-surgical treatment

0–25%
26–50%
51–75%
76–100%
How often do you perform presurgical orthopaedics on CLP patients in your clinical practice? Always
Often
Sometimes
Never
In which cleft phenotypes do you perform presurgical orthopaedics? Cleft lip
Cleft palate
Unilateral cleft lip and palate
Bilateral cleft lip and palate
Pierre Robin sequence
Other
In which cleft phenotypes do you perform nasoalveolar moulding? For patients with unilateral cleft lip and palate
For patients with bilateral cleft lip and palate
For all complete cleft lip and palate cases
Never
What is the usual maxillary expansion protocol that your team uses in CLP patients? Rapid maxillary expansion
Semirapid maxillary expansion
Slow maxillary expansion
Alt-RAMEC
What appliance do you normally use for maxillary expansion? (Choose up to 3 options) Removable expansion plate
Quad helix
Hyrax/Haas
W-Arch
NiTi expander
Spring Jet
Other tooth-borne appliance
Bonded expansion plate;
Tooth-tissue-borne appliance
Bone-borne appliance
In CLP cases with a missing maxillary lateral incisor, which treatment approach do you prefer? Substitute the maxillary canines as the lateral incisor
Prosthetic replacement
No preference, treatment approach depends on the clinical case
Other
After the alveolar graft, how long do you wait until you start moving teeth to the newly grafted area? 1 month
2 months
3 months
4 months
5 months
6 months
Other
What alternative treatments do you use instead of secondary bone grafts? Distraction osteogenesis
Tongue flap and secondary bone graft
BMP-2
None
Other
Do you make other appliances (speech bulbs, etc.) for CLP patients? Yes
No
What percentage of CLP patients have complications during orthodontic or surgical treatment? 0–25%
26–50%
51–75%
76–100%
What is the most frequent complication of presurgical orthopaedics? Interference with growth
Delaying surgery
Occlusion of the airway
Skin sores from the tape
Ulceration under a plate
Risk of infection under a plate
Feeding problems
Other
What is the most frequent complication of orthodontics treatment? Expansion relapse
Ulceration
Compromised oral hygiene
Phonetic problems
Mastication problems
Dysphagia
Other
How far from your centre/office are the majority of your CLP patients? 0–50 km
51–100 km
101–150 km
>150 km
How many appointments do CLP patients have at your centre/office each year? 0–3
4–6
7–12
>12
How do CLP patients typically pay for orthodontic services? National Health Service
Out-of-pocket expenses (self)
Insurances
National Health Service and self-pay;
Insurances and out-of-pocket expenses (self)
Are your patients satisfied with their current level of access to orthodontic services? Dissatisfied
Neutral
Satisfied
Not sure