An Overview of Cleft Orthodontic Care in Africa: A Cross-Sectional Study

ObjectiveTo assess the status of cleft orthodontic care in the African continent.DesignA cross-sectional study.SettingCleft orthodontic care provision at primary, secondary or tertiary level in public or private health facilities across Africa.ParticipantsOrthodontists and dental care providers in Africa, who are currently involved in providing cleft orthodontic care.InterventionSelf-administered Google survey form assessing different aspects of cleft orthodontic care provision.Main outcome measuresThe primary outcomes were availability of cleft orthodontic manpower, types of cleft orthodontic procedures performed, patients' awareness about cleft orthodontics, challenges to provision of cleft orthodontic care in Africa and proposed solutions. Chi squared or Fisher's exact tests assessed bivariate associations. Open ended responses on patients' awareness about cleft orthodontics, challenges facing cleft orthodontics in Africa and proposed solutions were analyzed thematically.ResultsA total of 74 orthodontists and dental care providers involved in cleft orthodontic care across 14 African countries were surveyed, however, only 62.2% (46) participants from 13 countries responded. Most respondents reported that they performed mixed dentition and adult orthodontic treatment for patients with clefts. The major challenges reported include, limited availability of orthodontists, limited expertise in cleft orthodontics, patient awareness and affordability of care.ConclusionsCleft orthodontic care is currently being provided in different parts of Africa; however, there is limited coverage, due to the limited number of orthodontists available. There is a need for increased capacity building in cleft orthodontics and increased funding to support this care.