Cleft Lip & Palate Flashcards
What is the most common craniofacial anomaly?
orofacial clefting
In which sex is cleft palate more common?
females > males
In which sex is cleft lip more common?
males > females
What is more common, cleft lip or cleft palate?
cleft lip (2:1)
What classification do we use when talking about cleft lip/palate?
the LAHSHAL classification
What environmental factors can play a part in the aetiology of cleft lip & palate?
- social deprivation
- smoking
- alcohol
- anti-epileptics
- multivitamins
What genetic factors can play a part in the aetiology of cleft lip & palate?
- syndromes
- family history
- sex ratio
- more common on left hand side
- ethnicity
What are some implications of cleft lip & palate?
- poor aesthetics
- difficulty with speech
- dental health issues
- hearing & airway issues
- more likely to suffer from other syndromes
Why is a cleft lip so problematic in babies?
Cannot suckle properly, therefor cannot feed [dangerous]
What does the patient treatment journey of a child born with a cleft lip & palate look like?
3-6 months = lip closure
6-12 months = palate closure
8-10 years = alveolar bone graft
12-15 years = definitive orthodontics
18-20 years = surgery
A baby is born with cleft lip & palate, why are the lip & palate not closed at the same time?
Babies are nasal breathers until around 6 months [you would block this]
How is an alveolar bone graft for cleft lip & palate patients done?
from a bone in the hip
what are the dental implications of cleft lip & palate?
- missing teeth
- impacted teeth
- crowding [constricted upper arch]
- growth [tendency to have class III growth]
- caries
