2.2 - Dental/Orthodontic Problems + Mangement Flashcards Preview

ECU Craniofacial Anomalies + Laryngeal Rehab > 2.2 - Dental/Orthodontic Problems + Mangement > Flashcards

Flashcards in 2.2 - Dental/Orthodontic Problems + Mangement Deck (27)

What services does a PEDIATRIC DENTIST provide for patients with cleft?


General dental care

Prevention and treatment of tooth decay

Oral hygiene, even for primary teeth

Improve early malocclusion (e.g., palatal expansion)


What services does a ORTHODONTIST provide for patients with cleft?


Treats dental and skeletal malocclusion

Promotes normal jaw relationships

Aligns misplaced teeth & adjacent tissues


What services does a PROSTHODONTIST provide for patients with cleft?


Restoration of natural teeth or replacement of missing teeth

Prosthetic devices to replace or improve appearance of teeth & orofacial structures

Makes and fits devices to assist w/ feeding and VP closure (e.g., palatal lifts, speech bulbs,


What services does a ORAL SURGEON/ORAL MAXILLOFACIAL SURGEON provide for patients with cleft?


Extractions, dental implants

Orthognathic surgeries (maxillary expansions + mandibular setbacks)

Both craniofacial surgeon or oral maxillofacial surgeon can complete bone grafts to alveolar cleft areas


What are the primary UPPER teeth (A-J)?

A. Right Second Molar

B. Right First Molar

C. Right Canine (Cuspid)

D. Right Lateral Incisor

E. Right Central Incisor

F. Left Central Incisor

G. Left Lateral Incisor

H. Left Canine (Cuspid)

I. Left First Molar

J. Left Second Molar


What are the primary LOWER teeth (K-T)?

K. Left Second Molar

L. Left First Molar

M. Left Canine (Cuspid)

N. Left Lateral Incisor

O. Left Central Incisor

P. Right Central Incisor

Q. Right Lateral Incisor

R. Right Canine (Cuspid)

S. Right First Molar

T. Right Second Molar


What are the permanent UPPER teeth (1-16)?

1. Right Third Molar (wisdom tooth)

2. Right Second Molar (12-yr molar)

3. Right First Molar (6-yr molar)

4. Right Second Bicuspid (Second premolar)

5. Right First Bicuspid (1st premolar)

6. Right Cuspid (canine/eye tooth)

7. Right Lateral incisor

8. Right Central incisor

9. Left Central incisor

10. Left Lateral incisor

11. Left Cuspid (canine/eye tooth)

12. Left First Bicuspid (1st premolar)

13. Left Second Bicuspid (2nd premolar)

14. Left First Molar (6-yr molar)

15. Left Second Molar (12-yr molar)

16. Left Third Molar (wisdom tooth)


What are the permanent LOWER teeth (17-32)?

17. Left Third Molar (wisdom tooth)

18. Left Second Molar (12-yr molar)

19. Left First Molar (6-yr molar)

20. Left Second Bicuspid (2nd premolar)

21. Left First Bicuspid (1st premolar)

22. Left Cuspid (canine/eye tooth)

23. Left Lateral incisor

24. Left Central incisor

25. Right Central incisor

26. Right Lateral incisor

27. Right Cuspid (canine/eye tooth)

28. Right First Bicuspid (1st premolar)

29. Right Second Bicuspid (2nd premolar)

30. Right First Molar (6-yr molar)

31. Right Second Molar (12-yr molar)

32. Right Third Molar (wisdom tooth)


What permanent teeth are often missing in individuals with cleft?

8 + 9

(Central Incisors)


What are the 3 Types of Occlusion?

Class I Occlusion

Class II Malocclusion

Class III Malocclusion


What is a Class I Occlusion?

Normal alignment


What is a Class II Malocclusion?


Mandibular retrusion by one full tooth

Maxillary protrusion by one full tooth

(Think Homer Simpson)


What is a Class III Malocclusion?


Mandibular protrusion by one full tooth

Maxillary retrusion by one full tooth

(Think Jay Leno)


What 6 other dental issues may occur in individuals with craniofacial abnormalities?




Missing teeth

Rotated teeth



What is an Overjet?


Front teeth are too far forward

Space is too wide


What is an Overbite?


Front jaw is too far forward

Vertical space is too short


What is a Crossbite?

Upper teeth inside lower jaw


What are Rotated teeth?

Turned teeth


What does Supernumerary mean?

Extra teeth


What appliances can be used to assist individuals with cranial abnormalities with dental problems?


Maxillary expanders (rapid palatal expander)

Speech bulbs

Palatal lifts

Palatal obturators

Chin caps

Face masks


What is a Maxillary expander (rapid palatal expander)?


Device to slowly widen the palate

Operates with a jackscrew and key


What is a Palatal Lift do?


A removable device

Raises velum when there is poor velar movement


What is a Palatal Obturator?

A removable or semi-permenant device

Occlude (covers) an open cleft or fistula


What is a Speech Bulb? (2)

What sounds does it prevent the individual from making?

A removable device

Enters into nasopharynx to occlude it




What is the SLP's Role for Dental Issues in individuals with craniofacial abnormalities?


Know your information

Collaborate with dentist/orthodontist

Identify any articulation errors and which ones might be a result of dental status


What question do SLPs need to ask about speech errors in individuals with craniofacial abnormalities?

Is the error obligatory or compensatory?


What is an Obligatory Articulation Error?

One that is required due to the patient's current anatomy