Module 14- cleft, surgery, psychiatric disorders Flashcards Preview

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Flashcards in Module 14- cleft, surgery, psychiatric disorders Deck (45):
1

What is the prevalence of cleft lip/palate?

1-2/1000 births

2

Cleft lip occurs more frequently in ________ and cleft palate occurs more frequently in _______

males
females

3

When does a cleft lip/palate occur?

first trimester

4

The lip forms between what weeks in utero?

4-7

5

Cleft lip becomes apparent by the end of the ______ month in utero?

2nd

6

The palate forms between what weeks in utero?

8-12

7

Cleft palate is evident by the end of the _____ month in utero?

3rd

8

Cleft lip and palate are caused by ______ ______ and _______ factors?

multifactorial genetic
environmental

9

When is the significant time for the environment to influence the development of cleft lip and palate?

early in 1st trimester

10

what vitamins (if deficient) can play a role in cleft lip and palate

vitamin A
Folic Acid

11

What is a class 1 cleft?

tip of uvula

12

What is a class 2 cleft?

bifud uvula

13

A cleft of the soft and hard palates is a class?

4

14

A cleft of the soft palate only is a class?

3

15

C cleft that continues through the alveolar ridge on ONE side is a class?

5

16

A class ___ cleft is when the muscle union is imperfect across the soft palate

7

17

A cleft that continues through alveolar ridge on BOTH sides is a class?

6

18

A pt. with clefts has a greater chance of what characteristics related to the teeth?

supernumerary
missing
form abnormalities

19

Missing teeth in pts. with clefts are usually presented on what side of the mouth?

the side the cleft is on

20

An open palate provides direct communication with the ______ ____?

nasal cavity

21

A cleft lip makes it difficult for a child to?

suck

22

Cleft lip/palate or both are features of over _____ other disorders?

300

23

A pt. with cleft lip/palate will have a deficiency of the _______ lip? It is usually short and ______?

upper
retroposed

24

Cleft lip/palate pts. have a predisposition towards ______ respiratory and _____ ear infections?

upper
middle

25

What is a common speech problem seen in a patient with clefts?

nasal tones

26

What are the 2 common appliances used in cleft patients?

obturator
speech Aid prostheses

27

An _______ is a removable device to close the palatal opening?

obturator

28

A speech aid prosthesis is _______ and is used to complete the ______ _______ required for speech?

removable
palatopharyngeal valving

29

Orthodontic treatment may begin as early as ____ yrs. old?

3

30

What is the rule of 10's with cleft lip surgery?

10 wks old
10lbs
10mg/ml hemoglobin count

31

The main purpose of early surgical treatment of a cleft is to help with ______ closure of the palate?

partial

32

Primary surgery to fix a cleft lip is at what age?

2-3 mo

33

Primary surgery to close a cleft palate is done at what age?

18 mo or earlier

34

Pts with clefts are known to be "______ _____"

clinic tired

35

Why is halitosis a problem for pts. with clefts?

due to mucous from nasal cavity entering the mouth
biofilm accumulation on prostheses

36

After a pre-surgery scaling appointment you would instruct a pt. to rinse with?

chlorhexidine for tissue conditioning

37

What vitamins are essential in promoting healing after oral surgeries?

A, C, riboflavin

38

Having a cleaning before oral surgery may make it less likely for ______ _____ post surgically?

bacterial infections

39

Having a cleaning before oral surgery may make improve the ______ of tissues and lessen the ________ at time of surgery?

tone
bleeding

40

Irrigation should be performed for how long after oral surgery?

first few days

41

What type of mouth-rinses are used for irrigation following oral surgery?

saline
chlorhexidine
fluoride

42

Is a cleaning carried out on a patient who is undergoing an acute exacerbation of schizophrenia?

NO

43

What is tardive dyskinesia?

involuntary movements of mouth, lips, tongue, jaws

44

When would you see a pt. with tardive dyskinesia?

long term antipsychotic meds (schizophrenia)

45

A patient who is _______ and in the _____ phase may have abraded/lacerated gingiva because of overeager brushing motions?

bipolar
manic