2.2 - Dental/Orthodontic Problems + Mangement Flashcards
What services does a PEDIATRIC DENTIST provide for patients with cleft?
(4)
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?
(3)
Treats dental and skeletal malocclusion
Promotes normal jaw relationships
Aligns misplaced teeth & adjacent tissues
What services does a PROSTHODONTIST provide for patients with cleft?
(3)
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,
obturators)
What services does a ORAL SURGEON/ORAL MAXILLOFACIAL SURGEON provide for patients with cleft?
(3)
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)?
- Right Third Molar (wisdom tooth)
- Right Second Molar (12-yr molar)
- Right First Molar (6-yr molar)
- Right Second Bicuspid (Second premolar)
- Right First Bicuspid (1st premolar)
- Right Cuspid (canine/eye tooth)
- Right Lateral incisor
- Right Central incisor
- Left Central incisor
- Left Lateral incisor
- Left Cuspid (canine/eye tooth)
- Left First Bicuspid (1st premolar)
- Left Second Bicuspid (2nd premolar)
- Left First Molar (6-yr molar)
- Left Second Molar (12-yr molar)
- Left Third Molar (wisdom tooth)
What are the permanent LOWER teeth (17-32)?
- Left Third Molar (wisdom tooth)
- Left Second Molar (12-yr molar)
- Left First Molar (6-yr molar)
- Left Second Bicuspid (2nd premolar)
- Left First Bicuspid (1st premolar)
- Left Cuspid (canine/eye tooth)
- Left Lateral incisor
- Left Central incisor
- Right Central incisor
- Right Lateral incisor
- Right Cuspid (canine/eye tooth)
- Right First Bicuspid (1st premolar)
- Right Second Bicuspid (2nd premolar)
- Right First Molar (6-yr molar)
- Right Second Molar (12-yr molar)
- 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?
2
Mandibular retrusion by one full tooth
Maxillary protrusion by one full tooth
(Think Homer Simpson)
What is a Class III Malocclusion?
2
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?
Overjet
Overbite
Crossbite
Missing teeth
Rotated teeth
Supernumerary
What is an Overjet?
2
Front teeth are too far forward
Space is too wide
What is an Overbite?
2
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?
(6)
Maxillary expanders (rapid palatal expander)
Speech bulbs
Palatal lifts
Palatal obturators
Chin caps
Face masks
What is a Maxillary expander (rapid palatal expander)?
2
Device to slowly widen the palate
Operates with a jackscrew and key
What is a Palatal Lift do?
2
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
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Nasals
What is the SLP’s Role for Dental Issues in individuals with craniofacial abnormalities?
(3)
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
