Cleft Lip and Palate

Question 1

If child present w/ cleft lip, what other abnormalities should look for?

Answer 1

Cleft palate
Abornmalities in teeth

Question 2

What is prevalence of CLP in UK?

Answer 2

1 in 600-700 babies

Question 3

What causes CLP?

Answer 3

Definitive cause often not found
Mix of genetic and environmental factors

Question 4

What issues can CLP cause after birth?

Answer 4

Feeding
Hearing
Dental issues
Speech issues

Question 5

How does CLP cause feeding issues?

Answer 5

Hard for child to form adequate seal

Question 6

How does CLP affect hearing?

Answer 6

Baby more prone to ear infections leading to issues hearing

Question 7

If a baby present w/ all upper incision teeth, how old would you estimate they are?

Answer 7

Between 9-13 months

Question 8

Find multiple carious teeth on child, what are concerns?

Answer 8

Generalised advance decay - potential neglect

Question 9

How to manage CLP pt in general care?

Answer 9

Disease prevention
Ensure positive relationship with dentist
Referral for dental phobic to CDS/ secondary care
Early involvement of ortho

Question 10

Way may early referral to ortho be required?

Answer 10

Pt often have failure of eruption/ crowding
May require bone grafts to augments alveolar ridge to allow eruption canine teeth