cleft lip and palate Flashcards
What does the LAHSHAL classification stand for
Lip
Alveolus
Hard palate
Soft palate
Hard palate
Alveolus
Lip
What is the LAHSHAL classification
LAHSHAL recording system was designed for paraphrasing cleft lip and palate in which a distinction could be made between unilateral and bilateral clefts and to describe the extent of clefting
What is the patient journey for UCLP
3 months- Lip closure
6-12months- Palate closure
8-10 years- Alveolar bone graft
12-15 years- Definitive orthodontics
18-20 years- Surgery
What dental complications are there in cleft lip and palate
Missing teeth
Impacted teeth
Crowding
Growth
Caries
What primary surgery’s are used to treat cleft L&P
Palate surgery
Lip surgery
What secondary surgery’s are used to treat cleft L&P
alveolar bone grafting
Who is involved in the multifactorial team
GDP
Paediatric dentist
Dental therapist
Orthodontist
Orthodontist therapist
Restorative Dentist
Oral surgeon
At what age do we take a radiograph to assess a patient for alveolar bone grafting
7 yrs
Which tooth is usually considered the most important in determining the age at which the bone graft is carried out
Canine
When does cleft lip +/-palate occur
day 28-38
When does cleft palate occur
day 42-55
How common is cleft
1:700 births
What does a cleft palate result in
Velopharyngeal incomptence
Wha cause cleft lip
When the medial nasal prominence and maxillary promience fail to fuse
What causes cleft palate
Can occur in isolation when the palatal shelfs fail to fuse in the midline or with combo with cleft lip
