Cleft Lip and Palate Flashcards
who is cleft lip more common in
females
who is cleft lip and palate more common in
males
what classification is used for describing CLP
LAHSHAL
how does the LAHSHAL classification work
if only lip cleft = L
if alveolus cleft too = LA
if hard palate cleft too = LAH
if soft palate cleft too = LAHS
on what side is LAHS used
right side
on what side is SHAL used
left side
what genetic things affect CLP
syndromes (cardiac)
family history
sex ratio
ethnic
laterality
what environmental things affect CLP
social deprivation
smoking
alcohol
anti-epileptics
multivitamins
what are the implications of CLP
aesthetics
speech (plosive sounds)
dental
hearing airway
cannot suckle
syndromes
what does the care pathway tell you
all the appointments you will have from birth to 15yrs old
what is the patient journey for clefts
3-6mths lip closure
6-12mths palate closure
8-10yrs alveolar bone graft
12-15ys orthodontics
18-20yrs surgery - elective
what are the dental implications from clefts
missing teeth
impacted teeth
crowding
growth
caries
where are teeth more commonly missing
left side
why might teeth be impacted due to clefts
supernumeraries
why do cleft patients get crowding
constricted upper arch
