Cleft Lip and Palate Flashcards
What is the LAHSHAL classification?
Right to Left (for left side work backwards)
Lip
Alveolus
Hard Palate
Soft Palate
Alveolus
Lip
What side is more common to have a cleft on?
Left hand side
What is the Aetiology for clefts?
70% have no explanation
Genetic - Syndromes, family history, sex ratio, ethnic distribution
Environment- social deprivation, smoking, alcohol, anti-epileptics, multivitamins
What are some speech implications of clefts?
soft palate does not function properly
Cannot make p,f,s sounds - soft palate helps with making sounds as it forces air through mouth
Become hypernasal with speech
What are some dental complications with a cleft palate?
When the cleft goes through the alveolus it stops the dental lamina forming properly
Supernumerary teeth
Missing teeth - most common is lateral incisor
Impacted teeth - due to supernumerary teeth
Crowding
–constricted upper arch
–deciduous teeth extracted early
Growth
–20% have class III skeletal base
Caries
–hyperplastic teeth
–teeth come through in cleft site- difficult to clean
What are some hearing and airway complications of a cleft?
Neural crest migration has not completed so not formed properly
Who is involved in the Multidisciplinary Team for clefts?
Surgeon
Speech and Language Therapist
Dental Team
ENT
Geneticists
Psychologist
What procedure is completed at 3 months for cleft patients?
Lip closure
Primary surgery for aesthetic reasons
What procedure is completed at 6-12 months for cleft patients?
Why is it done then?
Palate closure
Babies are nasal breathers until 6 months, surgery before this blocks the airway. Carried out before 12 months as they start to talk
What procedure is completed at 8-10 years for cleft patients?
Alveolar bone grafts
What procedure is completed at 12-15 years for cleft patients?
Definitive orthodontics
