Cleft Lip & Palate

Question 1

What is the classification for cleft lip & palate?

Answer 1

The LAHSHAL classification

Question 2

CL&P Classification for this?

Answer 2

LAHS

Question 3

CL&P Classification for this?

Answer 3

LAHSHAL

Question 4

CL&P Classification for this?

Answer 4

HS

Question 5

What are the GENETIC aetiology of CL&P?

Answer 5

Syndromes
Family history
Sex ratio
Ethnicity

Question 6

What are the ENVIRONMENTAL aetiology of CL&P?

Answer 6

Social deprivation
Smoking
Alcohol

Anti-epileptics
Multivitamins??

Question 7

What are all the general implications of CL&P?

Answer 7

• Aesthetics (hole)
• Speech (cant produce certain sounds)
• Dental (hypodontia)
• Hearing airway
• Other anomalies

Question 8

What is the journey of a patient with CL&P?

Answer 8

Lip closure surgery - 3-6 months

Palate closure surgery - 9-12 months

Alveolar Bone graft - 8-10years old

Definitive ortho - 12-15yrs

Extra Surgery - 18+ yrs

Question 9

what happens in alveolar bone graft surgery for a pt with CL&P?

Answer 9

approx 8-12 years old, an alveolar bone graft is put in

Permanent canine is moved into that graft tissue so body doesnt resorb graft.

Question 10

Dental implications of CL&P?

Answer 10

• Missing teeth
• Impacted teeth
• Crowding
• Growth
• Caries

Question 11

Multidisciplinary team involved in a CL&P patients care?

Answer 11

• GDP
• Paeds dentist
• Dental therapist
• Orthodontist
• Restorative dentist
• Oral surgeon