Cleft Palate

Question 1

who is cleft lip and palate more common in

Answer 1

males

Question 2

what is the classification for cleft lip and palate

Answer 2

LASHAL

Question 3

what does the LASHAL classification stand for

Answer 3

lip
alveolus
hard palate
soft tissue

Question 4

what does a capital letter in the LASHAL classification mean

Answer 4

full cleft

Question 5

what does a lower case letter in the LASHAL classification mean

Answer 5

partial cleft

Question 6

what are the aetiological factors of CLP

Answer 6

genetic - syndromes and family history
environment - social deprivation, smoking

Question 7

where do clefts more commonly occur

Answer 7

more common on left than right - like missing and ectopic teeth

Question 8

who is part of the MDP for CLP issues

Answer 8

CNS
surgeon
dental team
ENT
psychology
speech and language therapist

Question 9

what occurs at 3 months on the cleft journey

Answer 9

lip closure

Question 10

what happens at 6-12 months on the cleft journey

Answer 10

palate closure

Question 11

what happens at 8-10 years on the cleft journey

Answer 11

alveolar bone graft

Question 12

what happens at 12-15 years on the cleft journey

Answer 12

definitive ortho

Question 13

what can occur at 18-10 years of the cleft journey

Answer 13

surgery

Question 14

what are the three compulsory operations for CLP

Answer 14

lip closure
palate closure
alveolar bone graft

Question 15

when would a child with a cleft have an IOTN score of 5p

Answer 15

if they have both cleft lip AND palate

Question 16

what muscle is repaired in the lip surgery

Answer 16

orbicularis oris

Question 17

why is the surgery to close the palate not done until 6 months at least

Answer 17

babies are nasal breathers until 6 months so any preparation to repair the palate before them would stop them breathing

Question 18

why is cleft palate surgery done before 12 months

Answer 18

babies start babbling at 12 months

Question 19

give five dental implications of CLP

Answer 19

missing teeth
impacted teeth
crowding
growth
caries

Question 20

what is the most common tooth to be missing

Answer 20

lateral incisor

Question 21

what side of the mouth are teeth most commonly missing from

Answer 21

left side

Question 22

why may teeth in CLP be crowded

Answer 22

constricted upper arch due to cleft
deciduous teeth removed early as prone to decay

Question 23

name three reasons why may kids with CLP be more at risk of caries

Answer 23

hard to clean teeth than come through cleft site
more likely to have hyperplastic teeth
nature of clientele - poor socio-economic background