Cleft Palate Flashcards
who is cleft lip and palate more common in
males
what is the classification for cleft lip and palate
LASHAL
what does the LASHAL classification stand for
lip
alveolus
hard palate
soft tissue
what does a capital letter in the LASHAL classification mean
full cleft
what does a lower case letter in the LASHAL classification mean
partial cleft
what are the aetiological factors of CLP
genetic - syndromes and family history
environment - social deprivation, smoking
where do clefts more commonly occur
more common on left than right - like missing and ectopic teeth
who is part of the MDP for CLP issues
CNS
surgeon
dental team
ENT
psychology
speech and language therapist
what occurs at 3 months on the cleft journey
lip closure
what happens at 6-12 months on the cleft journey
palate closure
what happens at 8-10 years on the cleft journey
alveolar bone graft
what happens at 12-15 years on the cleft journey
definitive ortho
what can occur at 18-10 years of the cleft journey
surgery
what are the three compulsory operations for CLP
lip closure
palate closure
alveolar bone graft
when would a child with a cleft have an IOTN score of 5p
if they have both cleft lip AND palate
what muscle is repaired in the lip surgery
orbicularis oris
why is the surgery to close the palate not done until 6 months at least
babies are nasal breathers until 6 months so any preparation to repair the palate before them would stop them breathing
why is cleft palate surgery done before 12 months
babies start babbling at 12 months
give five dental implications of CLP
missing teeth
impacted teeth
crowding
growth
caries
what is the most common tooth to be missing
lateral incisor
what side of the mouth are teeth most commonly missing from
left side
why may teeth in CLP be crowded
constricted upper arch due to cleft
deciduous teeth removed early as prone to decay
name three reasons why may kids with CLP be more at risk of caries
hard to clean teeth than come through cleft site
more likely to have hyperplastic teeth
nature of clientele - poor socio-economic background
