Developmental Deficits

Question 0

Describe normal deciduous /primary dentition

Answer 0

20 teeth(10 maxillary arch, 10 mandibular arch)
Developed by 29 months

Question 1

Name the 5 anomalies in developmental deficits

Answer 1

Dental 
ENT
Language 
Cognition
Psychosocial

Question 2

Describe permanent dentition

Answer 2

32 teeth (16 on each arch) 
Developed from 7-20 yrs

Question 3

Describe a class I occlusion

Answer 3

Normal upper overlap

Question 4

Describe a class I malocclusion.

Answer 4

Incorrect line (teeth don’t match , are rotated, etc.)

Question 5

Describe a class II malocclusion.

Answer 5

Overbite more than 3 mm

Question 6

Describe a class III malocclusion

Answer 6

Underbite

Question 7

What kind of dental anomalies occur with cleft ?

Answer 7

Missing teeth
Supernumerary teeth
Ectopic teeth
Rotated teeth
Crowding
Cross bite
Class III malocclusion 
Open bite 
Protruding maxilla

Question 8

What kind of speech problems occur with cleft?

Answer 8

Misarticulations/distortions of sibilants, labiodentals, alveolars, bilabials
Labioversion
Teeth crowding/narrow maxillary arch/macroglossia

Question 9

Name the 5 EAR related ENT anomalies associated with cleft

Answer 9

Microtia
Aural atresia
Abnormal ossicle formation/fusion
Otitis media
Otic capsule abnormal development /ossification

Question 10

Name the 3 NOSE related ENT anomalies associated with cleft

Answer 10

External deformities
Abnormalities of nasal base
Internal derangement : deviated septum, pyriform aperture stenosis, choanal stenosis

Question 11

What are 2 ENT anomalies associated with the face?

Answer 11

Maxilla

Facial nerve

Question 12

What are the 5 ENT anomalies associated with the oral cavity?

Answer 12

Lips
Mouth
Tongue 
Palate
Tonsils and adenoids

Question 13

What is an ENT anomaly associated with the throat/upper airway ?

Answer 13

Adenotonsillar /adenoid/ tonsillar hypertrophy

Question 14

Are there language deficits in IQ and brain structure among cleft children?

Answer 14

No difference bet seen cleft and normal but children with CP and a syndrome are at risk

Question 15

Are there language deficits in Environmental factors among cleft children?

Answer 15

No difference between cleft and Normal

Question 16

Are there language deficits in hearing among cleft children?

Answer 16

CP have high risk of chronic otitis media

Question 17

Are there language deficits in Motivation to talk among cleft children?

Answer 17

Cleft tend to revert to gestures because of difficulty with speech production

Question 18

Are there language deficits in Attention among cleft children?

Answer 18

ADHD Occurs in 3-5% of children , mostly those with cranial facial syndromes and neurological issues are at risk.

Question 19

How are A&P factors associated with language deficits ?

Answer 19

Vocal tract, respiration, phonation, resonation, articulation, and neuro fxn

Question 20

Name 3 language development and learning deficits associated with cleft

Answer 20

Early deficits in cognitive dev.
Prelanguage skills
Lower expressive language
***Common in syndromes

Question 21

Name 6 phonological/articulation deficits in lang development.

Answer 21

Disrupted tactile -kin esthetic auditory feedback loop
Less vocalization
Predominant nasals for orals ; glottals for plosives
Habitual compensatory productions
Age of palate repair
Apraxia co occurrence

Question 22

Name the 3 types of psychosocial aspects of cleft

Answer 22

Family issues
School issues
Society issues

Question 23

Name the 2 types of family issues

Answer 23

Initial shock and adjustment

Cleft as chronic medical condition

Question 24

Name the 5 types of school issues associated with psychosocial aspects

Answer 24

Knowledge and expectation of teachers 
Learning ability and performance 
Social interaction
Teasing
Self perception

Question 25

Name the 5 types of society issues associated with psychosocial aspects of cleft

Answer 25

Physical attractiveness
Speech quality
Hearing impairment 
Stigma
Behavioral issues