Module 14- cleft, surgery, psychiatric disorders Flashcards
What is the prevalence of cleft lip/palate?
1-2/1000 births
Cleft lip occurs more frequently in ________ and cleft palate occurs more frequently in _______
males
females
When does a cleft lip/palate occur?
first trimester
The lip forms between what weeks in utero?
4-7
Cleft lip becomes apparent by the end of the ______ month in utero?
2nd
The palate forms between what weeks in utero?
8-12
Cleft palate is evident by the end of the _____ month in utero?
3rd
Cleft lip and palate are caused by ______ ______ and _______ factors?
multifactorial genetic
environmental
When is the significant time for the environment to influence the development of cleft lip and palate?
early in 1st trimester
what vitamins (if deficient) can play a role in cleft lip and palate
vitamin A
Folic Acid
What is a class 1 cleft?
tip of uvula
What is a class 2 cleft?
bifud uvula
A cleft of the soft and hard palates is a class?
4
A cleft of the soft palate only is a class?
3
C cleft that continues through the alveolar ridge on ONE side is a class?
5
A class ___ cleft is when the muscle union is imperfect across the soft palate
7
A cleft that continues through alveolar ridge on BOTH sides is a class?
6
A pt. with clefts has a greater chance of what characteristics related to the teeth?
supernumerary
missing
form abnormalities
Missing teeth in pts. with clefts are usually presented on what side of the mouth?
the side the cleft is on
An open palate provides direct communication with the ______ ____?
nasal cavity
A cleft lip makes it difficult for a child to?
suck
Cleft lip/palate or both are features of over _____ other disorders?
300
A pt. with cleft lip/palate will have a deficiency of the _______ lip? It is usually short and ______?
upper
retroposed
Cleft lip/palate pts. have a predisposition towards ______ respiratory and _____ ear infections?
upper
middle
What is a common speech problem seen in a patient with clefts?
nasal tones
What are the 2 common appliances used in cleft patients?
obturator
speech Aid prostheses
An _______ is a removable device to close the palatal opening?
obturator
A speech aid prosthesis is _______ and is used to complete the ______ _______ required for speech?
removable
palatopharyngeal valving
Orthodontic treatment may begin as early as ____ yrs. old?
3
What is the rule of 10’s with cleft lip surgery?
10 wks old
10lbs
10mg/ml hemoglobin count
The main purpose of early surgical treatment of a cleft is to help with ______ closure of the palate?
partial
Primary surgery to fix a cleft lip is at what age?
2-3 mo
Primary surgery to close a cleft palate is done at what age?
18 mo or earlier
Pts with clefts are known to be “______ _____”
clinic tired
Why is halitosis a problem for pts. with clefts?
due to mucous from nasal cavity entering the mouth
biofilm accumulation on prostheses
After a pre-surgery scaling appointment you would instruct a pt. to rinse with?
chlorhexidine for tissue conditioning
What vitamins are essential in promoting healing after oral surgeries?
A, C, riboflavin
Having a cleaning before oral surgery may make it less likely for ______ _____ post surgically?
bacterial infections
Having a cleaning before oral surgery may make improve the ______ of tissues and lessen the ________ at time of surgery?
tone
bleeding
Irrigation should be performed for how long after oral surgery?
first few days
What type of mouth-rinses are used for irrigation following oral surgery?
saline
chlorhexidine
fluoride
Is a cleaning carried out on a patient who is undergoing an acute exacerbation of schizophrenia?
NO
What is tardive dyskinesia?
involuntary movements of mouth, lips, tongue, jaws
When would you see a pt. with tardive dyskinesia?
long term antipsychotic meds (schizophrenia)
A patient who is _______ and in the _____ phase may have abraded/lacerated gingiva because of overeager brushing motions?
bipolar
manic
