Module 14- cleft, surgery, psychiatric disorders

Question 1

What is the prevalence of cleft lip/palate?

Answer 1

1-2/1000 births

Question 2

Cleft lip occurs more frequently in ________ and cleft palate occurs more frequently in _______

Answer 2

males

females

Question 3

When does a cleft lip/palate occur?

Answer 3

first trimester

Question 4

The lip forms between what weeks in utero?

Answer 4

4-7

Question 5

Cleft lip becomes apparent by the end of the ______ month in utero?

Answer 5

2nd

Question 6

The palate forms between what weeks in utero?

Answer 6

8-12

Question 7

Cleft palate is evident by the end of the _____ month in utero?

Answer 7

3rd

Question 8

Cleft lip and palate are caused by ______ ______ and _______ factors?

Answer 8

multifactorial genetic

environmental

Question 9

When is the significant time for the environment to influence the development of cleft lip and palate?

Answer 9

early in 1st trimester

Question 10

what vitamins (if deficient) can play a role in cleft lip and palate

Answer 10

vitamin A

Folic Acid

Question 11

What is a class 1 cleft?

Answer 11

tip of uvula

Question 12

What is a class 2 cleft?

Answer 12

bifud uvula

Question 13

A cleft of the soft and hard palates is a class?

Answer 13

4

Question 14

A cleft of the soft palate only is a class?

Answer 14

3

Question 15

C cleft that continues through the alveolar ridge on ONE side is a class?

Answer 15

5

Question 16

A class ___ cleft is when the muscle union is imperfect across the soft palate

Answer 16

7

Question 17

A cleft that continues through alveolar ridge on BOTH sides is a class?

Answer 17

6

Question 18

A pt. with clefts has a greater chance of what characteristics related to the teeth?

Answer 18

supernumerary
missing
form abnormalities

Question 19

Missing teeth in pts. with clefts are usually presented on what side of the mouth?

Answer 19

the side the cleft is on

Question 20

An open palate provides direct communication with the ______ ____?

Answer 20

nasal cavity

Question 21

A cleft lip makes it difficult for a child to?

Answer 21

suck

Question 22

Cleft lip/palate or both are features of over _____ other disorders?

Answer 22

300

Question 23

A pt. with cleft lip/palate will have a deficiency of the _______ lip? It is usually short and ______?

Answer 23

upper

retroposed

Question 24

Cleft lip/palate pts. have a predisposition towards ______ respiratory and _____ ear infections?

Answer 24

upper

middle

Question 25

What is a common speech problem seen in a patient with clefts?

Answer 25

nasal tones

Question 26

What are the 2 common appliances used in cleft patients?

Answer 26

obturator | speech Aid prostheses

Question 27

An _______ is a removable device to close the palatal opening?

Answer 27

obturator

Question 28

A speech aid prosthesis is _______ and is used to complete the ______ _______ required for speech?

Answer 28

removable | palatopharyngeal valving

Question 29

Orthodontic treatment may begin as early as ____ yrs. old?

Answer 29

3

Question 30

What is the rule of 10's with cleft lip surgery?

Answer 30

10 wks old 10lbs 10mg/ml hemoglobin count

Question 31

The main purpose of early surgical treatment of a cleft is to help with ______ closure of the palate?

Answer 31

partial

Question 32

Primary surgery to fix a cleft lip is at what age?

Answer 32

2-3 mo

Question 33

Primary surgery to close a cleft palate is done at what age?

Answer 33

18 mo or earlier

Question 34

Pts with clefts are known to be "______ _____"

Answer 34

clinic tired

Question 35

Why is halitosis a problem for pts. with clefts?

Answer 35

due to mucous from nasal cavity entering the mouth | biofilm accumulation on prostheses

Question 36

After a pre-surgery scaling appointment you would instruct a pt. to rinse with?

Answer 36

chlorhexidine for tissue conditioning

Question 37

What vitamins are essential in promoting healing after oral surgeries?

Answer 37

A, C, riboflavin

Question 38

Having a cleaning before oral surgery may make it less likely for ______ _____ post surgically?

Answer 38

bacterial infections

Question 39

Having a cleaning before oral surgery may make improve the ______ of tissues and lessen the ________ at time of surgery?

Answer 39

tone | bleeding

Question 40

Irrigation should be performed for how long after oral surgery?

Answer 40

first few days

Question 41

What type of mouth-rinses are used for irrigation following oral surgery?

Answer 41

saline chlorhexidine fluoride

Question 42

Is a cleaning carried out on a patient who is undergoing an acute exacerbation of schizophrenia?

Answer 42

NO

Question 43

What is tardive dyskinesia?

Answer 43

involuntary movements of mouth, lips, tongue, jaws

Question 44

When would you see a pt. with tardive dyskinesia?

Answer 44

long term antipsychotic meds (schizophrenia)

Question 45

A patient who is _______ and in the _____ phase may have abraded/lacerated gingiva because of overeager brushing motions?

Answer 45

bipolar | manic