management of cleft lip and palate
DESCRIPTION
Management Of Cleft Lip And Palate. Group 4 Nur Fatin, Masyitah, Amalina, Syafiqah, Hanif. A multidisciplinary team approach. Involving: Surgeon Paediatrician / paediatric dentist Orthodontist Speech pathologist Psychologist Cleft coordinator Genetic counselor Audiologist CLAPAM. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/1.jpg)
Management Of Cleft Lip And Palate
Group 4Nur Fatin, Masyitah, Amalina,
Syafiqah, Hanif
![Page 2: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/2.jpg)
A multidisciplinary team approachInvolving: Surgeon Paediatrician/paediatric dentist Orthodontist Speech pathologist Psychologist Cleft coordinator Genetic counselor Audiologist CLAPAM
![Page 3: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/3.jpg)
Dental Team:1.Orthodontist– Concern on the alignment of teeth
2.Paediatric dentist– Concern on the well being of deciduous and
permanent teeth and gingiva
3.Prosthodontist– Replace missing teeth
4.Oral and maxillofacial surgeon– Carry out the surgery procedure
![Page 4: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/4.jpg)
Paediatric Dental Care
1.Infant-toddler2.Primary dentition3.Mixed dentition4.Young permanent dentition
![Page 5: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/5.jpg)
STAGE MANAGEMENTInfant-toddler -Prenatal oral health counseling for parents
-Monitor dental and oral environment, fluoride status, oral habits, OH, diet-Infant oral evaluation: arch form, displacement of arch segment, presence of natal or neonatal teeth
Primary dentition -GOAL: prevention and caries control-Review 3-4x/year-Topical fluoride-Restorative care
Mixed dentition -Prevention against caries, temporary replacement of missing teeth-Eruption of permanent lat. Incisors and maxillary molars-retarded-Ectopic eruption into cleft defect-Parental role-active supervision-ABG (9-11 years old) allow canine eruption-Pre grafting orthodontics-Closure of fistula
![Page 6: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/6.jpg)
STAGE MANAGEMENT Permanent dentition - Care for malformed teeth and replacing missing
teeth-Continuous caries prevention: fluorides, OH, fissure sealants, diet management-Periodontal disease- cleft lip and palate patient predispose to periodontal destruction of teeth adjacent to cleft referral to periodontist-Presurgical orthodontics-Orthognathic surgery (>17 years old) Premaxilla osteotomyLe Fort I maxillary advancement osteotomy+/- mandibular setback (BSSO)
![Page 7: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/7.jpg)
Orthodontics Management
Aims of treatment:• Improved appearances• Improved speech• Improved self image• Functional and stable occlusion
![Page 8: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/8.jpg)
![Page 9: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/9.jpg)
Feeding plate
![Page 10: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/10.jpg)
Alveolar bone graft
![Page 11: Management Of Cleft Lip And Palate](https://reader035.vdocuments.us/reader035/viewer/2022062315/56815152550346895dbf7617/html5/thumbnails/11.jpg)
Thank you