An Ideal Multidisciplinary Cleft Lip and Cleft Palate Care Team

Frederick, Robert; Hogan, Amy Claire; Seabolt, Natalie; Stocks, Rose Mary S.

doi:10.1111/odi.14213

Cited by 20 publications

(12 citation statements)

References 33 publications

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“…The last article of this collection describes the multidisciplinary team of professionals involved in the long-term treatment of patients with orofacial clefts (Frederick et al, 2022). This narrative review highlights the importance of adequate preparation and detection of associated abnormalities prior to surgical intervention and suggests the addition of a registered dietitian to the initial intervention team to ensure adequate macronutrient intake to maximize growth and development of the child.…”

Section: E D I T O R I a L Orofacial Clefts: A Compendium On Non-synd...mentioning

confidence: 99%

Orofacial clefts: A compendium on non‐syndromic cleft lip–cleft palate

Coletta

Sunavala‐Dossabhoy

2022

Oral Diseases

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Section: E D I T O R I a L Orofacial Clefts: A Compendium On Non-synd...mentioning

confidence: 99%

Orofacial clefts: A compendium on non‐syndromic cleft lip–cleft palate

Coletta

Sunavala‐Dossabhoy

2022

Oral Diseases

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“…Surgical intervention forms the cornerstone of treatment, while cleft palate care focuses on collaboration among a range of specialists, including pediatricians, plastic surgeons, orthognathic surgeons, dentists, speech therapists, and orthodontists. The success of treatment relies heavily on building trust and fostering cooperation with the patient's family, especially the parents [1,6].…”

Section: Introductionmentioning

confidence: 99%

Dental Anomalies in Maxillary Incisors and Canines among Patients with Total Cleft Lip and Palate

Paradowska-Stolarz

Kawala

2023

Applied Sciences

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Cleft lip and palate is the most common asymmetric congenital condition of the orofacial region, which also finds its reflection in dental anomalies. The aim of the study was to present the dental asymmetries of the front region of the maxilla in cleft patients. Materials and Methods: We analyzed plaster casts and panoramic X-rays of 154 patients with total clefts and 151 healthy individuals. The cleft patients’ age ranged between 7.1 and 20 years (mean 13.18). The control group had a similar age range (7.1 and 20 years, mean 13.44). The digital caliper was used to measure the width of the teeth. Each measurement was performed three times each. Results: Most of the dental anomalies among cleft patients referred to the lateral incisors and were focused on the cleft side. The asymmetry of the incisors is reflected both in the number of teeth in the cleft region and their width. The lateral incisor was missing twice as frequently on the cleft side of the individual. If present, the lateral incisor was usually ±1.5 mm narrower than the incisor on the opposite side. In bilateral clefts, dental anomalies occurred more frequently on the left side. Conclusions: Dental problems occurred more frequently in patients with total cleft lip and palate than in healthy individuals. The most commonly affected teeth were the lateral incisors. The width of the lateral incisors was reduced in cleft patients—showing a smaller mesiodistal dimension on the cleft side.

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“…The objective of this study is to analyse the challenges and outcomes of treating UCLP/BCLP patients who have edentulous or partly edentulous maxilla with CAD/CAM suprastructures. It is worth remembering that the advantages of a multidisciplinary team strategy for the comprehensive care of patients with CLP and their families must be highlighted [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Use of Individually Designed CAD/CAM Suprastructures for Dental Reconstruction in Patients with Cleft Lip and Palate

Mäntynen,

Laurila,

Strausz

et al. 2023

Dentistry Journal

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This patient series reports the outcomes of CAD/CAM prosthetic reconstructions in patients with cleft lip and palate (n = 9, aged 27 to 76) who have experienced significant failure with conventional restorative and fixed prosthodontic treatments. The objective of the protocol is to establish a functional and patient-friendly prosthetic structure for individuals with unilateral/bilateral cleft lip and palate (UCLP/BCLP) while minimising the requirement for specialised follow-up care in the cleft unit. The study data were obtained from a retrospective cohort at Helsinki University Hospital. Prosthetic reconstructions were performed using CAD/CAM bar structures by the Atlantis 2in1 system or Createch removable telescope structures, supported by four to eight maxillary dental implants. Out of the nine patients, seven experienced no complications. One prosthesis fracture occurred after 16 months due to a design error in the original framework, and one patient experienced failure of osseointegration in a dental fixture (specifically, one fixture out of the eight maxillary implants in this patient). In total, 56 implants were successfully placed. The maxillary dentition of elderly patients with cleft lip and palate often poses challenges due to periodontal and reconstructive issues. An implant-supported CAD/CAM bar with a removable telescope suprastructure offers an easily maintained and functional solution for dental rehabilitation.

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An Ideal Multidisciplinary Cleft Lip and Cleft Palate Care Team

Cited by 20 publications

References 33 publications

Orofacial clefts: A compendium on non‐syndromic cleft lip–cleft palate

Orofacial clefts: A compendium on non‐syndromic cleft lip–cleft palate

Dental Anomalies in Maxillary Incisors and Canines among Patients with Total Cleft Lip and Palate

Use of Individually Designed CAD/CAM Suprastructures for Dental Reconstruction in Patients with Cleft Lip and Palate

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