Post-surgical dentofacial deformities and dental treatment needs in cleft-lip-palate children: A clinical study

Abstract

The study revealed that the distribution of cleft deformity is shown out of 23 male children, 11 children with unilateral cleft lip, 9 children with bilateral cleft lip palate, and remaining 3 children were with cleft palate. Out of 27 female children, 19 children with unilateral cleft lip palate, 3 children with bilateral cleft lip palate, and 5 children with cleft palate. This study showed a wide range of surgical, dental, and functional problems in all operated cleft lip and palate patients. Hence, the study concluded that the effect of timing of the cleft repair on the overall development of facio skeletal-dental structures showed insignificant differences among the various operated cleft-lip-palate children.

Cleft Lip and/or Palate

“…3,4 These erroneous views of cleft etiology may deter the parents from pursuing treatment for fear of disrupting God's plan. [11][12][13][14] What Is This Box? 3 Clefts of the lip and/or palate may occur sporadically or in conjunction with other anomalies as a sequence, such as Pierre Robin, or as part of a syndrome.…”

Parental satisfaction in Ugandan children with cleft lip and palate following synchronous lip and palatal repair

“…In patients with CLP, agenesis of the maxillary lateral incisor, a supernumerary tooth and rotated or displaced teeth are frequency seen dental anomalies (Priya, Reddy, Ramakrishna, & Reddy, 2011). Consequently, most children with CL/P need additional dental and orthodontic treatment.…”

Effect of palatoplasty on speech, dental occlusion issues and upper dental arch in children and adolescents with cleft palate: an integrative literature review

“…On the other hand, Pradel et al 11 demonstrates that one-stage repair, at the age between 9 and 12 months, has a positive influence on the initial maxillary growth, in contrast with the two-stage procedure. Despite the description of ideal age for performing palatoplasty in the protocols, a study demonstrated that the time when palatoplasty was performed did not present significant effect on global development of dentofacial skeletal structures 17 .…”

“…palatoplasty, and present alterations in some aspects, such as resonance and articulation. In the study written by Prya et al 17 , 92% of the subjects, aged 1 to 14, who underwent palatoplasty (with various techniques) presented alteration in speech (without these alterations being specified) 17 . The most common complications of the palate repair procedure are velopharyngeal insufficiency and oronasal fistulae (which may be either asymptomatic or insufficiency causer) 9 .…”

“…A large portion of the children submitted to palatoplasty, independently of the technique used, presented articulation disorders in speech 9,17 . Between the articles used in this review, the established criteria and the names given to speech alteration are heterogeneous and, in some cases, the variables measured to evaluate the outcome are not specified [9][10][11] .…”