Go on. Explore!

lvl 0 • 0 xp

lvl 1

Home Market Decks Interests

OS 2-1 Clefts

memorize.ai (lvl 286)

(0)

19 cards

()

Section 1

Preview this deck

Cleft next to adjacent teeth BEFORE they erupted -tooth will not be stable in a cleft CI 6-8 LI 7-8 Canine 10-12

Front

1 / 19

iOS Dev

0.0

0 reviews

5			0
4			0
3			0
2			0
1			0

Active users

All-time users

Favorites

Last updated

6 years ago

Date created

Mar 1, 2020

Cards (19)

Section 1

(19 cards)

Cleft next to adjacent teeth BEFORE they erupted -tooth will not be stable in a cleft CI 6-8 LI 7-8 Canine 10-12

Front

Determines when grafting occurs in cleft

Back

Lip/nose Palate Treatment of velopharyngeal incompetence (VPI) -speak in oral cavity alone, speak while breathing through nose Alveolar repair -class III - mx won't grow anteriorly, mn continues to grow Jaw position Reconstruction of missing dentition Then soft tissue construction if needed

Front

Anatomical cleft in order of repair

Back

Lip Alveolus Palate

Front

Complete cleft

Back

Community based resource for dental care -seen very young and need to be followed over time -series of operations until 20 years old due to scarring Maintain dentition and oral health Monitor growth and development Work with cleft palate team that is multi disciplinary Objective is restoration to oral health and normalization of appearance

Front

Role of general dentist in management of cleft lip/palate patients

Back

Stable alveolus for dental reconstruction Closes communication between oral/nasal -retrograde regurgitation -nasal air emission -close fistula to nose and graft for stability

Front

Why alveolar cleft needs to be repaired

Back

Not an abcense of tissue Tissue just isn't in place its supposed to be and isnt' fused -8 weeks in utero -a lot of cleft patients have heart problems too (murmur or defect), cardiac forms at same time as face

Front

What cleft is and when it occurs to increase other risks of defect

Back

1:800-1000 live births -most common congenital anomaly in orofacial region -can be diagnosed in utero -1st trimester defect that doesn't close -all clefts are different

Front

Prevelance of cleft palate

Back

Cleft lip Cleft alveolus Cleft palate Hypodontia vs supernumerary teeth Growth alteration -operation to repair cleft creates a scar, not as elastic, restricted mx growth —> cross bite Functional impairment - speech and mastication Facial appearance challenges

Front

Components of "cleft palate"

Back

Nose is flared out Do z incisions instead of straight line - eyes see straight lines better Where mx CI (Pre-mx segment), moveable piece

Front

Back

Cheiloplasty (lip closure) - 3 mo Palatoplasty (palate closure) - 1 year Alveolar cleft grafting (3-9 years) -due to tooth eruption sequence Orthognathic surgery (16-18 years) Nose and lip revision (final adult)

Front

Timing of treatment by age

Back

Hypoplasia (usually LI) Dysmorphism Position in dental arch Supernumerary teeth

Front

Assessed to determine prognosis of teeth approximating cleft

Back

Segment collapse and transverse mx deficiency May be difficult to expand prior to eruption of 1st molars (6 years) Expansion can be accomplished by utilizing primary dentition Graft is placed after confirmation by ortho -Can expand after grafting *be careful moving teeth adjacent to cleft -Teeth erupt through grafts

Front

Ortho intervention of alveolar cleft repair

Back

High caries rate Challenges with oral hygiene -lip is tight due to scarring, hard to get under it to clean teeth Must maintain optimum oral health Multiple ortho interventions -palatal expansion Staged alignment and leveling

Front

Challenges in dental home for cleft patients

Back

Multi-disciplinary

Front

Cleft team

Back

Usually by skeletal maturity

Front

When cleft treatment is competed by

Back

Class III

Front

Most likely skeletal relationship for cleft palate

Back

Presurigcal ortho to align and level teeth Bone graft of cleft alveolus prior to mx osteotomy LeFort I

Front

Ortho and surgery sequence for cleft palate

Back

Anterior iliac crest -particular cancellous marrow bone -highly cellular graft gives best results

Front

Best bone to use for alveolar cleft repair and in high supply

Back

Alveolar cleft reconstruction (grafting) Orthognathic surgery (jaw repositioning) with skeletal malocclusion -LeFort I -Mn -Distraction osteogenesis Dental reconstructions (implants)

Front

Role of OMS with cleft lip/palate

Back