Cleft Lips and Palates

Paper Summary:

The paper states that cleft lips and cleft palates are among the most common of birth defects and if left untreated can lead to serious medical and concurrent speech and language problems. The paper comments that, while the consequences of cleft lips and palates can be severe and long-lasting, these can be averted by medical intervention, especially if it is done as early as possible. This paper explores the various options for surgical, medical, dental, and speech and audiological management of cleft of the secondary palates in children with Apert's syndrome and the ways in which these interventions can help children with these particular birth defects.

Outline:
Role of the Geneticist
Role of the Speech Language Pathologist
Role of the Audiologist
Role of the Plastic Surgeon
Role of the Dentist
Role of the Orthodontist
Conclusion

From the Paper:

"The second process involves orthodontic treatment of the deciduous dentition stage, which the researchers state has a direct correlation with the patency of circummaxillary sutures. This occurs in the latter period of 5;0 to 7;0 years. It is significant to reiterate the research of Kaloust, Ishii, and Vargervik (1997), bearing in mind once again that there is a 0.96 year delay in dentition of Apert's vs. normal children's dentition. Treatments are needed for the lack of deciduous dentition in the area of the alveolar cleft, and these treatments may include a face mask to protract growth. Treatment to manage crossbite includes equilibration for occlusal interference."

Sample of Sources Used:

• Cleft Palate Foundation (2007). About Cleft Lip and Palate. Retrieved August 13, 2007, from http://www.cleftline.org/parents/about_cleft_lip_and_palate.
• Carinci, F., Pezzetti, F., Locci, P., Becchetti, E., Carls, F., Avantaggiato, A., Becchetti, A., Carinci, P., Baroni, T., & Bodo, M. (2005). Apert and Crouzon's Syndromes: Clinical Findings, Genes and Extracellular Matrix. The Journal of Craniofacial Surgery, 16(3), p. 361-368.
• Children's Craniofacial Association (2007). A guide to understanding Apert's Syndrome. Retrieved August 19, 2007, from http://www.ccakids.com/Syndrome/Apert.PDF.
• Kaloust, S., Ishii, K., & Vargervik, K. (1997). Dental development in Apert Syndrome. Cleft Palate-Craniofacial Journal, 34(2), p. 117-121.
• Kuijpers-Jagtman, A. (2006) The orthodontist, an essential partner in CLP treatment. B-ENT, 2(4), p. 57-62.

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