Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_15_21
Sushma Manjunath, M. Pushpavathi, R. Sankar
Purpose: The study's objectives were to assess the effect of articulation therapy for bilabials on SODA errors, cleft type errors (CTEs), and percentage of correct consonants-revised (PCC-R) in children with repaired cleft lip and palate. Methods: Single-subject with multiple baselines research design was used to investigate the changes in bilabials across four-time points. Four participants with repaired cleft lip and palate (RCLP) between 4 and 7.11 years were considered. For the assessment, pictures of six words were visually presented, and the participants were asked to name them. Three speech-language pathologists identified SODA errors and cleft type errors (CTE), based on which PCC-R was calculated. Participants underwent ten intensive articulation therapy sessions: phase I focused on auditory discrimination training and phase II on production training. The production training mainly focused on the phonetic placement approach, shaping the target sound, and improving the oral airflow. Results: Overall, SODA error analysis revealed substitution and distortion errors during the baseline assessment. CTE analysis indicated weak oral pressure consonant followed by a glottal stop, nasalization of voiced pressure, nasal consonants for oral pressure consonants, and voicing errors. PCC-R scores ranged from 0% to 83.33%. Assessment 4 indicated only distortion errors during SODA error analysis, weak oral pressure consonants during CTE analysis PCC-R was 100%. The obtained results indicate an improvement in the articulation placement and oral airflow; thus, the participants benefited from the intervention program.
{"title":"Impact of articulation therapy on perceptual characteristics of bilabials in children with repaired cleft lip and palate","authors":"Sushma Manjunath, M. Pushpavathi, R. Sankar","doi":"10.4103/jclpca.jclpca_15_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_15_21","url":null,"abstract":"Purpose: The study's objectives were to assess the effect of articulation therapy for bilabials on SODA errors, cleft type errors (CTEs), and percentage of correct consonants-revised (PCC-R) in children with repaired cleft lip and palate. Methods: Single-subject with multiple baselines research design was used to investigate the changes in bilabials across four-time points. Four participants with repaired cleft lip and palate (RCLP) between 4 and 7.11 years were considered. For the assessment, pictures of six words were visually presented, and the participants were asked to name them. Three speech-language pathologists identified SODA errors and cleft type errors (CTE), based on which PCC-R was calculated. Participants underwent ten intensive articulation therapy sessions: phase I focused on auditory discrimination training and phase II on production training. The production training mainly focused on the phonetic placement approach, shaping the target sound, and improving the oral airflow. Results: Overall, SODA error analysis revealed substitution and distortion errors during the baseline assessment. CTE analysis indicated weak oral pressure consonant followed by a glottal stop, nasalization of voiced pressure, nasal consonants for oral pressure consonants, and voicing errors. PCC-R scores ranged from 0% to 83.33%. Assessment 4 indicated only distortion errors during SODA error analysis, weak oral pressure consonants during CTE analysis PCC-R was 100%. The obtained results indicate an improvement in the articulation placement and oral airflow; thus, the participants benefited from the intervention program.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"7 - 13"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48526949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_42_21
D. Upadhyaya
{"title":"Third time lucky?","authors":"D. Upadhyaya","doi":"10.4103/jclpca.jclpca_42_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_42_21","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45100976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_22_21
K. Girish, M. Pushpavathi, Ajish K. Abraham, C. Vikram
Introduction: Automatic speech processing (ASP) software is a nasality assessment tool. ASP studies focusing on investigating sentences to find nasality and correlating ASP scores with other objective assessment scores measuring nasality are scarce. Hence, the present study aimed at comparing the nasalance values of the ASP software with the nasometer in typically developing children (TDC) and children with repaired cleft palate (RCP) across different stimuli. Methods: Participants included 30 Kannada speaking TDC and 10 children with RCP (9–12 years). Speech stimuli (oral, nasal, and oronasal sentences) were recorded and the values were obtained from the ASP software as well as the nasometer. The following statistical tests were applied: mixed ANOVA, repeated measures ANOVA, paired samples t-test, independent samples t-test and Pearson's correlation. Results: Like nasometer, the nasalance values of ASP software were high for the nasal sentences followed by the oronasal sentences and the oral sentences, for both the populations. Higher nasalance values were found for children with RCP than for TDC across all the stimuli. Significant differences were found in nasalance values between the instruments in oral and oronasal sentences in TDC and nasal sentences and oronasal sentences in RCP. The nasalance values across the stimuli between nasometer and ASP software in both the groups showed no significant correlations. Conclusions: ASP software was successful in identifying nasalance in TDC and children with RCP. However, a major issue needs to be addressed concerning the dynamic range of the software and it has to be validated on a large number of populations.
{"title":"Automatic speech processing software – New sensitive tool for the assessment of nasality: A preliminary study","authors":"K. Girish, M. Pushpavathi, Ajish K. Abraham, C. Vikram","doi":"10.4103/jclpca.jclpca_22_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_22_21","url":null,"abstract":"Introduction: Automatic speech processing (ASP) software is a nasality assessment tool. ASP studies focusing on investigating sentences to find nasality and correlating ASP scores with other objective assessment scores measuring nasality are scarce. Hence, the present study aimed at comparing the nasalance values of the ASP software with the nasometer in typically developing children (TDC) and children with repaired cleft palate (RCP) across different stimuli. Methods: Participants included 30 Kannada speaking TDC and 10 children with RCP (9–12 years). Speech stimuli (oral, nasal, and oronasal sentences) were recorded and the values were obtained from the ASP software as well as the nasometer. The following statistical tests were applied: mixed ANOVA, repeated measures ANOVA, paired samples t-test, independent samples t-test and Pearson's correlation. Results: Like nasometer, the nasalance values of ASP software were high for the nasal sentences followed by the oronasal sentences and the oral sentences, for both the populations. Higher nasalance values were found for children with RCP than for TDC across all the stimuli. Significant differences were found in nasalance values between the instruments in oral and oronasal sentences in TDC and nasal sentences and oronasal sentences in RCP. The nasalance values across the stimuli between nasometer and ASP software in both the groups showed no significant correlations. Conclusions: ASP software was successful in identifying nasalance in TDC and children with RCP. However, a major issue needs to be addressed concerning the dynamic range of the software and it has to be validated on a large number of populations.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"14 - 23"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44184462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1007/978-3-030-98400-7
{"title":"Atlas of Non-Desirable Outcomes in Cleft Lip and Palate Surgery: A Case-Based Guide to Preventing and Managing Complications","authors":"","doi":"10.1007/978-3-030-98400-7","DOIUrl":"https://doi.org/10.1007/978-3-030-98400-7","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"337 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76569276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_36_21
Meera Singhal
Children with cleft lip and palate often suffer from nutritional deficiencies and subsequent growth problems, both of which are largely attributed to feeding difficulties due to the structural defect as well as the numerous surgical procedures that they undergo. The aim of this review article is to assess the nutritional needs of such children and to emphasize the role of nutrition in their long-term growth and development along with parental education on nutrition and various alternative feeding practices as an important aspect in the management of cleft lip and palate which may otherwise be overlooked. For this review, various articles on cleft lip and palate from plastic surgery to dental surgery journals were studied and more articles were based on subsequent bibliographic reviews of the above. It was concluded that to achieve optimal health in these children, the dietary changes required per day were minuscule. Rather, it is the delivery method of breast milk or formula which often needs to be changed to reduce effort and resultant caloric loss by the newborn, indirectly boosting the caloric intake and resultant weight gain and growth.
{"title":"Nutritional needs of cleft lip and palate child","authors":"Meera Singhal","doi":"10.4103/jclpca.jclpca_36_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_36_21","url":null,"abstract":"Children with cleft lip and palate often suffer from nutritional deficiencies and subsequent growth problems, both of which are largely attributed to feeding difficulties due to the structural defect as well as the numerous surgical procedures that they undergo. The aim of this review article is to assess the nutritional needs of such children and to emphasize the role of nutrition in their long-term growth and development along with parental education on nutrition and various alternative feeding practices as an important aspect in the management of cleft lip and palate which may otherwise be overlooked. For this review, various articles on cleft lip and palate from plastic surgery to dental surgery journals were studied and more articles were based on subsequent bibliographic reviews of the above. It was concluded that to achieve optimal health in these children, the dietary changes required per day were minuscule. Rather, it is the delivery method of breast milk or formula which often needs to be changed to reduce effort and resultant caloric loss by the newborn, indirectly boosting the caloric intake and resultant weight gain and growth.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"69 - 73"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45389551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_10_21
Krittika Aggarwal, Kuldeep Singh, M. Beniwal
Introduction: Congenital cleft earlobe is a common congenital deformity of earlobe. Various techniques have been described for its repair, but cosmetic deformity usually persists. We present our result using triangular flap repair for simple longitudinal cleft of earlobe. Materials and Methods: The procedure was done in five cases who presented between 2017 and 2020. The technique uses the same principles as in Randall-Tennison triangular flap repair for cleft lip. Results: Earlobes were near-symmetrical, postoperative scar minimal and patient satisfaction was very good in all cases. Ear piercing was done without any complications at least 6 months after surgery. After a follow-up of 1 year, no complications were noted. Conclusions: Triangular flap repair technique for cleft earlobe follows the principles of Randall-Tennison triangular flap repair for cleft lip. It provides very good results with esthetic contour, minimal scar with no complications in case of simple longitudinal cleft.
{"title":"Congenital cleft earlobe repair by triangular flap technique","authors":"Krittika Aggarwal, Kuldeep Singh, M. Beniwal","doi":"10.4103/jclpca.jclpca_10_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_10_21","url":null,"abstract":"Introduction: Congenital cleft earlobe is a common congenital deformity of earlobe. Various techniques have been described for its repair, but cosmetic deformity usually persists. We present our result using triangular flap repair for simple longitudinal cleft of earlobe. Materials and Methods: The procedure was done in five cases who presented between 2017 and 2020. The technique uses the same principles as in Randall-Tennison triangular flap repair for cleft lip. Results: Earlobes were near-symmetrical, postoperative scar minimal and patient satisfaction was very good in all cases. Ear piercing was done without any complications at least 6 months after surgery. After a follow-up of 1 year, no complications were noted. Conclusions: Triangular flap repair technique for cleft earlobe follows the principles of Randall-Tennison triangular flap repair for cleft lip. It provides very good results with esthetic contour, minimal scar with no complications in case of simple longitudinal cleft.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"92 - 94"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48741725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_40_21
P. Batra, S. Datana, A. Arora
The cleft lip and palate (CLP) anomaly involves treatment right from birth till adulthood. A lot of treatment modalities are also time and age sensitive, that if not performed at the correct time, the results are sub-optimal or compromised. One such treatment modality is Presurgical Infant Orthopaedics (PSIO) which is among the first corrective and therapeutic procedures performed in the infants with CLP anomaly. The role of an orthodontist is pivotal in guiding the two cleft segments into a relatively normal position before the surgical repair is performed. Over the course of history, this procedure has seen many modifications, arguments over its utility, and counter arguments of the potential harms. The present articles shed light over the initial inception of the procedure, its development and improvement, long-term changes seen in the patients treated with PSIO technique, and finally the latest advancements in technique.
{"title":"Presurgical infant Orthopedics: A developmental and clinical evolution","authors":"P. Batra, S. Datana, A. Arora","doi":"10.4103/jclpca.jclpca_40_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_40_21","url":null,"abstract":"The cleft lip and palate (CLP) anomaly involves treatment right from birth till adulthood. A lot of treatment modalities are also time and age sensitive, that if not performed at the correct time, the results are sub-optimal or compromised. One such treatment modality is Presurgical Infant Orthopaedics (PSIO) which is among the first corrective and therapeutic procedures performed in the infants with CLP anomaly. The role of an orthodontist is pivotal in guiding the two cleft segments into a relatively normal position before the surgical repair is performed. Over the course of history, this procedure has seen many modifications, arguments over its utility, and counter arguments of the potential harms. The present articles shed light over the initial inception of the procedure, its development and improvement, long-term changes seen in the patients treated with PSIO technique, and finally the latest advancements in technique.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"101 - 109"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46338916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_30_21
Ritu Somani, Dolly Patel, Mahesh Jain
Introduction: Patients with orofacial clefts are usually associated with various dental anomalies. These dental aberrations pose a clinical challenge in treatment planning. Thus, this investigation intends to find the prevalence rate of different types of dental anomalies and their correlation among nonsyndromic cleft patients. Methodology: Orthodontic records of 129 cleft patients classified into different cleft groups were assessed to evaluate the presence of different dental anomalies. Results: The most frequent dental anomaly found in Cleft patients was rotations followed by maxillary lateral incisor agenesis with a prevalence rate of 90.4% and 59.2%, respectively. Maxillary second premolar agenesis, peg-shaped laterals, mandibular second premolar agenesis, and supernumerary teeth showed prevalence rates as 25%, 21%, 7%, and 5%, respectively. There were significant differences in the overall distribution of maxillary lateral incisor agenesis and rotations between patients with Unilateral Cleft Lip and Cleft Palate, Bilateral Cleft Lip and Cleft Palate, Cleft Lip (CL), and Isolated Cleft Palate (ICP). Conclusion: There is a high prevalence of dental anomalies like rotations and maxillary lateral incisor agenesis in different CL and palate patients, which were statistically significant. The presence of such anomalies can deteriorate the already existing functional problem and hence, the study of these anomalies and their treatment is an important step in the rehabilitation of such patients.
{"title":"Prevalence of dental anomalies in different cleft lip and palate groups: A survey","authors":"Ritu Somani, Dolly Patel, Mahesh Jain","doi":"10.4103/jclpca.jclpca_30_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_30_21","url":null,"abstract":"Introduction: Patients with orofacial clefts are usually associated with various dental anomalies. These dental aberrations pose a clinical challenge in treatment planning. Thus, this investigation intends to find the prevalence rate of different types of dental anomalies and their correlation among nonsyndromic cleft patients. Methodology: Orthodontic records of 129 cleft patients classified into different cleft groups were assessed to evaluate the presence of different dental anomalies. Results: The most frequent dental anomaly found in Cleft patients was rotations followed by maxillary lateral incisor agenesis with a prevalence rate of 90.4% and 59.2%, respectively. Maxillary second premolar agenesis, peg-shaped laterals, mandibular second premolar agenesis, and supernumerary teeth showed prevalence rates as 25%, 21%, 7%, and 5%, respectively. There were significant differences in the overall distribution of maxillary lateral incisor agenesis and rotations between patients with Unilateral Cleft Lip and Cleft Palate, Bilateral Cleft Lip and Cleft Palate, Cleft Lip (CL), and Isolated Cleft Palate (ICP). Conclusion: There is a high prevalence of dental anomalies like rotations and maxillary lateral incisor agenesis in different CL and palate patients, which were statistically significant. The presence of such anomalies can deteriorate the already existing functional problem and hence, the study of these anomalies and their treatment is an important step in the rehabilitation of such patients.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"36 - 40"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46730520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_33_21
P. Narayanan
Bilateral cleft lips have traditionally been a challenge to repair and the results have not been very favorable. However, advances in the recent past in the understanding of the nature of the deformity, especially the nasal component have brought a revolutionary change in the approach to these patients, with remarkable improvement in the outcome. The management of the premaxilla and its alignment with the maxillary shelves presurgically is crucial for the optimal treatment of such patients. The treatment protocol and technique followed at our center are described. It is a modification of the Mulliken technique. The philtrum is designed to be small in keeping with its rapid growth potential. The philtral flap is raised and the orbicularis oris muscles from the two sides are mobilized and brought together in the mid-line. Adequate mobilization of the muscles is necessary to avoid closure under tension. The evolution of the concept of primary rhinoplasty is described. The technique of preschool columellar lengthening and open rhinoplasty that is followed at our center is described. Unfavorable results include scarring, dehiscence, and central vermillion deficiency.
{"title":"Repair of Primary Bilateral cleft Lip","authors":"P. Narayanan","doi":"10.4103/jclpca.jclpca_33_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_33_21","url":null,"abstract":"Bilateral cleft lips have traditionally been a challenge to repair and the results have not been very favorable. However, advances in the recent past in the understanding of the nature of the deformity, especially the nasal component have brought a revolutionary change in the approach to these patients, with remarkable improvement in the outcome. The management of the premaxilla and its alignment with the maxillary shelves presurgically is crucial for the optimal treatment of such patients. The treatment protocol and technique followed at our center are described. It is a modification of the Mulliken technique. The philtrum is designed to be small in keeping with its rapid growth potential. The philtral flap is raised and the orbicularis oris muscles from the two sides are mobilized and brought together in the mid-line. Adequate mobilization of the muscles is necessary to avoid closure under tension. The evolution of the concept of primary rhinoplasty is described. The technique of preschool columellar lengthening and open rhinoplasty that is followed at our center is described. Unfavorable results include scarring, dehiscence, and central vermillion deficiency.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"95 - 100"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41414350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jclpca.jclpca_34_21
G. Moghe, Sukhvinder Bindra
Children born with cleft lip/palate need regular dental care from birth till adulthood. Special feeding requirements, maintenance of oral hygiene, prevention and treatment of dental disease are essential components of oral healthcare provided by dental health care personnel. Malaligned teeth and dental anomalies should be addressed by orthodontics, guided by the developmental stage of the child. For the unmet need of dental care to be mitigated, it is essential that the core and coordinating teams be aware of the need for regular dental care visits. Each team needs to formulate sustainable oral health policies in their management protocol.
{"title":"Integrating dental care as a protocol in the management of children with cleft lip and palate","authors":"G. Moghe, Sukhvinder Bindra","doi":"10.4103/jclpca.jclpca_34_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_34_21","url":null,"abstract":"Children born with cleft lip/palate need regular dental care from birth till adulthood. Special feeding requirements, maintenance of oral hygiene, prevention and treatment of dental disease are essential components of oral healthcare provided by dental health care personnel. Malaligned teeth and dental anomalies should be addressed by orthodontics, guided by the developmental stage of the child. For the unmet need of dental care to be mitigated, it is essential that the core and coordinating teams be aware of the need for regular dental care visits. Each team needs to formulate sustainable oral health policies in their management protocol.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"60 - 68"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41932848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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