Cleft lip and palate treatment

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  1. Cleft lip and palate can be satisfactorily treatedTo treat children with cleft lip and palate, a team of specialists is needed, including:
  2. Orthodontist
  3. General practitioner
  4. Maxillofacial surgeon
  5. Ear, nose and throat specialist
  6. Plastic surgeon
  7. Speech therapist
  8. Treatment should begin immediately after delivery. The most important thing to consider after the birth of a child is the child’s nutrition. If the parents’ information in this field is insufficient, the child will have a problem. In this regard, an orthodontist should be consulted to develop orthodontic appliances if necessary to better feed the child. The lip and palate in these patients require surgery to close the clefts and is performed by the maxillofacial surgeon. The lips are usually repaired after 10 weeks of birth and the palate is repaired before one year of age by the maxillofacial surgeon. These patients require both fixed and removable orthodontic treatments. Removable orthodontic treatment usually begins at ages 5 and 6 and continues until about 12 years of age. The purpose of this treatment is to widen the maxillary arch, align the front teeth, and correct defects. The first stage of orthodontic treatment should be performed prior to bone implantation to create adequate room for tooth growth in the jaw and at the site of the incision. At this stage, the extra teeth around the cleft must be removed with an appropriate treatment plan. In many patients with cleft lip and palate, there are many missing teeth, and in these patients, the missing teeth must be filled with other teeth as needed or the tooth’s place can be kept absent and put implants in place.
  9. Removable orthodontic treatments must align the upper and lower teeth, and since these patients have maxillary recession, the upper jaw must be oriented forward with removable maxillary appliances in order for the teeth and jaw to move forward. After the age of twelve, the patient needs fixed orthodontics as the permanent teeth grow in. With the help of fixed orthodontics, the teeth in the jaws can be aligned and aligned. The orthodontist must guide the upper jaw using other orthodontic treatments and the use of other orthodontic mechanisms. These treatments usually It lasts for several years. During orthodontic treatment, the patient may need speech therapy, and is usually referred to a speech therapist, or bone grafting may be required in the case of a cleft in the upper jaw, where the patient is referred by the orthodontist to the maxillofacial surgeon for a procedure Implants and bone repair.
  10. In many cases, if the patient has good co-operation and the patient is referred in time, a maxillary orthodontic appliance can be developed and may not require surgery to bring the upper jaw forward, but if the patient does not have good co-operation or if the defects are very large, Patients may need surgery in addition to orthodontics to advance the upper jaw, and this operation is performed after reaching the age of 18. If all orthodontic treatments are performed on time and the patient is referred to other specialists in a timely manner, such as maxillofacial surgeons, speech and ear therapists Nose and throat, they can be treated well.
  11. Many children born with cleft lip or cleft palate get on well with optimal hygienic management, their speech style matches that of their peers, and it is the task of orthodontists to guide them appropriately.