Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 5: Institutional outcomes assessment and the role of the Laboratory of Physiology

Cleft lip and palate (CLP) is the most common of craniofacial anomalies in humans. CLP results from disruption of embryonic processes during orofacial development; while syndromic clefts may have clearer aetiology, non-syndromic clefts are heterogeneous in aetiology. It is important for GDPs to understand the classification of CLP and the structure of centralized cleft centres in order to communicate with cleft teams. This article aims to clarify the role of GDPs within cleft management and discusses challenges in maintaining oral health in this group of patients, including increased risk of dental caries and periodontal disease, dental anomalies and psychosocial considerations. CPD/Clinical Relevance: The GDP should be responsible for maintaining good oral health for the patient with cleft lip and palate, focusing on prevention from a young age and restorative work if needed.

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Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies - USP (HRAC-USP) - part 3: Oral and Maxillofacial Surgery

Journal of Applied Oral Science ◽

10.1590/s1678-77572012000600014 ◽

2012 ◽

Vol 20 (6) ◽

pp. 673-679 ◽

Cited By ~ 22

Author(s):

José Alberto de Souza Freitas ◽

Daniela Gamba Garib ◽

Ivy Kiemle Trindade-Suedam ◽

Roberta Martinelli Carvalho ◽

Thais Marchini Oliveira ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Craniofacial Anomalies ◽

Rehabilitative Treatment

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Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) Part 4: Oral Rehabilitation

Journal of Applied Oral Science ◽

10.1590/1679-775720130127 ◽

2013 ◽

Vol 21 (3) ◽

pp. 284-292 ◽

Cited By ~ 15

Author(s):

Jose Alberto de Souza FREITAS ◽

Ana Lucia Pompeia Fraga de ALMEIDA ◽

Simone SOARES ◽

Lucimara Teixeira das NEVES ◽

Daniela Gamba GARIB ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Craniofacial Anomalies ◽

Oral Rehabilitation ◽

Rehabilitative Treatment

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The experience and excellence of the hospital for rehabilitation of craniofacial anomalies, university of Sao Paulo (HRAC/USP), in the rehabilitative treatment of cleft lip and palate

Journal of Applied Oral Science ◽

10.1590/1678-77572013ed006 ◽

2013 ◽

Vol 21 (6) ◽

pp. 496-496 ◽

Cited By ~ 1

Author(s):

Carlos Ferreira SANTOS ◽

Gustavo Pompermaier GARLET

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Sao Paulo ◽

São Paulo ◽

Craniofacial Anomalies ◽

Rehabilitative Treatment

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Dual embryonic origin of maxillary lateral incisors: clinical implications in patients with cleft lip and palate

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.20.5.118-125.sar ◽

2015 ◽

Vol 20 (5) ◽

pp. 118-125 ◽

Cited By ~ 5

Author(s):

Daniela Gamba Garib ◽

Julia Petruccelli Rosar ◽

Renata Sathler ◽

Terumi Okada Ozawa

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Lateral Incisor ◽

Craniofacial Anomalies ◽

Nasal Process ◽

Embryonic Origin ◽

Maxillary Lateral Incisor ◽

To Come ◽

Dual Origin ◽

Research Analysis

Introduction:Cleft lip and palate are craniofacial anomalies highly prevalent in the overall population. In oral clefts involving the alveolar ridge, variations of number, shape, size and position are observed in maxillary lateral incisors. The objective of this manuscript is to elucidate the embryonic origin of maxillary lateral incisors in order to understand the etiology of these variations.Contextualization: The hypothesis that orofacial clefts would split maxillary lateral incisor buds has been previously reported. However, recent studies showed that maxillary lateral incisors have dual embryonic origin, being partially formed by both the medial nasal process and the maxillary process. In other words, the mesial half of the lateral incisor seems to come from the medial nasal process while the distal half of the lateral incisor originates from the maxillary process. In cleft patients, these processes do not fuse, which results in different numerical and positional patterns for lateral incisors relating to the alveolar cleft. In addition to these considerations, this study proposes a nomenclature for maxillary lateral incisors in patients with cleft lip and palate, based on embryology and lateral incisors position in relation to the alveolar cleft.Conclusion:Embryological knowledge on the dual origin of maxillary lateral incisors and the use of a proper nomenclature for their numerical and positional variations renders appropriate communication among professionals and treatment planning easier, in addition to standardizing research analysis.

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The role of external aetiological factors in dental anomalies in non-syndromic cleft lip and palate patients

European Archives of Paediatric Dentistry ◽

10.1007/s40368-018-0397-x ◽

2018 ◽

Vol 20 (2) ◽

pp. 105-111 ◽

Cited By ~ 5

Author(s):

M. V. Korolenkova ◽

N. V. Starikova ◽

N. V. Udalova

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Anomalies

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Dental Findings in Parents of Children with Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1996_033_0436_dfipoc_2.3.co_2 ◽

1996 ◽

Vol 33 (5) ◽

pp. 436-439 ◽

Cited By ~ 4

Author(s):

Peter J. Anderson ◽

Anthony L.H., Moss

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Normal Population ◽

Permanent Teeth ◽

Dental Anomalies ◽

Facial Skeleton ◽

Missing Teeth ◽

Congenitally Missing Teeth ◽

Congenitally Missing

The incidence of dental abnormalities in the cleft lip and palate population has been reported to be much higher than in the normal population. The role of genes in the production of a cleft lip and palate, and dental anomalies is thought to be complex, with autosomal dominant, recessive, and x-linked genes all playing a role. Noncleft parents can carry some of the cleft lip and palate genes, which produce clinically subtle manifestations in their facial skeleton. The purpose of this study was to look for evidence of increased dental anomalies in the non-cleft parents of cleft lip and palate children. The dentitions of the parents of 60 children with different types of cleft lip and palate were examined prospectively to see whether or not they exhibited features found more readily in the cleft lip and palate rather than did the normal population. Their dentitions were studied to record the following dental features: congenitally missing teeth, supernumerary teeth, or morphologic changes of the crowns of the permanent teeth. The number and position of any frenal attachments were also recorded. The results of this study did not show any differences in incidence of dental anomalies from the noncleft population. There was no evidence to support the hypothesis that congenital absence of lateral incisors is a microform of cleft lip and palate. Further, these results also failed to reveal any consistent pattern in the number and position of frenal attachments.

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