scholarly journals Procedimentos Restauradores e Cuidados com a Saúde Bucal em Indivíduos com Fissura Lábio-Palatina

UNICIÊNCIAS ◽  
2021 ◽  
Vol 24 (1) ◽  
pp. 110-111
Author(s):  
Ricardo Danil Guiraldo ◽  
Sandrine Bittencourt Berger ◽  
Mateus Rodrigues Tonetto ◽  
Eloisa Aparecida Carlesse Paloco ◽  
Allan Inácio Ferreira Piauilino ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Health Care ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Significant Risk ◽  
Dental Restoration ◽  
Special Importance ◽  
Fundamental Factor ◽  
The Face ◽  
Technical Article

Fissura labial e/ou palatina é a forma congênita mais frequente anomalia ocorrendo na região craniofacial, as quais são defeitos orofaciais inatos não sindrômicos, que incluem uma variedade de doenças que afetam a face e a cavidade bucal. O objetivo neste estudo foi realizar um artigo técnico visando esclarecer os procedimentos restauradores e cuidados com a saúde bucal em indivíduos com fissura lábio-palatina. Crianças com fissura lábio-palatina apresentam significativo risco de cárie nos incisivos decíduos, além disso, têm mais superfícies cariadas/restauradas na dentição decídua do que crianças não fissuradas. Assim, deve-se promover o ensinamento de técnicas de higiene bucal para controle desta. Procedimentos restauradores, assim como tratamentos endodônticos são realizados em pacientes com fissura lábio-palatina assim como em pacientes sem fissuras. Para realização dos tratamentos dentários convencionais nas crianças com fissura não tratadas cirurgicamente, o uso de isolamento absoluto tem uma especial importância, pois previne o desconforto causado pelo fluxo constante de água dos instrumentos rotativos e pela presença de resíduos de materiais que podem entrar nas vias aéreas e serem aspirados e/ou deglutidos. Portanto, procedimentos restauradores devem ser realizados em indivíduos com fissura lábio-palatina similarmente a indivíduos que não tenham fissura, entretanto, cuidados tais como isolamento absoluto devem ser tomados e a prevenção é fator fundamental nestes indivíduos.   Palavras-chaves: Fenda Labial. Fissura Palatina. Cárie Dentária. Reparação de Restauração Dentária.   Abstract Cleft lip and / or palate is the most common congenital anomaly occurring in the craniofacial region, which are non-syndromic inborn orofacial defects, which include a variety of diseases that affect the face and oral cavity. The objective of this study was to carry out a technical article to clarify the restorative procedures and oral health care in individuals with cleft lip and palate. Children with cleft lip and palate have a significant risk of caries in the primary incisors, in addition, they have more decayed/restored surfaces in the primary dentition than non-cleft children. Thus, the teaching of oral hygiene techniques to control it should be promoted. Restorative procedures, as well as endodontic treatments are performed in patients with cleft lip and palate as well as in patients without clefts. To perform conventional dental treatments on children with cleft not treated surgically, the use of absolute isolation is of special importance, as it prevents discomfort caused by the constant water flow from rotating instruments and the presence of material residues that may enter the airways and be aspirated and/or swallowed. Therefore, restorative procedures must be performed in individuals with cleft lip and palate similarly to individuals who do not have cleft, however, care such as absolute isolation must be taken, and prevention is a fundamental factor in these individuals.   Keywords: Cleft Lip. Cleft Palate. Dental Carie. Dental Cavity. Dental Restoration Repair.

Aspects of orthodontic protocol in cleft lip and palate patients

2020 ◽  
Vol 20 (2) ◽  
pp. 137-142
Author(s):  
O. V. Dudnik ◽  
Ad. A. Mamedov ◽  
O. I. Admakin ◽  
A. A. Skakodub ◽  
Y. O. Volkov ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Comprehensive Approach ◽  
Maxillofacial Region ◽  
Indirect Methods ◽  
Indirect Bonding ◽  
The Face ◽  
Direct And Indirect Methods

Relevance. Cleft lip and palate is one of the severe malformations of the face and jaw, requiring a comprehensive approach to the rehabilitation of the patients, including doctors of various specialties, one of which is orthodontists. A feature of orthodontic treatment is difficulty of fixing bracket systems, as well as lowering the level of oral hygiene, caused by deformation and displacement of fragments of the maxillofacial region.Purpose. Improving the effectiveness of orthodontic treatment and hygiene of the oral caviti in patients with cleft lip and palate in permanent bite period.Materials and methods. A comparison was made of the effetctiveness of fixing brackets systmes with direct and indirect bonding techniques and the effectiveness of oral hygiene during orthodontic treatment using irrigators.Results. The results of the study showed a difference in the effectiveness of using direct and indirect methods of fixing bracket systems in patients with cleft and palate. The use of irrigators as additional means of oral hygiene has demonstrated a positive dynamic of hygiene indices.Conclusions. Results of the study demonstrate the advantages of fixation the brackets by indirect bonding and use additional hygiene products irrigator for improving of oral hygiene.

scholarly journals How is the face formed and when it goes wrong: In relation to Cleft Lip/Palate

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Fozia Khan
Keyword(s):  
Cleft Lip ◽  
Normal Development ◽  
Cleft Lip And Palate ◽  
Complex Structure ◽  
First Trimester ◽  
Facial Defect ◽  
Facial Defects ◽  
The Face ◽  
Embryonic Life ◽  
Cleft Lip Palate

The normal development of the face relies upon the correct morphogenesis of structures in utero that usually occurs within the first trimester of embryonic life. The face is a very complex structure involving many genes and factors and with it being such a crucial part of life, both physically and aesthetically and therefore mentally, its important for everything to be just right. However, when the normal process doesn’t go to plan this results in dysmorphogenesis, which cleft lip and palate (CLP) is an example of as the lip/palate doesn’t fuse together and the infant is left with a gap. Although the exact cause of CLP is unknown, it is thought to be a mixture of genetics, environment and the teratogens the mothers are exposed to within the environment. This report will demonstrate the normal development of the face for the purpose of understanding how it goes wrong, resulting in CLP. Since there is still a lot to be understood about CLP it will also shed light on recent advances in relating SHH and certain genes as a possible cause for this dysmorphogenesis. The report will also briefly look at the relation of CLP with the genes associated with syndromic and non-syndromic diseases and the different types of CLP. There are many other facial defects that are a result of dysmorphogenesis, however as CLP is one of the most common yet poorly understood facial defect, it will be the main focus of this report.

scholarly journals General principles governing record taking in patients with cleft lip and palate

2021 ◽  
Vol 11 (2) ◽  
pp. 86-89
Author(s):  
Ashish Garg ◽  
Sandhya Gupta
Keyword(s):  
Congenital Anomaly ◽  
Environmental Factors ◽  
Collaborative Research ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Skeletal Maturity ◽  
Craniofacial Anomalies ◽  
Treatment Procedure ◽  
Complex Procedure ◽  
International Collaborative Research

(WHO meetings on International Collaborative Research on Craniofacial Anomalies).One of the most common congenital anomaly we come across is the Cleft Lip and palate where affected children suffer from range of functional as well as aesthetic problems. Cleft lip and palate is a multifunctional disease associated with environmental factors. Management of cleft is a complex procedure and demands co-operation among experts from different fields. Clinical treatment procedure extends from beginning of birth, to achieving skeletal maturity effectively.

scholarly journals Straight line closure of congenital macrostomia

2004 ◽  
Vol 37 (02) ◽  
pp. 121-123 ◽  
Author(s):  
Richard Schwarz ◽  
Digvijay Sharma
Keyword(s):  
Congenital Anomaly ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Branchial Arch ◽  
Skin Closure ◽  
Rare Congenital Anomaly ◽  
Cosmetic Results ◽  
Straight Line

ABSTRACTThe results of patients operated on by Nepal Cleft Lip and Palate Association (NECLAPA) surgeons for congenital macrostomia were prospectively studied between January 2000 and December 2002. There were four males and three females with a median age of 10 years. Three had an associated branchial arch syndrome. In all patients an overlapping repair of orbicularis oris was done. Six patients had a straight line closure with excellent cosmetic results and one a Z-plasty with a more obvious scar. All had a normal appearing commissure. Overlapping orbicularis repair with straight line skin closure for this rare congenital anomaly is recommended.

Dentofacial Form in the Five-Year-Old Child with Unilateral Cleft Lip and Palate

1994 ◽  
Vol 31 (5) ◽  
pp. 372-375 ◽  
Author(s):  
Frances Mackay ◽  
John Bottomley ◽  
Gunvor Semb ◽  
Christopher Roberts
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Racial Group ◽  
Cephalometric Analysis ◽  
Upper Lip ◽  
Quality Of Treatment ◽  
Care Workers

It is generally believed that studies of outcome for children with clefts of the lip and palate should be based on patients who are in their teens. This means that health care workers who look after these children would have to wait many years until the quality of treatment could be evaluated. In this study, significant differences between two centers, Oslo and Manchester, in facial form at the age of 5 years were detected. Based on cephalometric analysis, children from Manchester were more likely to have a retrognathic maxilla with the upper lip significantly behind the esthetic plane. An important future step may be the setting up of “reference centers” with a large archive of database information for each racial group. This would assist smaller centers in comparing their outcomes.

A concomitant rare congenital anomaly with Cornelia de Lange syndrome: Cleft lip and palate

2015 ◽  
Vol 4 (2) ◽  
pp. 155-157
Author(s):  
Ramazan Özdemir ◽  
Ferhat Çatal ◽  
Kazım Kutlutürk ◽  
Erdem Topal ◽  
Yeşim Kutlutürk ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cornelia De Lange Syndrome ◽  
Rare Congenital Anomaly ◽  
Cornelia De Lange

scholarly journals Supernumerary teeth in patients with cleft lip and palate: the tooth germs do not separate

2021 ◽  
Vol 26 (4) ◽  
Author(s):  
Alberto CONSOLARO ◽  
Maria Carolina Malta MEDEIROS ◽  
Dario Augusto Oliveira MIRANDA ◽  
Ingrid Araújo de OLIVEIRA
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Permanent Teeth ◽  
Supernumerary Teeth ◽  
Human Teeth ◽  
Tooth Formation ◽  
Dental Lamina ◽  
The Face ◽  
Embryonic Origin ◽  
Tooth Germs

ABSTRACT Introduction: Supernumerary teeth in cases of cleft lip and palate do not result from the division of normal germs before the formation of hard tissue. Deciduous and permanent teeth odontogenesis begins after the face has formed, either with or without the cleft. Discussion: The most acceptable hypothesis to enable understanding of the presence of supernumerary teeth on one or both sides of the cleft palate is hyperactivity of the dental lamina in its walls. This hyperactivity, with the formation of more tooth germs, must be attributed to mediators and genes related to tooth formation, under strong influence of local epigenetic factors, whose developmental environment was affected by the presence of the cleft. Conclusion: The current concepts of embryology no longer support the fusion of embryonic processes for the formation of the face, but rather the leveling of the grooves between them. All human teeth have a dual embryonic origin, as they are composed of ectoderm and mesenchyme/ectomesenchyme, but this does not make it easy for them to be duplicated to form supernumerary teeth.

scholarly journals Association of other congenital anomalies in children with cleft lip and palate: a prospective hospital based observational study

2019 ◽  
Vol 6 (3) ◽  
pp. 1059
Author(s):  
Padmasani Venkat Ramanan ◽  
Rajesh Balan ◽  
Jyotsna Murthy ◽  
Syed Altaf Hussain
Keyword(s):  
Congenital Anomaly ◽  
Congenital Anomalies ◽  
Congenital Malformations ◽  
Congenital Heart ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Associated Anomalies ◽  
Live Births ◽  
Associated Malformations ◽  
Syndrome Association

Background: Cleft lip and palate is a common congenital anomaly affecting approximately 1 in 700 live births in south Asia. It is often associated with syndromes and other malformations but the exact incidence of these in Asians is not known. The present study was carried out to determine the association of other congenital anomalies in children with cleft.Methods: The study was carried out in the patients attending the Cleft centre of our Hospital. They were examined for other major external congenital malformations and syndrome association.  Where ever relevant, appropriate investigations were done.Results: Of the total of 2367 children examined, 262 (11.06%) had congenital malformations.  Among the non-syndromic children, 9% had associated malformations.  The commonest was congenital heart disease (1.4%) following by genitourinary and skeletal anomalies.  The highest number of anomalies was seen in patients with cleft palate alone (24.89%). 1.4% patients had identifiable syndromes.Conclusions: The study emphasizes the need for a thorough examination of all children with cleft.  The overall lower incidence of syndromic clefts and associated anomalies in present study suggests that other etiological factors may be involved in our country.

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