Abstract
The orthodontist plays a significant role in the management of children with cleft lip and palate. This article summarizes the key stages of input and some of the challenges that may be encountered.
References
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Orthodontic input for children with cleft lip and palate: CLP series part 8
From Volume 6, Issue 4, October 2013 | Pages 102-108
Article
In this article we intend to concentrate on the orthodontist's role within the multidisciplinary clefts team and the dental team. The orthodontist's aim is to provide a dentition that functions well and is capable of a life-time's maintenance by routine oral hygiene and dental care.1 Some aspects of the cleft orthodontist's role will be covered in other articles within this series, including his/her role within alveolar bone grafting preparation and preparing patients for orthognathic surgery.
Patients who present with a cleft affecting the alveolus may often have duplication of tooth types on either side of the cleft, malformed roots and/or crowns, enamel hypoplasia, absence or ectopia of teeth. There is evidence that patients with cleft anomalies may have missing or aberrant teeth distant from the cleft in either jaw. Hypodontia in patients with cleft lip and palate has a higher prevalence compared to the normal population in the UK.2 Combined with dental anomalies, patients with clefts have a higher incidence of dental caries than the non-cleft population,3,4,5,6 complicating the orthodontic treatment planning decision.
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