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Article: Volume 7 Number 1 Page 15 - January 2014

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  Orthodontic Update 25: 15-22

Orthodontics:  The Orthognathic Management of Cleft Lip and Palate Skeletal Discrepancy: CLP Series Part 9

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Abstract: A patient with a repaired cleft of lip and/or palate (CLP) may develop dentofacial disproportion, classically a Class III skeletal and inter-arch relationship, due to an underlying maxillary hypoplasia. The definitive correction of the dental and facial aesthetic and functional problems associated with this anomaly requires a multidisciplinary input involving orthodontists, surgeons, speech therapists and psychologists. A successful outcome is dependent on a close working relationship between these disciplines and a planned care pathway that is adapted to patient needs. This paper outlines such a care pathway.

Clinical relevance: This paper offers the clinician an understanding of a multidisciplinary approach to the orthognathic management of a patient with cleft lip and palate.

Author notes: Jeremy Knox, BDS, MScD, PhD, FDS, MOrth, FDS(Orth) RCS, ABMU LHB, Consultant and Lead CLP Orthodontist, Helen Extence, BSc(Hons), Cert MRCSLT, ABMU LHB, Lead Speech and Language Therapist, Vanessa Hammond, BSc(Hons), DClinPsych, ABMU LHB, Consultant and Lead Clinical Psychologist for the CLP Service, Jenny Hunt, DClinPsych, ABMU LHB, Consultant and Lead Clinical Psychologist for the CLP Service and Adrian Sugar, FDS RCS(Eng, Edin), FDS RCPS MD(hc), ABMU LHB, Consultant Cleft and Maxillofacial Surgeon, Clinical Director South Wales Cleft Service, Morriston Hospital, Swansea, UK.

Objective: To describe the care pathway of a patient with skeletal disproportion linked to a repaired cleft lip and palate.

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