Complication of cleft palate
Sugar lip and cleft palate refers to the abnormal opening of the upper lip or the roof of the mouth. During the sixth week of pregnancy, different parts of the upper lip are put together to form the upper lip. The development of the palate occurs after the formation of the lips at the end of the first trimester of pregnancy. Due to the separate development of the cleft lip and palate, it is possible for a child to be born with cleft palate only, or with both..
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Sugar lip surgery or cleft lip
A child with a cleft lip or palate may undergo four to five surgeries during infancy to adulthood. These surgeries include primary lip repair, primary palate repair, pharynx reconstruction (Pharyngoplasty), bone grafting of the jaw, orthognathic surgeries of the upper or lower jaw and nose beauty.
Cleft palate repair is generally performed at the end of the first year of infancy, although the ideal time varies from child to child.. Repair is done in the operating room under general anesthesia.
Cleft lip and cleft palate can be unilateral or bilateral. In sugar lip and cleft palate surgery, with special incisions, the separate parts are brought together to create a single lip. Cleft lip repair is generally performed at three months of age, although the ideal time varies from child to child. There are several methods of cleft palate and cleft palate repair, and the surgeon chooses the most appropriate one based on the condition of your child's cleft palate. During the growth of the child, he often needs additional surgeries called retouching in order to correct any confusion or deformity that often occurs over time..
There are several surgical methods of cleft repair, and the surgeon chooses one of them for repair according to the type of cleft.
Post-operative training
After the cleft palate is repaired, there will be stitches in the roof of your child's mouth. You may not be able to see these stitches from outside your mouth. Sometimes your child will have discharge from the nose or mouth.
- Avoid manipulation and putting objects in the mouth
- Painkillers and antibiotics are prescribed for consumption at home.
- Do not use a pacifier for three weeks. Because it is possible to open the stitches.
- Restraining hands for at least three weeks continuously, except when under direct parental supervision.
- Any high fever, if you get enough fluids
- It is better to refrain from consuming hard foods for 6 weeks after the surgery, and during this period, you can use soft foods such as porridge or grinding family food for the child..
- Place your baby in a sitting or semi-sitting position while feeding.
- Feeding the child is done in many but few meals (Especially the first week)
Follow us by reading the rest of the article on sugary lips and cleft palate.
Orthodontic guide for diabetic lip and cleft palate patients
The dental and jaw abnormalities observed in cleft lip and palate patients are mainly caused by fetal disorders and to a relatively lesser extent are caused by numerous reconstructive surgeries that are inevitably performed in the lip and palate area of these patients..
Lack of growth in the upper jaw due to the reasons mentioned along with the growth disorder in the lower jaw can cause a severe lack of coordination in the relationship between the jaws.. Therefore, in order to establish the proper beauty of the face as well as the correct relationship between the teeth and jaws, special orthodontic treatment protocols are proposed for these patients, which can be summarized as follows..
1.- Orthopedics of the jaw in a newborn baby before primary lip surgery, which starts from the first or second week of infancy and continues until lip reconstruction surgery at about 10-12 weeks.. Although this treatment is rarely done, if the distance between the two parts of the lip caused by the cleft lip is large, it is done to facilitate the lip surgery and before that..
2.- The first phase of orthodontic treatment, which starts between the ages of six and eight and continues until the age of 12, aims to widen the dental arch of the upper jaw and align the incisors and correct the intermaxillary abnormality..
The first phase of orthodontic treatment should be done before bone grafting at the age of 9-10 years to create a suitable bed for the growth of teeth in the jaw and in the filled gap.. At this stage, the extra teeth around the gap should also be removed with a specific treatment plan. The treatments of this stage are mainly performed by mobile orthodontic devices.
Restoration and maintenance of milk and permanent teeth at this stage is one of the key factors of a successful treatment in these children.
۳- The second phase of orthodontic treatment is around the age of 12 and after the permanent teeth have fully grown. The aim of this treatment is to completely align the teeth and, if possible, to establish the correct relationship between the jaws. These treatments are mainly performed by fixed orthodontic devices and are able to create a suitable beauty in the appearance of the teeth..
4.- The third phase of orthodontic treatment is performed in some patients with cleft lip and palate who have severe jaw deformity and need jaw surgery.. These treatments are performed around the ages of 17-18 and before jaw surgery. If the patient's jaw relationship is disturbed and phase two orthodontic treatment is not able to fix it, the need for jaw surgery is inevitable and must be followed by orthodontic treatment. To be done at the end of the age of 18.