CLEFT LIP & CLEFT PALATE

What is Cleft lip?

The fourth to seventh weeks of pregnancy are when the lip develops. When the growing facial tissues of an unborn infant don't completely close, it results in a cleft lip, which is an opening or split in the top lip. A little slit or a wide aperture that extends from the lip into the nose can be present in the lip. A cleft lip can develop on one, both, or even both sides of the lip, as well as very infrequently, in the middle of the lip. A cleft lip and palate can coexist in children.

What is Cleft Palate?

Between the sixth and ninth weeks of pregnancy, the palate (the roof of the mouth) begins to develop. When the tissue doesn't fuse together when the baby is developing in the womb, it results in an opening or split in the roof of the mouth.

Other Problems:  Children with a cleft lip with or without a cleft palate or a cleft palate alone often have problems such as:

1.  Difficulty with feedings.
2. Difficulty swallowing, with the potential for liquids or foods to come out of the nose
3. Nasal speaking voice or not able to speak clearly
4. Chronic ear infections
5. Dental problems.

Ratio: The most prevalent birth malformations are cleft lip and cleft palate. It is generally agreed that one in 1,000 births will result in cleft lip and palate. Nonetheless, socioeconomic status, geographic origin, and ethnic background all have a significant impact on its occurrence.

Causes and Risk Factors:

Causes:

Most cases of cleft lip and cleft palate are caused by an interaction of genetic and environmental factors. In many babies, a definite cause isn't discovered.

Risk Factors: There are a number of risk factors that can raise a baby's chance of having cleft lip and cleft palate, including

1. Family History: Having a child with cleft lip or palate is more likely for parents who have a history of the condition.
2.  Diabetes: Compared to women who did not have diabetes, women who were diagnosed with the disease prior to becoming pregnant had an increased risk of having a child with a cleft palate.
3.  The use of specific medications increases the chance of birth abnormalities, such as cleft lips and palates. These medications are prescribed to treat or prevent seizures.
4. Smoking or Alcohol: Women who smoke or drink alcohol are more likely to have baby with cleft compared to women who do not smoke or drink alcohol.

When to see a doctor?

A cleft lip and cleft palate are usually noticed at birth, and your doctor may start coordinating care at that time. To correct the condition, you will likely work with a team involving a plastic surgeon, maxillofacial surgeon, otolaryngologist (ear, nose, and throat specialist), general dentist, orthodontist, and oral surgeon.

 For more information visit Teeth Care Centre Dental Hospital

Fluorides are healthy for children or not?

 

Fluorides are one of the most important mineral for development of teeth and its prevention from tooth decay by re-mineralization process. It is present in traces in water and food we eat, which also helps in reduction of harmful effects of plaque to teeth and gums.

Fluorides are present in community water to meet the daily requirement. According to AAPD, children between age of 6 -16 years should have fluorides in their diet to prevent the decaying of tooth. Children should be exposed to fluorides, when their first teeth erupts. Children below 3 years should use topical fluoride in form of tooth paste in grain size of rice and at 3 years, in pea size for the betterment of teeth under the supervision of parents.

       Risk from fluoride overuse: -

·         During brushing and rinsing, the toothpaste should not be swallowed otherwise it may lead to nausea and vomiting.

·         Children below 6 years should be monitored during brushing to prevent overuse.

·         Community drinking water fluoride level should be optimum and regularly checked.

 Effect of fluoride: -

·         Dental caries (decreased  fluoride level)

·         Dental fluorosis and skeletal fluorosis (increased fluoride level)

Optimum level of fluoride in tooth paste should be 1000 ppm. The fluoride in form of foams, gels and dental varnish should be applied only by specialized dental surgeon in dental hospital. The fluoride application is recommended in children for prevention of dental caries by healthcare provider in 3-6 months in a year.

Skilled pedodontist at Teeth Care Centre perform fluoride application procedure according to your child’s particular oral and dental situation. We make a point to ensure that adequate levels of fluoride needed are absorbed by the child’s teeth in order to successfully cease the acidic breakdown of the outer layer of the teeth.We aim to successfully eliminate dental decay from its core before it start.

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Can we remove multiple teeth in single visit from dentist?

 

This is the most commonly asked question by people when they visit dentist for tooth removal. It is concerning and intimidating for many patients to get multiple tooth removed in one go, although it is not usual  but conditions like trauma , periodontal problems, multiple decayed and loose teeth in elderly people can be removed under certified oral surgeon. The dentist can prepare the patient before the surgery with some precautionary measure to avoid any complications. It is safe to remove multiple teeth under supervision and prior discussion with patient with certain limitation in medical problem and teeth condition.

The multiple tooth removal is planned by surgeon keeping in mind the necessity of patient. Usually, one section of teeth are removed which are making issue to patient’s health. This is planned in a way to allow patient’s comfort and intake of meals. Multiple wisdom tooth removal is avoided due to its location and surgical removal may create complication. If the same side wisdom tooth is removed without surgery it can be planned after the 2-D or 3-D analysis.

Post operative care after multiple teeth removal is mandatory and well explained to patient as there will be restrictions to physical activity, meals, drinks and habits of smoking and chewing areca nut.

Maintenance of oral hygiene is essential to boost up the healing and prevention of infection leading to post operative complications.

Teeth Care Centre, have a team of specialized dentist. The oral surgeon after thorough discussion and co-operation from patient’s side ensures the ease and painless procedure during removal of multiple teeth, when there is no medical condition and other complication.

 

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