ABSTRACT
Cleft lip and palate (CLCP) is one of the most common birth defects. The birth of a child with a facial cleft is a tragic incident for the family that the child is born in. Not only is the family devastated by the apparent facial deformity, but also worried about several other issues such as care of the child, the treatment options, and the social impact that the cleft will have for the child and for the family. The purpose of the study was to assess the sense of coherence in parents participating in the treatment of their children with CLCP. Methods50 parents of children with CLCP were evaluated and a questionnaire study was carried out at time intervals of T0, T1 and T2. ResultsMost of the parameters were found to be statistically significant (P<0.05). Overall subjective results were found to be non-significant from T0 - T1. In our study, we found that undergoing orthodontic treatment had positive effects on the parents of patients with CLCP. It was observed that it altered the psychological, financial, emotional and social wellbeing of the parents. ConclusionsIt was concluded that orthodontic treatment should be aimed at both physical and psychological rehabilitation of cleft patients.
ABSTRACT
To establish speech, growth and development of maxillofacial region and hearing etc. towards normal is the aim of every professional working for cleft care. With a quest to attain and normalize the growth and development in CLP since ages, researchers and workers have invented and still inventing newer technique to treat them. The procedure of surgeries has evolved over a period of time. Controversies concerning speech and maxillofacial growth have challenged many surgeons who have come up with different views in surgical methods. Studies suggest that the palate repair is the main cause of the maxilla and growth disturbance that later is responsible for speech impairment due to fibrous tissue in anterior palate and constricted tissue in uvula due to repair. Many authors have noted that delayed hard palate repair has more positive effects on maxillary growth than that of early hard palate repair, but studies have also proved that late palate repair impair the speech with due respect. This unsolved controversy whether to opt for late/ early palatoplasty w.r.t to the improvement in speech is still unsolved controversy. The purpose of this article is to review the history of cleft palate surgery, its evolution, various surgical methods and optimal timing of cleft palate repair.
ABSTRACT
INTRODUCTION: Achieving functional efficiency, structural balance, and aestheticshasalways been a threefold objective of the correction of dentoskeletal malocclusions. Ortho surgical correction and dentofacial abnormalities has always aimed for facial proportions which are more pleasant and aesthetic alongside normal functional occlusion. One big cosmetic concern for patients and dentists is the Gummy smile, which is the excessive display of gingiva on a full smile.