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References

Rivkin CJ, Keith O, Crawford PJ, Hathorn IS. Dental care for the patient with a cleft lip and palate. Part 1: From birth to the mixed dentition stage. Br Dent J. 2000; 188:78-83
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Management of patients with non-syndromic clefts of the lip and/or palate part 2: from primary surgery to alveolar bone grafting

From Volume 41, Issue 9, November 2014 | Pages 775-782

Authors

Grant T McIntyre

BDS, FDSRCPSGlasg, MOrthRCSEd, PhD, FDSRCPSGlasg(Orth), FHEA, FDSRCSEd, FDTFed

Consultant Orthodontist and Honorary Senior Lecturer, Dundee Dental Hospital and School, 2 Park Place, Dundee, DD1 4HR, UK

Articles by Grant T McIntyre

Abstract

Part 1 of this series of articles addressed the care of the child with a cleft of the lip and/or palate from antenatal diagnosis until primary surgery. The second part of this article discusses their care from primary surgery until alveolar bone grafting.

Clinical Relevance: Dentists should be aware of the different types of cleft lip and/or palate that occur and the role of the dentist in the overall management of patients who have clefts.

Article

After primary surgery has been completed, parents of babies with clefts can re-establish the family routine and enjoy their baby's growth and development. Parents are encouraged to wean babies with clefts in the same manner as a child without a cleft.

Babies begin the babbling phase of speech development at around 6 months of age and, as a result, speech and language therapists encourage parents of children with clefts to spend as much time as possible developing good patterns of babbling through repetition of speech sounds. Forward sounds, such as /p, b, t/etc, are encouraged, whilst backing sounds, such as /k, g/etc, are discouraged as the latter may lead to substitution for certain words (eg saying ‘goy’ for ‘toy’ or ‘gaggy’ for ‘daddy’). As the baby becomes a toddler, babbling develops into more recognizable sounds and syllables. Where any anomalies are detected by the speech and language therapist, parents will be given advice about correcting the speech patterns at an early stage.

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