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Dental and Audiology
Cleft Palate Exam 2
| Term | Definition |
|---|---|
| Geneticist | To see if there is a genetic component |
| Orthodontics | ONLY realigns dentition if there is malocclusion |
| Prosthodontist | Prosthetics for VP closure, implants/speech bulbs or palate expanders |
| Otolaryngoloist (ENT) | ET tube w/ tensor veli palatini, otis media |
| Pediatrician | Are they ready for surgery |
| Plastic surgeon | Oral-maxilla facial vs just palates surgeon |
| Social Worker | Connect families w/ resources and keep up with follow up |
| Who often serves as team coordinator? | Surgeon or nurse |
| How many teeth does an adult have? | 32 |
| How many teem does a child have? | 20 |
| When do baby teeth appear? | 8-12 months |
| Class 1 malocclusion | Anterior cusp of first maxillary molar is posterior to the cusp of the first mandibular molar, normal occlusion |
| Class 2 malocclusion | Mandibular retrusion and/or maxillary protrusion, overbite |
| Class 3 malocclusion | Mandibular portrusion and/or maxillary retrusion, underbite |
| Overjet | Horizontal displacement, greater than 2 mm is clinically relevant, maxilla forward compared to mandible |
| Overbite | Maxilla covers teeth, vertical displacement |
| Crossbite | Upper teeth inside the lower jaw, teeth curved inward |
| Supernumerary | Too many teeth |
| Open bite | Molar touch in the back but front is open |
| Palatal obturator | Occlude an open cleft or fistula, require teeth to anchor |
| When should palatal obturator be considered? | When surgery is not an option or not wanted, syndromes with high-risk under anesthesia or with cardiac issues |
| Speech bulb | Occludes nasopharynx, can't nose breath, production of nasal consonants affected, can help during articulation to reduce hypernasality |
| When is a speech bulb used? | For production of stronger pressure consonants when VP surgery is not an option |
| Chin Cap | Prevent/correct mandibular prognathism to restrict growth |
| Face masks | Added to orthodontic treatment to align the jaw |
| What is the role of the SLP? | Identify the difference between obligatory or compensatory articulation arrears |
| Obligatory | Related to dental work or anatomy |
| Compensatory | Abnormal articulation pattern post dental work/surgery or without anatomical abnormalities |
| Why do birth-3 children have greater audiological issues? | ET is more horizontal and the TVP is abnormal, leaning to less opening/closing for kids with cleft |
| Hearing loss in birth-3 cleft kids | Bilateral and conductive |
| Micortia | Deformation of the pinna, common for males, often right ear |
| Anotia (rare) | Complete absence of the outer ear and narrowing/absence of the ear canal |
| Atresia | Closed external ear, membranous or osseous covering |
| Ossicular abnormalities | Fusion and discontinuities |
| Ossicular fusion | Fixation, ossicular chain fused together |
| Ossicular discontinuities | Chain is broken |
| Causes of ossicular abnormalities | Genetic and teratogens (viral infections) |
| Eustachian tube malformations | Chronic Oritis Media |
| Chronic Otitis Media | Middle ear inflammation, adenoids inflamed = affecting opening of ET or dysfunction (allergies/sinitus) |
| Treatment of Chronic Otitis Media | Medication, PE Tubes, adenoidectomy can sometimes mitigate |
Created by:
morganmc3
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