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