Cleft Lip and Palate - Presentation.
Cleft Lip and Palate is the 2nd most common Congenital Anomaly after Clubfoot. This presentation goes in depth about the Presentation, eitiology, Genetics, Medical management, Nasoalveolar Moulding, Surgical management of Cleft Lip & Palate
Cleft Lip and Palate - Presentation.
Cleft Lip and Palate is the 2nd most common Congenital Anomaly after Clubfoot. This presentation goes in depth about the Presentation, eitiology, Genetics, Medical management, Nasoalveolar Moulding, Surgical management of Cleft Lip & Palate
At the end of this lecture, students should be able to:
Develop an understanding terms Cleft lip & Palate
Develop an understanding of incidence of the condition
Describe the etiology and pathogenesis
Describe classification and dental implications
presentation includes definition, history,embryology,classification,normal anatomy , cleft anatomy, clinical features ,dental abnormalities, associates issues with hearing and specech,feeding.
principles of Orthodontic management of cleft lip and palatejonathan kiprop
pathophysiology of clefting....embryological basis
management of cleft lip and cleft palate- orthodontic consideration
timing and sequencing of treatment
primary verses secondary alveolar grafting
Role of pediatric dentist orthodontic in cleft lip and cleft palate patients Abu-Hussein Muhamad
Cleft Lip and Palate is severe birth defect occurring one in 700-1000 newborn infants. Cleft lip and palate together account for 50% of all cases whereas isolated cleft lip and palate occur in about 25% of cases. Management of Cleft Lip and Palate is carried out by multi disciplinary team approach. When ever a child is born with cleft lip and palate or one of them, it interferes with feeding and speech and hampers esthetic severely. Consequently it is psychologically traumatic to both patients as well as for their family members. Patients with cleft lip and palate are also are at high risk for dental diseases. So in such situation proper education, guidance, motivation and encouragement are required. Pre and post surgically pediatric dentist and orthodontics helps the patient by providing functionally and esthetically acceptable occlusion, good oral hygiene and preventive dental care. This paper describes the treatment protocol of pediatric dentistry and orthodontic with cleft lip and palate.
Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Cleft lip and Cleft palate embryology, features, and management Augustine raj
cleft lip and Cleft palate is one of the most common congenital anomalies encountered in ENT and Pediatrics practice. It is important to be familiar with the clinical features and complications, Surgical procedures, timing of surgery and complications associated with the surgeries. this presentation will give you a simple approach towards the same.
At the end of this lecture, students should be able to:
Develop an understanding terms Cleft lip & Palate
Develop an understanding of incidence of the condition
Describe the etiology and pathogenesis
Describe classification and dental implications
presentation includes definition, history,embryology,classification,normal anatomy , cleft anatomy, clinical features ,dental abnormalities, associates issues with hearing and specech,feeding.
principles of Orthodontic management of cleft lip and palatejonathan kiprop
pathophysiology of clefting....embryological basis
management of cleft lip and cleft palate- orthodontic consideration
timing and sequencing of treatment
primary verses secondary alveolar grafting
Role of pediatric dentist orthodontic in cleft lip and cleft palate patients Abu-Hussein Muhamad
Cleft Lip and Palate is severe birth defect occurring one in 700-1000 newborn infants. Cleft lip and palate together account for 50% of all cases whereas isolated cleft lip and palate occur in about 25% of cases. Management of Cleft Lip and Palate is carried out by multi disciplinary team approach. When ever a child is born with cleft lip and palate or one of them, it interferes with feeding and speech and hampers esthetic severely. Consequently it is psychologically traumatic to both patients as well as for their family members. Patients with cleft lip and palate are also are at high risk for dental diseases. So in such situation proper education, guidance, motivation and encouragement are required. Pre and post surgically pediatric dentist and orthodontics helps the patient by providing functionally and esthetically acceptable occlusion, good oral hygiene and preventive dental care. This paper describes the treatment protocol of pediatric dentistry and orthodontic with cleft lip and palate.
Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Cleft lip and Cleft palate embryology, features, and management Augustine raj
cleft lip and Cleft palate is one of the most common congenital anomalies encountered in ENT and Pediatrics practice. It is important to be familiar with the clinical features and complications, Surgical procedures, timing of surgery and complications associated with the surgeries. this presentation will give you a simple approach towards the same.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
2. CLEFT LIP & PALATE
The term cleft lip & palate is
commonly used to represent two types of
malformation.
• Cleft lip with or without cleft palate (CL/P).
• cleft palate (CP).
10. The Veau Classification system
Class Description
I Soft palate only
II Hard & soft palate to the incisive foramen
III Complete unilateral of soft, hard, lip, & alveolar
ridge.
IV Complete bilateral of soft, hard, and/or lip and
alveolar ridge
These descriptions can be modified with the words incomplete,
right, left, one/third, and so on.
12. Management of Cleft lip and Palate.
Clefts involving the lip and palate
are the most commonly seen
congenital deformities that occur
at the time of birth.
Children born with cleft lip and
palate have a number of problem
that have to be solved for successful
rehabilitation.
Cleft Lip and Palate are common
congenital deformities that often
affect speech, hearing, and
cosmesis; and may at times lead to
airway compromise.
13. •The complexity of the problem requires that a number of
health care practitioners co-operate to ensure
comprehensive care of the patient.
This led to the concept of a multidisciplinary cleft palate
team comprising of the paediatrician ,pedodontist,
orthodontist, oral and maxillofacial surgeron,
prosthodontist, social worker, genetic scientist, ENT
surgeon, plastic surgeon, psychiatrist and a speech
pathologist.
14.
15. •The individuals of the cleft palate team should be flaxible
and respect each other’s option.
•The cleft lip and palate team has been described as a close,
co-operative, democratic, multi professional union devoted to
the single cause of patient well being.
•The management of cleft lip and palate can be divided into
the following stages:
16. STAGES IN MANAGEMENT OF
CLEFT LIP AND PALATE.
Stage one,
Stage two,
Stage three,
Stage four.
17. 1.STAGE ONE,
This comprises of the treatment done from birth to 18 month of age.
2.STAGE TWO,
This is from the 18th month to the fifth year of life.
It generally corresponds to the primary dentition stage.
3.STAGE THREE,
This includes treatment that is carried out during the mixed
dentition stage.
It spans from the sixth to the eleventh year of life.
4.STAGE FOUR,
This includes treatment done during the permanent dentition stage
i.e.12-18 of age.
18. A) Primary Management
Antenatal Diagnosis:
•It is possible to diagnose by ultrasound scan after
18 weeks of gestation. Isolated cleft palate cannot
be diagnosed by USS.
•When diagnosis is confirmed referral to cleft
surgeon is appropriate for genetic counseling.
19.
20. Feeding Difficulties:
• Most affected babies
feed well and thrive
provided appropriate
advise and support to
mother is given.
• Some mothers are
successful in breast
feeding particularly in
incomplete clefts.
• Soft bottles and modified
teats can help.
21. Airway Problems:
• Major respiratory obstruction is uncommon but
can occur in some cases.
• Intermittent airway obstruction is more frequent
and managed by nursing the baby prone.
• More severe and persistent airway compromise
can be managed by retained nasopharyngeal
intubations.
• Surgical adhesion of tongue to lip c/a
Labioglossopexy can be an alternate in first few
days but it is less commonly practiced.
22.
23. B) Surgical Techniques
Principles of Surgery:
• Surgical techniques are aimed to restore the normal
anatomy of lip, nose, and face.
• Normal or near normal anatomy promotes normal
function, thereby encouraging normal growth and
development of lip, nose, palate and facial skeleton.
24. Timing of Surgery:
Rule of tens
• At least 10 weeks old
• Weighs at least 10 pounds
• Has Hb. Of 10 gm.
Better results are obtained when the child is at
least 3 months.
25.
26. Muscle Realignment:
• In this condition Nasolabial and bilabial muscle
rings are disrupted on one or both side resulting
in deformity.
• This has to be taken into consideration while
planning repair.
27. Pre Opreative Orthopaedic Treatment:
• Realignment of alveolus prior to lip repair
improves the balance and symmetry and future
development of mid face.
28. • Operative Procedures (Cleft Lip)
Two surgical techniques are used most widely in cleft lip
surgery:
o Rotation-advancement technique
o Triangular flap technique
Lip adhesions – Difference of opinion.
• It is first stage of two stage lip reconstruction.
29. Rotation Advancement
Technique
• Millard 1957
• Does not require precise
markings and
measurements
• Based on surgeons
ability to use the basic
design and to adjust the
tissue as the operation
progresses until
acceptable alignment is
achieved.
30. Triangular Flap Technique
•Based on idea of using the
design to establish equal
vertical dimensions on both
lip segments.
•Construction of equilateral
triangular flaps on each side.
Lip repair by Bardach
technique
31.
32. Operative Procedure (Cleft Palate)
• Several Techniques- Trend is towards less scarring
and less tension on palate
• Scarring of palate may cause impaired midfacial
growth (alveolar arch collapse, mid face
retrusion, malocclusion)
• Facial growth may be less affected if surgery
is delayed until 18-24 months, but feeding,
speech, socialization may suffer.
33. C) REHABILITATION
Hearing Management:
• It has been recently recognized that
a child with craniofacial anomaly
including cleft lip and palate is at
increased risk of sensori-neural
hearing deficit.
• All children born with cleft lip and
palate should be assessed for SNHL
and Conductive hearing loss before 12
months of age, by ABR and
tympanometry.
• SNHL is managed by Hearing aid
• Conductive Hearing loss is managed
by Surgical and medical management
of OME.
34. Speech Problems and Management:
•Velopharyngeal incompetence
(Increased nasal airflow and
resonance
produing nasal or hyper nasal
quality of speech)
•Articulation problems:
Speech problems are
managed by Speech and language
therapy
•Secondary palatal surgery
1.Intravelar veloplasty (muscular
reconstruction of soft palate
2.Pharyngoplasty
•Speech training devices
35. Dental Problems and Management
• Delayed tooth development
• Delayed eruption of teeth
• Morphological abnormalities
• Decreased number of teeth
(hypodontia) or increased number of
teeth (Hyperdontia)
• Regular examination should be done.
Many patients require orthodontic
treatment.
Secondary Surgery for Cleft Lip and
Palate Despite adequate primary surgery,
residual problems do occur and are
managed by appropriate secondary
surgical procedures.
36. Non Surgical Treatment
•Lip Adhesions
•Dental Obturator
•For high-risk patients or those that refuse
surgery.
Advantage- High rate of closure
Disadvantage- Need to wear a prosthesis,
and need to modify prosthesis as child grows.