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- feeding plates
- pre-surgical orthopedics
- primary bone grafting (rare in US)
- obturation - blocks hard palate not soft palate
- * anterior palatal obturators - not really used in US unless its in
conjunction with pre-surgical orthopedics
,Explain the process of distraction osteogenesis.
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1. The bone is cut
2. A metal device is place on either side of the cut
3. The device is used to move bone segments apart
4. The formation of the new bone fills the gap
Describe the behavioral issues that occur with 22q. (2)
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1. flat affect
2. extreme behaviors- disinhibited/impulsive/shy
What is the most common cleft palate syndrome?
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22Q
Alar base
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, (width of nostrils) three dimensional shape, with cheek, nostril, columella
(part between nostrils), and upper lip
When does palate repair typically occur?
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6-12 months
What are the goals for surgical management of a cleft LIP?
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- union of skin, muscle, and mucous membrane
- symmetry of nose and lips
- minimal scarring
What are the 3 types of Cleft Palate Only?
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1. hard and soft palate (secondary palate)
2. soft palate only
3. bifid uvula
(posterior to incisive foramen)
, What are the most common malocclusions? (6)
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1. maxillary collapse: crossbite
2. maxillary collapse: low palatal vault
3. protruding premaxilla
4. missing central/lateral incisors
5. rotated anterior teeth
6. ectopic teeth in premaxillary area
What discipline should carry more authority than others
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SLP - because we determine if speech therapy can fix it or if surgery is
necessary to help, educate surgeon
In what syndrome is it common to have adenoid atrophy?
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- 22 Q
When does the palate repair typically occur?
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