Enhanced Verifiable CPD from the
University of Birmingham

Dentaljuce Shorts: 500 words, 10 MCQs, on general medicine and surgery.

Cleft Lip and Cleft Palate

Cleft lip and cleft palate are congenital deformities that occur when tissues in the face and mouth do not fuse properly during foetal development. This can lead to significant complications affecting feeding, speech, hearing, and overall quality of life.

The condition is typically present at birth and can often be diagnosed prenatally through ultrasound. Treatment usually involves multiple surgeries, speech therapy, and dental care, and outcomes are generally good with comprehensive management.

Signs and Symptoms

Cleft lip and cleft palate are characterised by openings in the upper lip or roof of the mouth. A cleft lip may present as a small gap or indentation in the upper lip or extend into the nose, occurring unilaterally or bilaterally. A cleft palate involves an opening in the roof of the mouth that may extend to the nasal cavity. These conditions often lead to feeding difficulties, speech problems, hearing issues, and frequent ear infections.

Child with cleft lip and palate
Child with cleft lip and palate
Unilateral incomplete
Unilateral incomplete
Unilateral complete
Unilateral complete
Bilateral complete
Bilateral complete

Diagnosis

Diagnosis is often made at birth through physical examination, but advances in prenatal imaging allow for detection via ultrasound. Accurate prenatal diagnosis helps in planning early interventions and educating parents. In some cases, genetic testing may identify associated syndromes.

Treatment

Treatment for cleft lip and palate is multidisciplinary and lifelong, often involving surgeons, orthodontists, speech therapists, and other specialists. Surgery to repair a cleft lip is usually performed within the first few months of life, while cleft palate repair is typically done before 18 months. Ongoing dental care and speech therapy are very important for addressing complications related to speech and oral health.

Six-month-old girl before surgery
Six-month-old girl before going into surgery to have her unilateral complete cleft lip repaired
One month after surgery
The same girl, one month after the surgery
The same girl, age eight
The same girl, age eight, the scar almost gone

Complications

Complications arising from cleft lip and palate include feeding difficulties due to lack of suction, leading to poor weight gain and malnutrition. Ear infections and hearing loss are common, necessitating regular monitoring and possible surgical interventions like tympanostomy tubes. Speech issues often require long-term therapy to address articulation and resonance problems.

A baby being fed using a custom bottle
A baby being fed using a customised bottle. The upright sitting position allows gravity to help the baby swallow the milk more easily.

Psychosocial Issues

Living with cleft lip and palate can impact self-esteem and social interactions, particularly as children grow older. Early intervention and support from parents and healthcare providers can mitigate these effects. Adolescents may face additional challenges related to appearance and social acceptance.

Cause

The exact cause of cleft lip and palate is often unknown, but both genetic and environmental factors play roles. Genetic factors contribute to 20%-50% of cases, with several genes identified, including IRF6 and MSX1. Environmental risk factors include maternal smoking, diabetes, obesity, and certain medications.

Images

Unilateral complete lip and palate
Unilateral complete lip and palate
Bilateral complete lip and palate
Bilateral complete lip and palate

Epidemiology

Cleft lip and palate occur in about 1 to 2 per 1000 births in the developed world, with variations between ethnic groups. Native Americans and Asians have the highest prevalence, while Africans have the lowest. The condition caused about 3,800 deaths globally in 2017, a significant decrease from 14,600 deaths in 1990.

Cleft lip in a Boxer
Cleft lip in a Boxer
Cleft lip in a Boxer with premaxillary involvement
Cleft lip in a Boxer with premaxillary involvement
Same dog as picture on left, one year later
Same dog, one year later

Self-assessment MCQs (single best answer)

What is the main cause of cleft lip and palate?



Which of the following is NOT a common complication of cleft lip and palate?



At what age is surgery to repair a cleft palate typically performed?



Which ethnic group has the highest prevalence of cleft lip and palate?



What percentage of cleft lip and palate cases are attributed to genetic factors?



Which gene is NOT associated with cleft lip and palate?



Which prenatal imaging technique is commonly used to diagnose cleft lip and palate?



What is a common feeding method for babies with cleft lip and palate?



Which of the following is NOT a typical part of the multidisciplinary treatment for cleft lip and palate?



Which environmental factor is NOT linked to an increased risk of cleft lip and palate?



Dentaljuce

Dentaljuce provides Enhanced Continuing Professional Development (CPD) with GDC-approved Certificates for dental professionals worldwide.

Founded in 2009 by the award-winning Masters team from the School of Dentistry at the University of Birmingham, Dentaljuce has established itself as the leading platform for online CPD.

With over 100 high-quality online courses available for a single annual membership fee, Dentaljuce offers comprehensive e-learning designed for busy dental professionals.

The courses cover a complete range of topics, from clinical skills to patient communication, and are suitable for dentists, nurses, hygienists, therapists, students, and practice managers.

Dentaljuce features Dr. Aiden, a dentally trained AI-powered personal tutor available 24/7 to assist with queries and provide guidance through complex topics, enhancing the learning experience.

Check out our range of courses, or sign up now!

Membership Options

Dentaljuce offers a range of membership options…

Regular Membership

With enhanced CPD Certificates. Dentaljuce is brought to you by the award winning Masters team from the School of Dentistry, University of Birmingham, UK. All have won awards for web based learning and teaching and are recognised as leaders and innovators in this field, as well as being highly experienced clinical teachers. Full access to over 100 courses, no extras to pay.

Buy Now

£89.00 per year

Student Membership

No Certificates. With universities cutting down on traditional lectures, many students are currently having to rely more on online resources. If you don't need CPD Certificates, we are offering an amazing discount on your Dentaljuce personal membership fee. Special student price just £29 for 12 months individual membership.

Buy Now

£29.00 per year

It has to be the best value CPD around, and probably the most useful. Many thanks.
WK

© Dentaljuce 2024 | Terms & Conditions | Privacy Policy

Recording CPD time: recorded.