Bristol Dental School, University of Bristol, Bristol, UK; The Spires Cleft Centre, John Radcliffe Hospital, Oxford, United Kingdom.
The Spires Cleft Centre, John Radcliffe Hospital, Oxford, United Kingdom.
Br Dent J. 2023 Jun;234(12):943-946. doi: 10.1038/s41415-023-5998-z. Epub 2023 Jun 23.
Cleft lip and/or palate includes a spectrum of congenital disorders affecting union on the lip, alveolus, hard and/or soft palate. The management of children born with an orofacial cleft requires a complex process from a multidisciplinary team (MDT) to restore form and function. Since the Clinical Standards Advisory Group (CSAG) report in 1998, the UK has reformed and restructured cleft services to improve the outcomes for children born with a cleft.The spectrum of cleft conditions, the members of the MDT and a chronological description of the stages of cleft management from diagnosis to adulthood are described using a clinical example. This paper forms the introduction to a series of more detailed papers which span all major aspects of cleft management. The papers will cover the following topics: dental anomalies; associated medical conditions among children; orthodontic management of patients; speech assessment and intervention; role of the clinical psychologist; challenges for the paediatric dentist; genetics and orofacial clefts; surgery - primary and secondary; restorative dentistry; and global perspectives.
唇裂和/或腭裂包括一系列先天性疾病，影响唇、牙槽骨、硬腭和/或软腭的联合。患有唇腭裂的儿童的管理需要多学科团队（MDT）的复杂过程来恢复形态和功能。自 1998 年临床标准咨询小组（CSAG）报告以来，英国已经改革和重组了腭裂服务，以改善腭裂儿童的治疗效果。本文通过一个临床实例，描述了唇腭裂的各种情况、MDT 的成员以及从诊断到成年的腭裂管理各个阶段的时间顺序描述。本文是一系列更详细论文的介绍，涵盖了腭裂管理的所有主要方面。这些论文将涵盖以下主题：牙齿异常；患儿的相关医疗状况；患者的正畸管理；语音评估和干预；临床心理学家的作用；儿科牙医的挑战；遗传学与唇腭裂；手术-原发性和继发性；修复牙科；以及全球视角。
