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Cleft lip and palate in general dental practice: filling in the gaps Sharan Reddy Catherine Liu Mina Vaidyanathan Nabina Bhujel Dental Update 2024 48:7, 707-709.
Authors
SharanReddy
BDS, BSc (Hons), PgCert, MFDS (RCPS Glas)
Specialty Dentist in Paediatric Dentistry, Guy's and St Thomas' Hospital, London
Cleft lip and palate (CLP) is the most common of craniofacial anomalies in humans. CLP results from disruption of embryonic processes during orofacial development; while syndromic clefts may have clearer aetiology, non-syndromic clefts are heterogeneous in aetiology. It is important for GDPs to understand the classification of CLP and the structure of centralized cleft centres in order to communicate with cleft teams. This article aims to clarify the role of GDPs within cleft management and discusses challenges in maintaining oral health in this group of patients, including increased risk of dental caries and periodontal disease, dental anomalies and psychosocial considerations.
CPD/Clinical Relevance: The GDP should be responsible for maintaining good oral health for the patient with cleft lip and palate, focusing on prevention from a young age and restorative work if needed.
Article
Cleft lip and palate (CLP) is a common congenital anomaly with a wide spectrum of severity, from a simple soft tissue cleft to a bilateral complete cleft involving multiple structures. CLP can occur in isolation, or in association with other developmental anomalies or as part of a syndrome (syndromic CLP). The management of CLP requires integrated care from an extensive multidisciplinary team, which co-ordinates timely treatment for the patient from birth.1 CLP can have a significant Impact on the patient and their family, and it is important to ensure that all healthcare professionals involved can provide streamlined care to maximize efficiency, effectiveness and patient experience.
General dental practitioners (GDPs) play an important role in the management of CLP in primary care. While the specialized cleft teams in tertiary care plan and perform complex treatment in hospital, GDPs are heavily relied on to review the patients on a regular basis to optimize their oral health and communicate with the cleft teams. Since the centralization of UK cleft services, outcomes such as facial growth and speech have improved by up to 70%,2 yet oral health outcomes have not changed.3 This highlights the need for better integration of the GDP in care of patients with CLP.
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