RECONSTRUCTION OF CLEFT LIP AND PALATE AND STANDARDIZATION OF THEIR CLINICAL RECORD FROM INFANCY THROUGH ADOLESCENCE

Abstract

INTRODUCTION: Orthodontics and dentofacial orthopaedics play an important role in reconstruction of child with cleft lip and palate (CLP). In layman term, cleft palate can be dened breach in continuity of the palate. DISCUSSION: Generally, midfacial irregularity and maxillary retrusion are the commonly seen problem after the surgical correction of CLP patients, which occurs mainly because of intrinsic factors, functional or adaptive factors inuencing the position and growth of normal and abnormal part and iatrogenic factors due to effect of treatment procedures. The principle of NAM is “negative sculpturing” and “passive molding” of the alveolus and the soft tissues. Orthodontic techniques are used to mold the maxillary, alveolar, and nasal tissues of an infant with CLP. Despite all the hard work that goes into every case, one aspect seems to be missing among many dentists across the globe is proper documentation of their cases. A proper documentation has many advantages. From start of the treatment planning in diagnosis to follow-up and for patient satisfaction point of view, standardization of clinical record play vital role in management of cleft lip and palate patents. CONCLUSION: The orthodontist play an important role in reconstruction of cleft lip and palate patient from birth to adulthood and provides both esthetic and functional treatment. knowing proper documentation not only improves diagnosis and treatment planning for orthodontist but also improve their future clinical practice