A case of cleft lip and palate
A case of cleft lip and palate
Cleft lip and palate is one of the most common congenital deformity of the face. It is caused due to failure of fusion of the
Genetic malformations and environmental insults to the developing foetus are the common causative factors of the condition.
A 20year old male reported to the OPD of the hospital complaining of malaligned teeth.
He was surgically treated for Unilateral cleft lip and palate 12-13 years ago.
He gave a history of consanguinity in the family.
Scar tissue indicating the surgically treated Veau's class 3 cleft extending from the uvula to the alveolus on the right side unilaterally.
Bilateral posterior crossbites
Displaced lateral incisors and tipped canines
Midline shift
Difficulty in chewing
Esthetic concerns

Cleft lip and palate is one of the most common facial deformity affecting 1.07/1000 births in India.
Causes are multifactorial,the most common being consanguinity in families,excessive alcohol and tobacco consumption by the mother causing harm to the foetus,folic acid deficiency etc.
Hence,genetic counselling of the parents is needed to reduce the incidence and frequency of consanguineous marriages.

What according to you would be the preferable orthodontic approach to correct the malalignment?

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