[Orthodontic treatment for cleft lip and cleft palate (author's transl)].
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A study of casts of the dentitions of children with cheilognathopalatoschisis made over an extended period emphasizes that the development and the growth of the maxillary dental arch in width and length are considerably reduced as compared to children without clefts. Consequently, therapeutical measures must be taken to maintain the length and width of the maxillary dental arch.
The data relative to caries experience, provided dental care, periodontal condition, oral hygiene and pocket depth obtained from 158 patients with cheilognathopalatoschisis were recorded. According to age, the findings were subdivided into three groups: deciduous dentition, mixed dentition and permanent dentition group. The data obtained from the upper jaw were compared to those from the lower jaw. Furthermore, the data relative to the different types of tooth and the region of the cleft were compared to the findings from teeth non-neighbouring the cleft. The results permit to draw conclusions as to noteworthy aspects of the orthodontic and the general dental care of patients with cheilognathopalatoschisis.
Comparative studies on the palatal symmetry in healthy new-born babies and in new-born babies with cheilognathopalatoschisis revealed cleft palates with a high degree of asymmetry. Therefore, it is reasonable to measure the treatment results achieved in cleft patients against the degree of palatal symmetry attained. This evaluation was performed in 30 subjects with unilateral complete cleft and in 20 individuals with bilateral complete cleft.
The author emphasizes the importance of otorhinolaryngology to the result from speech therapy, the faculty of hearing, nasal breathing and the general state of physical and mental health. In this connection, some results from hearing tests and ear-drum examinations performed in cleft patients are presented. With due regard to indication, tonsillectomy and adenotomy exert no negative effects on speech. The causes of impaired nasal breathing must be eliminated for orthodontic reasons. Consequently, a close co-operation between otorhinolaryngology and orthodontics is imperative.
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