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Oral and maxillofacial surgery

Cleft lip and palate: multidisciplinary dental care

Understanding the long-term dental and surgical support required for children born with cleft conditions.

Cleft lip and palate are common birth conditions where the tissues of the lip or the roof of the mouth do not join fully during development. In India, children with these conditions receive care from a multidisciplinary team to ensure they can eat, speak, and grow healthily. This team typically includes oral and maxillofacial surgeons, orthodontists, paediatric dentists, and speech therapists, all working together to provide comprehensive care from infancy through to adulthood.

The initial surgical repairs for the lip and palate usually take place within the first year of life. However, dental care remains a priority as the child grows. Clefts often affect the development of the teeth and the upper jawbone, which may lead to missing, extra, or misaligned teeth. Regular visits to a paediatric dentist are essential to manage these issues early and to maintain excellent oral hygiene, as children with clefts may be more prone to tooth decay.

As the child reaches school age, orthodontic treatment is often required to expand the jaw and align the teeth. In many cases, an alveolar bone graft is performed by a surgeon to provide enough bone for permanent teeth to erupt and to stabilise the dental arch. This integrated approach ensures that the child achieves both functional success and a confident smile. The journey is long, but consistent care from a registered dental team leads to excellent outcomes.

Families are encouraged to seek support from specialised cleft centres where coordinated care is available. Maintaining routine dental check-ups and following the specialist team’s advice is vital for the long-term health of the child. If you are a parent of a child with a cleft, your dentist can help coordinate the necessary referrals and provide the foundational dental care needed throughout the various stages of surgical and orthodontic treatment.

Disclaimer: General education only; consult a registered dentist for individual advice.