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DR KABERI MAJUMDER BDS, MDS (ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS)
VISITING ASSISTANT PROFESSOR , SGT UNIVERSITY , INDIACONSULTANT , M P SHAH HOSPITAL, NAIROBI, KENYA
CLEFT INTERDISCIPLINARY TEAM
1 Post natal general health check up
pediatrician 10 Dentofacial orthopedics orthodontist
2 Post natal councelling( feeding and swallowing issues)
Counceller/orthodontist/Pedodontist genetist+ psychiatrist
11 Maxillary distraction orthodontist
3 Presurgical orthopedics (NAM) Orthodontist/ pedodontist
12 Adjunctive orthodontics orthodontist
4 Lip/nose repair + GPP Maxillofacial/ plastic surgeon
13 ABG Maxillofacial/ plastic surgeon
5 Palate repair Maxillofacial/plastic surgeon +
14 Comprehensive orthodontics
orthodontist
6 Airway breathing issues /ear tube
ENT surgeon 15 surgical orthodontics + OG Orthodontist + maxillofacial/plastic surgeon
7 Speech therapy Speech pathologist
16 Preprosthetic orthodontics + prosthetic treatment
Orthodontist +prosthodontist
8 Phrayngeal flap ENT surgeon/otolaryngologist
17 Rhinoplasty/ chelioplasty surgeon
18. Oral physiotherapy Physiotherapist9 dental treatment pedodontist
DECIDUOUS DENTITION (4 to 6 yrs)
Every 6 months periodic review.
1. Functional shift2. space loss3. oral habit
Habit breaker in UCLP patient
Arnold expander
Protraction spring & space maintainer
Mixed Dentition 1.Early interceptive orthopedics
2. Adjunctive orthodontics to prepare for
alveolar bone grafting & to support sulcular deepening
1. . incisor derotation and alignment
guidance of eruption with space management
a. Transverse expansion
b. Anterior protractionc. Premaxillary intrusiond. Premaxillary medial
repositioning
After
before
1. ORTHOPEDIC tooth/tissue borne distraction
2.ORTHODONTIC --segmental alignment & intrusion
3. SURGICAL lifting with ABG
Laterally displaced premaxilla
1. medial orthopedic repositioning
2. orthodonticSurgical repositioning
Retention
Fixed palatal arch
Hawleys’s with pontic
FR- III
Rigid retention with springs
Palatal arch with thick rectangular s.s 16*22 wire
Surgical/ ABG splint
Start Of Conventional PreprostheticOrthodontics
CI extracted it was in cleft line. All deci extracted