Clefting-Associated Syndromes

1) Sticklers syndrome
2) Van der Woudes syndrome
3) DiGeorge syndrome
Timing of Treatment for Clefting
1) Cleft lip at 10 weeks
-child should be 10 weeks old, 10 lbs, and 10 g/dL Hb
2) Cleft palate at 9-18 months
Growth Facts
1) At age 6, childs head is 90% of its adult size
-brain and neural tissues are fully developed at age 6
2) At birth, jaw is large enough to accommodate all primary teeth
3) At birth, width of face has reached greatest percentage of its adult size
4) At birth, palate is pretty flat
5) From age 6-12, lymph tissue is 200% of its adult mass
Neuroblastoma
-most common malignant tumor in neonates
Down Syndrome
-has high incidence of perio dx but low incidence of caries
-other characteristics:
1) hypoplasia of midface
2) prognathic class III occlusion w/ open bite
3) macroglossia
4) mouth breathers