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From birth till palatoplasty: Prosthetic procedural limitations and safeguarding infants with palatal cleft

Sudhir Bhandari1, Bhavita Wadhwa Soni1, Shiv Sajan Saini2

  • 1Oral Health Sciences Centre, Unit of Prosthodontics, PGIMER, Chandigarh, India.

Journal of the Indian Society of Pedodontics and Preventive Dentistry
|April 3, 2018
PubMed

Insights

Restoring feeding in infants with cleft lip and/or palate is critical. Prosthetic obturation offers an interim solution when surgery is delayed, but requires careful management to prevent complications.

Area of Science:

  • Pediatric dentistry
  • Craniofacial anomalies
  • Prosthodontics

Background:

  • Infants with cleft lip and/or palate often face feeding difficulties, impacting early development.
  • Surgical cleft repair is essential but frequently requires infants to reach specific age and weight milestones.
  • Non-surgical feeding interventions are the first line of treatment, but may not always be successful.

Observation:

  • Prosthetic obturation is indicated when other feeding methods fail, serving as a temporary measure before surgical repair.
  • Fabricating obturators for infants presents unique challenges, including the child's age and the delicate oral tissues.
  • Potential complications during prosthetic management can be severe, necessitating meticulous clinical procedures.

Findings:

  • The article highlights the critical need for careful prosthetic management in infants with cleft lip and/or palate.
  • Preemptive measures during obturator fabrication are essential to ensure successful outcomes and avoid serious complications.
  • Addressing feeding issues promptly is paramount for the well-being of infants with these congenital conditions.

Implications:

  • Improved clinical protocols for obturator fabrication can enhance feeding in infants awaiting surgery.
  • Minimizing iatrogenic injury during prosthetic treatment is crucial for long-term oral health.
  • This approach underscores the importance of interdisciplinary care in managing pediatric craniofacial anomalies.

Keywords:
Clefts of lip and palatefeeding plateobturator

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