How does Cleft lip and palate affect dental management?
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How does Cleft lip and palate affect dental management?
Team: Coordinate with the cleft team: surgeon, orthodontist, speech, ENT, audiology, social work
Before extraction: Assess restorability, infection, position, and the role of each cleft-adjacent tooth in the graft and orthodontic plan before extraction
Anesthesia: Altered anatomy changes local anesthetic landmarks; the airway may be harder for sedation
Prevention: Intensive prevention: fluoride, sealants, hygiene around scars and appliances