Speech/Resonance Disorders due to Clefts and Craniofacial Anomalies
|
|
|
- Michael Simpson
- 5 years ago
- Views:
Transcription
1 Speech/Resonance Disorders due to Clefts and Craniofacial Anomalies Ann W. Kummer, PhD, CCC-SLP Cincinnati Children s Hospital Medical Center
2 Royalties: Financial Disclosures Book: Kummer, AW. Cleft Palate and Craniofacial Conditions: A Comprehensive Guide to Clinical Management, 4 th edition. Jones & Bartlett Learning, Clinical Device: Oral and Nasal Listener (ONL), Super Duper Publications (Patent: Nasoscope)
3 Financial Disclosures Honoraria: I receive honoraria for seminars on cleft palate, craniofacial anomalies, resonance disorders, and velopharyngeal dysfunction Consulting: I receive payment for consulting on business practices of speech-language pathology programs
4 Non-Financial Disclosures None
5 Lecture Outline 1. Normal structure and function 2. Cleft lip and palate 3. Effects of cleft lip/palate (CLP) on speech and resonance
6
7
8 1. Normal Structure and Function
9 Normal Face
10 Normal Face
11 Normal Oral Cavity
12 Normal Palate
13 2. Cleft Lip and Palate
14 Types of Cleft Lip
15 Unilateral Incomplete Cleft Lip
16 Bilateral Incomplete Cleft Lip
17 Unilateral Complete Cleft Lip
18 Bilateral Mixed (Incomplete and Complete)
19 Bilateral Complete Cleft Lip
20 Bilateral Complete Cleft Lip
21 Bilateral Complete Cleft Lip
22 Canine Bilateral Cleft Lip
23 Lip Surgery Before/After Before 3 DAYS after
24 Bilateral Facial Cleft
25 Canine Midline Facial Cleft
26 Types of Cleft Palate
27 Incomplete Cleft Palate
28 Complete Cleft Palate
29 Bilateral Complete Cleft Lip/Palate
30 Bilateral Complete Cleft Lip/Palate
31 Canine Bilateral Cleft Lip and Palate
32 Submucous Cleft Some or all of the following: Bifid or hypoplastic uvula Zona pellucida (bluish area) Notch in the posterior border of the hard palate Abnormal insertion of muscles, causing an upside-down V-shape with phonation Top point is anterior, pointing toward the incisive foramen
33 Cleft and Muscles
34 Submucous Cleft: Classic stigmata
35 Submucous Clefts: Typical, but not classic
36 Occult Submucous Cleft: Only seen on the nasal surface
37 Basic Cleft Classification Primary Palate Secondary Palate
38 Primary Palate: Cleft Lip (CL) and Alveolus Anterior to incisive foramen Includes lip and alveolus Clefts can be: complete or incomplete unilateral or bilateral
39 Secondary Palate: Cleft Palate (CP) Posterior to incisive foramen Includes hard and soft palate Clefts can be: Complete or incomplete
40 Embryology Primary palate (lip & alveolus): 7 weeks Secondary palate (hard & soft palate): 9 weeks Development is independent
41 Embryological Development
42 Embryological Sequence Closure begins at incisive foramen and zips out (toward the lip and uvula) If it stops, there is a cleft from that point on
43 Embryological Sequence Clefting goes from periphery to the incisive foramen Right side of lip may close first (left-sided clefts most common) Oral surface of velum closes first (submucous cleft occurs if not complete)
44 Embryological Sequence Mandible grows forward Tongue drops down and goes forward Palatal shelves move from vertical to horizontal and begin to close
45 Pierre Robin Sequence (Pronounced Robann) Micrognathia is the underlying cause: Can be due to mechanical forces in utero Can be part of a syndrome
46 Pierre Robin Sequence Sequence: Micrognathia (small jaw), which causes Glossoptosis (posterior tongue), which causes Wide, bell-shaped cleft palate
47 Pierre Robin Sequence with Cleft Palate Only
48 Micrognathia
49 Functional Concerns with Micrognathia 1. Airway 2. Feeding 3. Speech
50 Treatment of the Airway Lay child in prone position Glossopexy - suture tongue to bottom lip Tracheostomy Distraction osteogenesis
51 Distraction Osteogenesis Bone is cut (osteotomy) Bone is gradually pulled apart (distraction) with an appliance New bone is formed (osteogenesis)
52 Mandibular Distraction
53 Pre and Post Distraction
54 Pre and Post Distraction
55 Causes of Clefts Multifactorial Genetic factors (endogenous) Environmental teratogens (exogenous)
56 Genetic Factors Causes a predisposition Usually a 3-5% recurrence risk Risk depends on racial background 1. American Indians- highest risk 2. Asians 3. Caucasians 4. Africans- lowest risk
57 Environmental Teratogens Nutritional deficiencies (i.e., folic acid) Obesity Infections (rubella, CMV) Drugs (valium, Dilantin) Smoking Environmental toxins Radiation
58 3. Effects of Cleft Lip/Palate (CLP) on Speech and Resonance
59 Basic Principles Whenever there are abnormalities on the outside of the head (face and/or skull) always look for corresponding structural abnormalities on the inside of the head.
60 Basic Principles Whenever there are abnormalities on the inside of the head (face and/or skull) always look for corresponding functional abnormalities.
61 Basic Principles Outside anomalies typically affect aesthetics
62 Basic Principles Inside anomalies typically affect function Feeding Swallowing Speech Resonance Voice Hearing Language Cognition
63 Craniofacial Anomalies
64 Craniofacial Anomalies: Holoprosencephaly
65 Basic Principles Structural anomalies can affect speech by causing: Obligatory (AKA passive) distortions Compensatory (AKA active) errors Treatment for each is different
66 Basic Principles Obligatory distortions: Function (articulation placement) is normal Speech distortion is due to abnormal structure only Treatment: Correct structure Examples: Lateral lisp due to interference of maxillary teeth Hypernasality due to VPI
67 Compensatory errors: Basic Principles Function (articulation placement) is abnormal Articulation placement is altered in response to structural abnormality Treatment: Correct structure and then speech therapy to correct function Examples: Lateral lisp to avoid interference of maxillary teeth Pharyngeal fricatives to compensate for VPI
68 Causes of Abnormal Speech with Cleft Lip/Palate Primary Palate Lip deformities Nose and nasal cavity deformities Dental and occlusal abnormalities Secondary Palate Hearing loss Velopharyngeal dysfunction (VPD)
69 Lip Deformities
70 Short Upper Lip Short lip and/or protruding premaxilla Due to dysmorphology and/or repair
71 Short Upper Lip Can cause difficulty with bilabial competence at rest Can affect ability to produce bilabial sounds (p, b, m)
72 Nose and Nasal Cavity Deformities
73 Nasal Cavity Abnormalities Deviated septum (esp. with unilateral CLP) Stenotic naris due to scarring Maxillary retrusion with midface deficiency
74 Maxillary Retrusion with Midface Deficiency Restricts pharyngeal and nasal airway Can cause hyponasality or cul-de-sac resonance
75 Dental and Occlusal Abnormalities
76 Tongue rests in mandible Tongue tip needs to: Basic Facts be under the alveolar ridge move during speech without obstruction Sibilants or teeth sounds : /s, z, ʃ, ʒ, ʧ, ʤ/ are not actually produced by the teeth
77 Video: Edentulous Speech
78 Basic Facts Most consonants are produced in the anterior portion of the oral cavity Abnormalities of the anterior dental arch can interfere with movement of the tongue tip and lips Narrow maxillary arch can cause oral cavity crowding and distorted speech and resonance
79 Dental/Occlusal Abnormalities May cause: Obligatory distortions Compensatory errors
80 Dental Abnormalities Ectopic tooth Supernumerary or misplaced teeth Missing teeth Dental open bites Crossbites
81 Ectopic Tooth
82 Supernumerary or Misplaced Teeth
83 Missing Teeth Teeth are not important for speech production Missing teeth per se do not affect speech
84 Missing Teeth Only an issue if there is small oral cavity size or crowding due to: a low, flat or narrow palatal arch maxillary retrusion macroglossia
85 Missing Teeth Oral cavity crowding causes the tongue to seek an opening either by using an existing one, or creating one by opening the teeth
86 Missing Teeth
87 Open Bite
88 Anterior Crossbite
89 Anterior Crossbite
90 Anterior Crossbite
91 Anterior Crossbite
92 Video: Anterior Crossbite
93 Anterior and Lateral Crossbite
94 Class I normal skeletal occlusion Class II malocclusion Class III malocclusion Malocclusion
95 Class II Malocclusion
96 Class III Malocclusion (with maxillary retrusion and open bite)
97 Class III Malocclusion
98 Class III Malocclusion
99 Palatal-Dorsal Production AKA Mid-Dorsum Palatal Stop Used when there is anterior crowding of the tongue tip
100 Dental/Occlusal Abnormalities Particularly affect: sibilants /s, z, ʃ, ʒ, ʧ, ʤ/ Can also affect: bilabials /p, b, m/ labio-dentals /f, v/ lingual-alveolars /t, d, n, l/
101 Treatment of Abnormal Speech due to Dental/Occlusal Abnormalities Orthodontics Surgery-usually after facial growth is complete Speech therapy for compensatory errors
102 Palatal Expanders Cross bites- anterior and lateral Maxillary retrusion
103 Arch Appliance
104 Quad Helix Appliance
105 Rapid Palatal Expander
106 Tongue Irritation from a Rapid Expander
107 Effect of Palatal (Oronasal) Fistula on Speech Depends on: Size: Larger are more symptomatic Location: Above tongue tip will be symptomatic for tongue-tip sounds
108 Intentional fistula Fistula (alveolar or labial)
109 Palatal (Oronasal) Fistulas
110 Palatal (Oronasal) Fistula
111 Palatal (Oronasal) Fistula
112 Palatal (Oronasal) Fistula If large enough, can cause: Nasal emission Hypernasality Compensatory articulation
113 Hearing Loss
114 Normal Middle Ear Function At rest, Eustachian tube is closed During swallowing, tensor veli palatini muscle opens the Eustachian tube Releases negative pressure Allows fluids to drain
115 With History of Cleft Palate Tensor veli palatini muscle is abnormal, so tube doesn t open Negative pressure builds Fluids can t drain out Causes temporary (conductive) hearing loss Can affect articulation and language development in the short term
116 Treatment of Middle Ear Disease Insertion of PE (pressure equalizing) tubes Regular otologic (ear) care
117 Summary Clefts of the primary palate can include the lip and alveolus. They can be incomplete or complete and also unilateral or bilateral Cleft of the secondary palate can include the uvula, velum and hard palate. They can be incomplete or complete and are always midline. Embryological development goes from the incisive foramen outward so clefting goes from the periphery toward the incisive foramen.
118 Summary Pierre Roban sequence begins with micrognathia, which causes glossoptosis, which can cause a wide, bell-shaped cleft palate. Airway, feeding and speech are concerns. Visible (outside anomalies) can indicate internal anomalies that can potential impair function. Structural anomalies can cause obligatory distortions and compensatory errors.
119 Summary Pierre Robin sequence begins with micrognathia, which causes glossoptosis, which can cause a wide, bell-shaped cleft palate. Airway, feeding and speech are concerns. Visible (outside anomalies) can indicate internal anomalies that can potential impair function. Structural anomalies can cause obligatory distortions and compensatory errors.
120 Summary Maxillary teeth are not needed for speech but can interfere with normal speech production if they are in an abnormal position. Malocclusion can affect the relationship of the tongue tip to the alveolar ridge, which can have a significant effect on speech production.
121 Summary For more information and additional videos, go to the following:
122 Resources American Cleft Palate-Craniofacial Association (ACPA). Online Learning. American Cleft Palate-Craniofacial Association (ACPA). Family Resources. American Speech-Language-Hearing Association (ASHA). Cleft Lip and Palate. Topics/Cleft-Lip-and-Palate/ Kummer AW. (2011). Disorders of resonance and airflow secondary to cleft palate and/or velopharyngeal dysfunction. Seminars in Speech and Language, 32(2), Kummer AW. (2011). Types and causes of velopharyngeal dysfunction. Seminars in Speech and Language, 32(2), Kummer AW, Marshall J, and Wilson M. (2015). Non-cleft causes of velopharyngeal dysfunction: Implications for Treatment. International Journal of Pediatric Otorhinolaryngology, 79(3): Kummer AW. (2020). Cleft Palate and Craniofacial Conditions: A Comprehensive Guide to Clinical Management, 4 th Edition. Burlington, MA: Jones & Bartlett Learning. Chapter 10. Speech/resonance disorders and velopharyngeal dysfunction
Cleft Lip and Palate: The Effects on Speech and Resonance
Ann W. Kummer, PhD, CCC-SLP Cincinnati Children s Cleft lip and/or palate can have a negative impact on both speech and resonance. The following is a summary of normal anatomy, the types and causes of
Resonance Disorders & Velopharyngeal Dysfunction
Resonance Disorders & Velopharyngeal Dysfunction Cincinnati Children s Normal Velopharyngeal Function Structures Active in Velopharyngeal Closure Velum (soft palate) - The velum moves in a superior and
EVALUATION AND MANAGEMENT OF PATIENTS WITH CLEFT LIP AND PALATE
EVALUATION AND MANAGEMENT OF PATIENTS WITH CLEFT LIP AND PALATE DEFINING TERMS PRIMARY PALATE- Structures anterior to the incisive foramen Includes the nose, lip alveolus, and hard palate back to the incisive
Financial Disclosures
Resonance Disorders and Velopharyngeal Dysfunction: Evaluation and Treatment Ann W. Kummer, PhD, CCC-SLP Cincinnati Children s Hospital Medical Center Employment: Financial Disclosures Cincinnati Children
Cleft Palate Speech-Components and Assessment Voice and Resonance Disorders-ASLS-563. Key Components of Cleft Palate Speech.
Cleft Palate Speech-Components and Assessment Voice and Resonance Disorders-ASLS-563 Key Components of Cleft Palate Speech Disorder Type of Disorder/ Causes Hypernasality Resonance Disorder insufficiency
Def. - the process of exchanging information and ideas
What is communication Def. - the process of exchanging information and ideas All living things communicate. Acquiring Human Communication Humans communicate in many ways What is a communication disorder?
Cleft Lip and Palate. February 21, February 28, /17/2015
Cleft Lip and Palate Dianne M. Altuna, M.S./CCC-SLP Region X ESC November 20, 2015 paltuna@aol.com 214.763.7388 February 21, 2014 Diagnosis/Types Common craniofacial syndromes associated with cleft lip
CLEFT PALATE & MISARTICULATION
CLEFT PALATE & MISARTICULATION INTRODUCTION o Between the 6th and 12th weeks of fetal gestation,the left and right sides of the face and facial skeleton fuse in the midddle. When they do fail to do so,
Dr.ALI AL BAZZAZ PLASTIC SURGON CLEFT LIP AND PALATE
Dr.ALI AL BAZZAZ PLASTIC SURGON CLEFT LIP AND PALATE Cleft lip (cheiloschisis) and cleft palate (palatoschisis), which can also occur together as cleft lip and palate, are variations of a type of clefting
Jan 24: Cleft Lip/Cleft Palate (updated 08/06) Jan 24: Cleft Lip/Cleft Palate (updated 08/06) Preceptor: ; Vacation Scott
Jan 24: Cleft Lip/Cleft Palate (updated 08/06) Preceptor: ; Vacation Scott 1. (Amy) Discuss the incidence, causes and genetic aspects of cleft lips and palates (CL and CP). Cleft lip/palate deformities
CLEFT LIP and PALATE. Sahlgrenska University Hospital Göteborg, Sweden. Information about Cleft Lip and Palate. English version
CLEFT LIP and PALATE Sahlgrenska University Hospital Göteborg, Sweden Information about Cleft Lip and Palate English version 1 TABLE OF CONTENTS page What are cleft lip and palate? 3 Which children can
Speech Sound Disorders Alert: Identifying and Fixing Nasal Fricatives in a Flash
Speech Sound Disorders Alert: Identifying and Fixing Nasal Fricatives in a Flash Judith Trost-Cardamone, PhD CCC/SLP California State University at Northridge Ventura Cleft Lip & Palate Clinic and Lynn
G l o s s a r y. The lack of closure of a normal body orifice or. passage
A P P E N D I XE G l o s s a r y Allergic rhinitis Swelling of the membrane in the nasal chamber due to allergic reactions; the condition may obstruct breathing Alveolar ridge The bony arches of the maxilla
Resonance Disorders and Velopharyngeal Dysfunction: Evaluation and Treatment
Resonance Disorders and Velopharyngeal Dysfunction: Evaluation and Treatment Ann W. Kummer, PhD, CCC-SLP Cincinnati Children s Hospital Medical Center Resonance Disorders and Velopharyngeal Dysfunction
Figure 1. Basic anatomy of the palate
CHAPTER 10 CLEFT LIP AND PALATE Chen Yan, MD and Sanjay Naran, MD I. ANATOMY AND DEFINITIONS A. Cleft Lip (CL) alone, Cleft Lip with Cleft Palate (CLP), and Cleft Palate (CP) alone 1. CL alone and CLP
Evaluation and Treatment: using low-tech and no tech procedures
Evaluation and Treatment: using low-tech and no tech procedures 6. Perceptual Evaluation When, What, How, and Why When the evaluation should be done for the most reliable results and maximum benefit for
DENTAL MANAGEMENT OF CLEFT LIP AND PALATE. J Harewood DDS MA MS
DENTAL MANAGEMENT OF CLEFT LIP AND PALATE J Harewood DDS MA MS CLEFT LIP/PALATE: INCIDENCE Cleft lip and/or palate 1:1000 Varies with race Japan: 20: 10 000 Western Europe: 12: 10 000 USA: 10.2:10 000
Class II. Bilateral Cleft Lip and Palate. Clinician: Dr. Mike Mayhew, Boone, NC Patient: R.S. Cleft Lip and Palate.
Bilateral Cleft Lip and Palate Clinician: Dr. Mike Mayhew, Boone, NC Patient: R.S. Class II Cleft Lip and Palate Pretreatment Diagnosis Class II dolichofacial female, age 22 years 11 months, presented
Mixed Dentition Treatment and Habits Therapy
Interception Mixed Dentition Treatment and Habits Therapy Anterior Crossbites Posterior Crossbites Interference s with Normal Eruption Habit Therapy Tsung-Ju Hsieh, DDS, MSD 1 2 Anterior Crossbites Anterior
APPENDIX A. MEDICAID ORTHODONTIC INITIAL ASSESSMENT FORM (IAF) You will need this scoresheet and a disposable ruler (or a Boley Gauge)
APPENDIX A MEDICAID ORTHODONTIC INITIAL ASSESSMENT FORM (IAF) You will need this scoresheet and a disposable ruler (or a Boley Gauge) Name: _ I. D. Number: Conditions: 1. Cleft palate deformities 2. Deep
Page 2 of 5 9th weeks of gestation, as the palatal shelves change from a vertical to horizontal position and fuse. The tongue must migrate away from t
Page 1 of 5 TITLE: Cleft Lip and Palate SOURCE: UTMB Dept. of Otolaryngology Grand Rounds DATE: January 28, 1998 RESIDENT PHYSICIAN: Greg Young, M.D. FACULTY: Ronald Deskin, M.D. SERIES EDITOR: Francis
Developmental communication disorders
Part I Developmental communication disorders 1 Cleft lip and palate and other craniofacial anomalies John E. Riski 1.1 Introduction Despite reports from the Centers for Disease Control and Prevention
Disclosures. Overview. Goals I. Goals II. Clefts, Syndromes, and Care from Prenatal to Adulthood
Age 11 Cleft lip and palate playing a game Clefts, Syndromes, and Care from Prenatal to Adulthood Robert Byrd, MD, MPH Associate Professor of Clinical Pediatrics Pediatrician, UCDMC Cleft and Craniofacial
Treatment planning of nonskeletal problems. in preadolescent children
In the name of GOD Treatment planning of nonskeletal problems in preadolescent children Presented by: Dr Somayeh Heidari Orthodontist Reference: Contemporary Orthodontics Chapter 7 William R. Proffit,
ORTHODONTIC INITIAL ASSESSMENT FORM (OIAF) w/ INSTRUCTIONS
Use the accompanying Tip Sheet and How to Score the Orthodontic Initial Assessment Form for guidance in completion of the assessment form. You will need this score sheet and a disposable ruler (or a Boley
Phonetics is the study of vocal sounds. Phonetics and flight safety - An orodental view point. Gp Capt K Ravishankar *, Air Cmde GP Singh VSM +
Phonetics Methods and in flight Aerospace safety - Medicineethods An orodental view point: Aerospace Ravishankar Medicine K ABSTRACT Phonetics and flight safety - An orodental view point Gp Capt K Ravishankar
It is important to understand as to how do we hear sounds. There is air all around us. The air carries the sound waves but it is below 20Hz that our
Phonetics. Phonetics: it is a branch of linguistics that deals with explaining the articulatory, auditory and acoustic properties of linguistic sounds of human languages. It is important to understand
Objectives. Oromyofunction & Oral Health Gum Gardeners April 28, 2014 Linda D Onofrio, MS, CCC-SLP
Oromyofunction & Oral Health Gum Gardeners April 28, 2014 Linda D Onofrio, MS, CCC-SLP 503-808-9919 linda@donofrioslp.com My clinical experience & scope of practice n Be able to conduct an oromyofunctional
Arrangement of the artificial teeth:
Lecture Prosthodontic Dr. Osama Arrangement of the artificial teeth: It s the placement of the teeth on a denture with definite objective in mind or it s the setting of teeth on temporary bases. Rules
Corporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: orthodontics_for_pediatric_patients 2/2014 10/2017 10/2018 10/2017 Description of Procedure or Service Children
Let s start by tuning our ears!
Craniofacial Speech Disorders: How to Identify, Transcribe & Plan Treatment Let s start by tuning our ears! Judith Trost-Cardamone, PhD - CCC/SLP, FASHA Professor, California State University-Northridge
Place and Manner of Articulation Sounds in English. Dr. Bushra Ni ma
Place and Manner of Articulation Sounds in English Dr. Bushra Ni ma Organs of Speech Respiratory System Phonatory System Articulatory System Lungs Muscles of the chest Trachea Larynx Pharynx Lips Teeth
LINGUISTICS 130 LECTURE #4 ARTICULATORS IN THE ORAL CAVITY
LINGUISTICS 130 LECTURE #4 ARTICULATORS IN THE ORAL CAVITY LIPS (Latin labia ) labial sounds bilabial labiodental e.g. bee, my e.g. fly, veal TEETH (Latin dentes) dental sounds e.g. think, they ALVEOLAR
Subdivided into Vestibule & Oral cavity proper
Extends from the lips to the oropharyngeal isthmus The oropharyngeal isthmus: Is the junction of mouth and pharynx. Is bounded: Above by the soft palate and the palatoglossal folds Below by the dorsum
Attachment G. Orthodontic Criteria Index Form Comprehensive D8080. ABBREVIATIONS CRITERIA for Permanent Dentition YES NO
First Review IL HFS Dental Program Models Second Review Ortho cad Attachment G Orthodontic Criteria Index Form Comprehensive D8080 Ceph Film X-Rays Photos Narrative Patient Name: DOB: ABBREVIATIONS CRITERIA
Kerry Callahan Mandulak, PhD, CCC-SLP Department of Speech and Hearing Sciences Portland State University, Portland, OR
Kerry Callahan Mandulak, PhD, CCC-SLP Department of Speech and Hearing Sciences Portland State University, Portland, OR Adriane Baylis, PhD, CCC-SLP Nationwide Children s Hospital, Columbus, OH Anna Thurmes,
Carolinas Center for Cleft Lip & Palate Surgery
Carolinas Center for Cleft Lip & Palate Surgery Carolinas Center for Oral & Facial Surgery 8840 Blakeney Professional Drive Suite 300 Charlotte NC 28277 P: 704.716.9840 F: 704.716.9841 Clinical Coordinator
Remember from the first year embryology Trilaminar disc has 3 layers: ectoderm, mesoderm, and endoderm
Development of face Remember from the first year embryology Trilaminar disc has 3 layers: ectoderm, mesoderm, and endoderm The ectoderm forms the neural groove, then tube The neural tube lies in the mesoderm
The following standards and procedures apply to the provision of orthodontic services for children in the Medicaid/NJ FamilyCare (NJFC) programs.
B.4.2.11 Orthodontic Services The following standards and procedures apply to the provision of orthodontic services for children in the Medicaid/NJ FamilyCare (NJFC) programs. Orthodontic Consultation
Evaluation for Severe Physically Handicapping Malocclusion. August 23, 2012
Evaluation for Severe Physically Handicapping Malocclusion August 23, 2012 Presenters: Office of Health Insurance Programs Division of OHIP Operations Lee Perry, DDS, MBA, Medicaid Dental Director Gulam
Volume 22 No. 14 September Dentists, Federally Qualified Health Centers and Health Maintenance Organizations For Action
State of New Jersey Department of Human Services Division of Medical Assistance & Health Services Volume 22 No. 14 September 2012 TO: Dentists, Federally Qualified Health Centers and Health Maintenance
Overview. The ENT Manifestations of Tongue and Lip Tie. Bone formation and stress. Facial Skeleton (adult)
The ENT Manifestations of Tongue and Lip Tie Bobby Ghaheri, MD The Oregon Clinic Portland, Oregon www.drghaheri.com Physics The Palate Sleep Apnea Dental Problems Speech Overview Facial Skeleton (child)
EUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS
EUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS CANDIDATE NUMBER:44 CASE NUMBER: 2 Year: 2010 ESLO 01 RÉSUMÉ OF CASE 5 CASE CATEGORY: CLASS II DIVISION 1 MALOCCLUSION A MALOCCLUSION WITH SIGNIFICANT MANDIBULAR
Archived SECTION 14 - SPECIAL DOCUMENTATION REQUIREMENTS
SECTION 14 - SPECIAL DOCUMENTATION REQUIREMENTS 14.1 CERTIFICATE OF MEDICAL NECESSITY...2 14.2 OPERATIVE REPORT...2 14.2.A PROCEDURES REQUIRING A REPORT...2 14.3 PRIOR AUTHORIZATION REQUEST...2 14.3.A
Definition and History of Orthodontics
In the name of GOD Definition and History of Orthodontics Presented by: Dr Somayeh Heidari Orthodontist Reference: Contemporary Orthodontics Chapter 1 William R. Proffit, Henry W. Fields, David M.Sarver.
Early treatment. Interceptive orthodontics
Early treatment Interceptive orthodontics Early treatment Some malocclusion can be prevented or intercepted. Diphasic treatment is sometimes considered more logical and sensible. During the phase one,
Upper arch. 1Prosthodontics. Dr.Bassam Ali Al-Turaihi. Basic anatomy & & landmark of denture & mouth
1Prosthodontics Lecture 2 Dr.Bassam Ali Al-Turaihi Basic anatomy & & landmark of denture & mouth Upper arch Palatine process of maxilla: it form the anterior three quarter of the hard palate. Horizontal
ORTHODONTICS Treatment of malocclusion Assist.Lec.Kasem A.Abeas University of Babylon Faculty of Dentistry 5 th stage
Lec: Treatment of class I malocclusion Class I occlusion can be defined by Angles, classification as the mesiobuccal cusp of the upper 1 st permanent molar occlude with the developmental groove of the
TRAUMA TO THE FACE AND MOUTH
Dr.Yahya A. Ali 3/10/2012 F.I.C.M.S TRAUMA TO THE FACE AND MOUTH Bailey & Love s 25 th edition Injuries to the orofacial region are common, but the majority are relatively minor in nature. A few are major
Critical Review: Is videonasopharyngoscopy biofeedback therapy effective in improving velopharyngeal closure in patients with cleft palate?
Critical Review: Is videonasopharyngoscopy biofeedback therapy effective in improving velopharyngeal closure in patients with cleft palate? Brenna Singer M.Cl.Sc (SLP) Candidate University of Western Ontario:
The patient, a white male, was born with a submucous cleft palate, bifid uvula, and a notch of the posterior hard palate. He received speechlanguage
CASE REPORTS Maxillary protraction to intentionally ankylosed deciduous canines in a patient with cleft palate M. Lena Omnell, DDS, MSD,' and Barbara Sheller, DDS, MSD b Seattle, Wash. The patient, a white
NEUROCRANIUM VISCEROCRANIUM VISCEROCRANIUM VISCEROCRANIUM
LECTURE 4 SKULL NEUROCRANIUM VISCEROCRANIUM VISCEROCRANIUM VISCEROCRANIUM CRANIUM NEUROCRANIUM (protective case around brain) VISCEROCRANIUM (skeleton of face) NASOMAXILLARY COMPLEX MANDIBLE (DESMOCRANIUM)
Evaluation of the maxillary morphological changes following distraction in CLP patients decrease in the Ul to NF except for Case 6. me [35] instance,血e small maxillary advancement of 2.4 mm and maxillary
Component parts of Chrome Cobalt Removable Partial Denture
Lec. 5 د.بسام الطريحي Component parts of Chrome Cobalt Removable Partial Denture Major connectors: Are either bars or plates, the difference between them is in the amount of tissue covers. Plates are broad
LINGUISTICS 221 LECTURE #3 Introduction to Phonetics and Phonology THE BASIC SOUNDS OF ENGLISH
LINGUISTICS 221 LECTURE #3 Introduction to Phonetics and Phonology 1. STOPS THE BASIC SOUNDS OF ENGLISH A stop consonant is produced with a complete closure of airflow in the vocal tract; the air pressure
Basic Anatomy and Physiology of the Lips and Oral Cavity. Dr. Faghih
Basic Anatomy and Physiology of the Lips and Oral Cavity Dr. Faghih It is divided into seven specific subsites : 1. Lips 2. dentoalveolar ridges 3. oral tongue 4. retromolar trigone 5. floor of mouth 6.
ORTHOGNATHIC SURGERY
Status Active Medical and Behavioral Health Policy Section: Surgery Policy Number: IV-16 Effective Date: 10/22/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members should
Figure (2-6): Labial frenum and labial notch.
The anatomy of the edentulous ridge in the maxilla and mandible is very important for the design of a complete denture. The consistency of the mucosa and architecture of the underlying bone is different
INTERNATIONAL MEDICAL COLLEGE
INTERNATIONAL MEDICAL COLLEGE Joint Degree Master Program: Implantology and Dental Surgery (M.Sc.) Specialized Modules: List of individual modules Specialized Module 1 Basic principles of implantology
The Egyptian Journal of Hospital Medicine (October 2018) Vol. 73 (9), Page
The Egyptian Journal of Hospital Medicine (October 18) Vol. 73 (9), Page 7604-7609 Role of MRI in Detection of Repaired Cleft Palate Muscles and Correlation to Speech Amro Mahmoud Abdelrahman Ali, Mahmoud
PH-04A: Clinical Photography Production Checklist With A Small Camera
PH-04A: Clinical Photography Production Checklist With A Small Camera Operator Name Total 0-49, Passing 39 Your Score Patient Name Date of Series Instructions: Evaluate your Series of photographs first.
A REVIEW OF CLASSIFICATION SYSTEMS FOR CLEFTLIP AND PALATE PATIENTS II. EMBRYOLOGICAL CLASSIFICATIONS
eview Article JKCD June 0, Vol., No. A EVIEW OF CASSIFICATION SYSTEMS FO CEFTIP AND PAATE PATIENTS II. EMBYOOGICA CASSIFICATIONS Syed Nasir Shah, Mariya Khalid, Muhammad Sartaj Khan Department of Prosthodontics
TREATMENT OF CLEFT PALATE ASSOCIATED WITH MICROGNATHIA. By RANDELL CHAMPION, F.R.C.S.(Ed.) From the Duchess of York Hospital for Babies, Manchester
TREATMENT OF CLEFT PALATE ASSOCIATED WITH MICROGNATHIA By RANDELL CHAMPION, F.R.C.S.(Ed.) From the Duchess of York Hospital for Babies, Manchester IN spite of the present-day technique and medical research
MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE ISSUE DATE EFFECTIVE DATE NUMBER October 21,1996 October 28,1996 03-96-06 SUBJECT BY Information on New Procedures
Elements of Dysmorphology I. Krzysztof Szczałuba
Elements of Dysmorphology I Krzysztof Szczałuba 9.05.2016 Common definitions (1) Dysmorphology: recognition and study of birth defects (congenital malformations) and syndromes [David Smith, 1960] Malformation:
Benefit Changes for Texas Health Steps Orthodontic Dental Services Effective January 1, 2012
Benefit Changes for Texas Health Steps Orthodontic Dental Services Effective January 1, 2012 Information posted November 14, 2011 Effective for dates of service on or after January 1, 2012, the following
Postnatal Growth. The study of growth in growing children is for two reasons : -For health and nutrition assessment
Growth of The Soft Tissues Postnatal Growth Postnatal growth is defined as the first 20 years of growth after birth krogman 1972 The study of growth in growing children is for two reasons : -For health
The America Association of Oral and Maxillofacial Surgeons classify occlusion/malocclusion in to the following three categories:
Subject: Orthognathic Surgery Policy Effective Date: 04/2016 Revision Date: 07/2018 DESCRIPTION Orthognathic surgery is an open surgical procedure that corrects anomalies or malformations of the lower
Orofacial Myofunctional Therapy and it s Role in Dental Health and SDB. By: Jennie Herklotz, MA, CCC-SLP
Orofacial Myofunctional Therapy and it s Role in Dental Health and SDB By: Jennie Herklotz, MA, CCC-SLP What is an Orofacial Myofunctional Disorder (OMD)? Includes at least one of the following: Open mouth
Cause and Prevention of OSA. Principles involved in OSA Hypothesis Prevention
Cause and Prevention of OSA Principles involved in OSA Hypothesis Prevention D1 Principles involved in airway collapse Vacuum Gravity Venturi principle Bernoulli principle D2 Vacuum D3 A vacuum can create
The key to facial beauty and optimal patient health - Part 1
The key to facial beauty and optimal patient health - Part 1 By John Flutter, BDS the reason the upper jaw size remained stable and the occlusion improved, was due to the fact that after expanding the
The Aetiology of Malocclusion
The Aetiology of Malocclusion Dr. John Flutter For thirty-three years I have been practicing orthodontics and dentofacial orthopaedics. I have observed abnormal muscle habits and breathing patterns that
VPD Clinic: Using Nasopharyngoscopy to Evaluate Velopharyngeal Dysfunction and so much more!
VPD Clinic: Using Nasopharyngoscopy to Evaluate Velopharyngeal Dysfunction and so much more! Brenda Sitzmann, MA, CCC-SLP Speech Language Pathologist Jill Arganbright, MD Assistant Professor, Pediatric
What is Hemifacial Microsomia? By Pravin K. Patel, MD and Bruce S. Bauer, MD Children s Memorial Hospital, Chicago, IL
What is Hemifacial Microsomia? By Pravin K. Patel, MD and Bruce S. Bauer, MD Children s Memorial Hospital, Chicago, IL 773-880-4094 Early in the child s embryonic development the structures destined to
TITTLE. Speech disorders In operated cleft lip and palate children In Northeast. Malaysia AUTHORS. Lecturer. School ofdental Sciences.
TITTLE Speech disorders In operated cleft lip and palate children In Northeast Malaysia AUTHORS Nonnastura A.R BDS (Malaya), M.Comm. Med. (Oral Health), USM Lecturer School ofdental Sciences Health Campus
Impact of tongue size on occlusion.
Impact of tongue size on occlusion. D1 D2 Macroglossia (large tongue) in patient with severe OSA D3 Massive tongue can impact position of teeth. D4 This massive tongue has contributed to Class III occlusion.
Removable appliances
Removable appliances Melinda Madléna DMD, PhD associate professor Department of Pedodontics and Orthodontics Faculty of Dentistry Semmelweis University Budapest Classification of the orthodontic anomalies
William F. Walsh, M.D. Katharine D. Wenstrom, M.D. In the early weeks of fetal development, parts of the lip or palate (the roof of the
John B. Pietsch, M.D. William F. Walsh, M.D. Katharine D. Wenstrom, M.D. Cleft Lip and Palate What are Cleft Lip and Cleft Palate? In the early weeks of fetal development, parts of the lip or palate (the
Phonetics in Dentistry
Phonetics in Dentistry Chaitanya Dev Jain 1, Dara John Bhaskar 2, Chandan Agali 3, Harender Singh 4, Rajat Gandhi 5 1,4 Post Graduate Student, Department of Public Health Dentistry, Teerthanker Mahaveer
RETENTION AND RELAPSE
RETENTION AND RELAPSE DEFINITION Maintaining newly moved teeth long enough to aid in stabilizing their correction MOYERS loss of any correction achieved by any orthodontic treatment RELAPSE CAUSES OF RELAPSE
Essentials in Head and Neck Embryology. Part 3 Development of the head, face, and oral cavity
Essentials in Head and Neck Embryology Part 3 Development of the head, face, and oral cavity Outline General overview of prenatal development Embryonic period phase 1 Formation of bilaminar disk Formation
OPERATIVE CORRECTION BY OSTEOTOMY OF RECESSED MALAR MAXILLARY COMPOUND IN A CASE OF OXYCEPHALY
OPERATIVE CORRECTION BY OSTEOTOMY OF RECESSED MALAR MAXILLARY COMPOUND IN A CASE OF OXYCEPHALY By Sir HAROLD GILLIES, C.B.E., F.R.C.S., and STEWART H. HARRISON, F.R.C.S., L.D.S., R.C.S. From the Plastic
6610 NE 181st Street, Suite #1, Kenmore, WA
660 NE 8st Street, Suite #, Kenmore, WA 9808 www.northshoredentalacademy.com.08.900 READ CHAPTER The Professional Dental Assistant (p.-9) No Key Terms Recall Questions:,,,, and 6 CLASS SYLLABUS DAY READ
ORTHOGNATHIC SURGERY
ORTHOGNATHIC SURGERY MEDICAL POLICY Effective Date: February 1, 2017 Review Dates: 1/93, 7/95, 10/97, 4/99, 10/00, 8/01, 12/01, 4/02, 2/03, 1/04, 1/05, 12/05, 12/06, 12/07, 12/08, 12/09, 12/10, 12/11,
Ibelieve the time has come for the general dentists to
EARLY ORTHODONTIC TREATMENT Brock Rondeau, D.D.S. I.B.O., D.A.B.C.P., D-A.C.S.D.D., D.A.B.D.S.M., D.A.B.C.D.S.M. Ibelieve the time has come for the general dentists to get serious and educated in an effort
Prenatal Diagnosis of Cleft Lip
Commentary Prenatal Diagnosis of Cleft Lip What the Sonologist Needs to Tell the Surgeon John. Mulliken, MD, eryl R. enacerraf, MD Division of Plastic Surgery, Children s Hospital (J..M.) Department of
Anterior Open Bite Correction with Invisalign Anterior Extrusion and Posterior Intrusion.
Tips from your peers to help you treat with confidence. Anterior Open Bite Correction with Invisalign Anterior Extrusion and Posterior Intrusion. Dr. Linda Crawford DDS, MS, P.C. Anterior Open Bite Correction
- speech-~echanism Assessment tion, a small dental mirror and gauze pads may be necessary. Before putting the gloves on, clean the table with disinfectant and wash your hands thoroughly with antibacterial
Associations between speech features and phenotypic severity in Treacher Collins syndrome
Åsten et al. BMC Medical Genetics 2014, 15:47 RESEARCH ARTICLE Open Access Associations between speech features and phenotypic severity in Treacher Collins syndrome Pamela Åsten 1*, Harriet Akre 2,3 and
UCL Repair: Emphasis on Muscle Dissection and Reconstruction
UCL Repair: Emphasis on Muscle Dissection and Reconstruction Unilateral cleft lip repair is performed using rotation-advancement technique. Markings are made on columella base, redlines, Cupid s bow on
#45 Ortho-Tain, Inc PREVENTIVE ERUPTION GUIDANCE -- PREVENTIVE OCCLUSAL DEVELOPMENT
#45 Ortho-Tain, Inc. 1-800-541-6612 PREVENTIVE ERUPTION GUIDANCE -- PREVENTIVE OCCLUSAL DEVELOPMENT Analysis and Diagnosis of Occlusion: The ideal child of 5 y ears of age that probably has the best chance
#39 Ortho-Tain, Inc
1 #39 Ortho-Tain, Inc. 1-800-541-6612 OPTIMUM ORTHODONTICS FOR THE 5 TO 12 YEAR-OLD BY COMBINING REMOVABLE AND FIXED APPLIANCES WITH THE USE OF THE NITE-GUIDE AND OCCLUS-O-GUIDE APPLIANCES INTRODUCTION:
Mark Hakel, Ph.D., CCC-SLP, Julie Marshall, D.D.S., M.S. Monica McHenry, Ph.D. CCC-SLP. November 20, 2009
Mark Hakel, Ph.D., CCC-SLP, Julie Marshall, D.D.S., M.S. Monica McHenry, Ph.D. CCC-SLP November 20, 2009 Inadequate tissue with good innervation Classically associated with cleft palate Inadequate tissue
3. The Jaw and Related Structures
Overview and objectives of this dissection 3. The Jaw and Related Structures The goal of this dissection is to observe the muscles of jaw raising. You will also have the opportunity to observe several
Jaw relations and jaw relation records
Lecture 11 Prosthodontics Dr. Osama Jaw relations and jaw relation records Jaw relations can be classified into 3 categories 1-Orientation jaw relation 2-Vertical jaw relation 3-Horizontal jaw relation
ALTERNATE OCCLUSAL SCHEMES
ALTERNATE OCCLUSAL SCHEMES The same basic concepts need to be applied to all occlusal schemes. Some challenges include missing teeth, transposed teeth, crossbites, and anterior open bites. POSTERIOR CROSSBITES
Original Research. Figure 1: (a) Unilateral complete cleft of the lip and palate, (b) unilateral complete skeletal cleft with a Simonart s band.
Received: 14 th August 2015 Accepted: 19 th November 2015 Conflicts of Interest: None Source of Support: Nil Original Research Simonart s Bands and Facial Growth in Unilateral Cleft Lip and Palate Patients:
The Prevention of Maxillary Collapse in
The Prevention of Maxillary Collapse in Congenital Lip and Palate Cases CHARLES E. HUGH H. JEROME E. HORTON, M.D. CRAWFORD, M.D. ADAMSON, M.D. SAMUEL BUXTON, D.D.S. REUBEN COOPER, M.S. JACK KANTER, D.D.S.
Obstructive sleep apnea (OSA)
Obstructive sleep apnea (OSA) In a healthy sleeping child, the mouth is typically closed, the oral cavity is collapsed, and the nasopharynx and hypopharynx are patent with minimal wall motion Obstructive