Craniofacial Orthodontics

While there are certainly aesthetic considerations associated with cleft lip and palate, having this birth defect can affect people in many more serious ways.

• Difficulty Eating – When there is a separation or opening in the palate, food and liquids can pass from the mouth back through the nose. While waiting for surgery, patients can use specially designed prosthetics to help keep fluids flowing downward towards the stomach, ensuring that they receive adequate nutrition.
• Speech Difficulties – Because the upper lip and palate are not properly formed, it may be difficult for children to speak clearly, and when they do, it may produce a nasal sound. As speech may be hard to understand, a speech pathologist may be used to resolve these issues.
• Ear Infections – Cleft lip and palate can lead to a buildup of fluid in the middle ear, leaving children at a higher risk for ear infections, and if not properly treated, even deafness. To prevent infections, small tubes may be placed in the eardrums to facilitate fluid drainage.
• Dental Problems – Children who suffer from cleft lip and palate also often have missing, malformed, or displaced teeth, leading to a higher number of cavities and other dental and orthodontic issues.

The treatment for cleft lip and palate is most likely surgery, and this is where your craniofacial orthodontist and team of specialists come in. Depending on the severity of the case, more than one surgery may be necessary. In children, surgery usually takes place between three and six months of age.