Abstract
Copyright: © 2014 Berkowitz S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Although the treatment of children with cleft lip/palate and other types of craniofacial anomalies in the United States has improved dramatically, many children with cleft lip and palate still receive care that is substantially inferior to what can or should be provided. Inadequate care results from diagnostic errors, failure to recognize and treat the full spectrum of health problems associated with complete unilateral cleft lip and palate (CUCLP) and complete bilateral cleft lip and palate (CBCLP), unnecessary and poorly timed treatment and inappropriate or poorly performed procedures. The answer to these problems lies in not obtaining longitudinal serial records of dental casts, lateral cephs, photographs and the use of the nasopharyngoscope.
Highlights
The treatment of children with cleft lip/palate and other types of craniofacial anomalies in the United States has improved dramatically, many children with cleft lip and palate still receive care that is substantially inferior to what can or should be provided
Those clinicians [1,2] who have reviewed the longitudinal results of presurgical orthopedics with gingivoperiosteoplasty and early palate closure [3], will take a contrary view and will argue against the need to do early surgical palatal closure and enhance the need for the attainment of improved palatal growth focusing on the cleft width relative to the amount of available mucoperiosteal tissue and the facial growth pattern
One of the most widely debated areas in the treatment of cleft lip and palate still under scrutiny involves the use of presurgical orthopedics and periosteoplasty such as presurgical orthopedics with periosteoplasty and lip adhesion (POPLA) designed by Ralph Latham and D
Summary
Samuel Berkowitz* DDS, MS, FICD, Adjunct Professor – Orthodontics, Illinois School of Dentistry, Chicago, Illinois, USA. Inadequate care results from diagnostic errors, failure to recognize and treat the full spectrum of health problems associated with complete unilateral cleft lip and palate (CUCLP) and complete bilateral cleft lip and palate (CBCLP), unnecessary and poorly timed treatment and inappropriate or poorly performed procedures. The answer to these problems lies in not obtaining longitudinal serial records of dental casts, lateral cephs, photographs and the use of the nasopharyngoscope. It still offers significant advantages by providing insights into the processes and outcomes on treatment of comparable services
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