Craniofacial orthodontics is a sub-specialty of orthodontics that focuses on the treatment of patients with birth differences such as cleft lip and palate. The orthodontist will work with a team comprised of speech pathologists, oral surgeons, and craniofacial plastic surgeons in planning treatment to correct cleft lip and palate, as well as other jaw and face differences. Dr. Gimlen is a member of the craniofacial/ cleft palate team at St. Johns in Santa Monica and is a professor at UCLA Orthodontics. As a member of a craniofacial team, a craniofacial orthodontist evaluates tooth and jaw development and growth. He or she takes care of the non-surgical treatment of the position of the jaws and is also responsible for the pre- and post-operative treatment of jaw surgery, monitoring growth by means of X-rays and models.
What is a Cleft Lip and Palate?
Cleft lip and cleft palate are facial differences in which the parts of the face that form the upper lip and palate remain open, instead of sealing together during fetal development. A cleft results when there is not enough tissue in the mouth or lip area, and the tissue that is available does not join together properly. While the defect occurs in early fetal development, in most cases, the cause is unknown. However, there appears to be a link with genetics and maternal environmental exposures during pregnancy.
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 complex and should be managed with a team, this is where your craniofacial orthodontist and team of specialists come together to create a comprehensive plan.
Cleft Cases in Our Office
We treat and see many cleft patients. If your child has craniofacial or cleft needs please call us to schedule a free initial exam 310.545.6525.