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The mouth wounds recover in 7–10 days with precautions for fluid only diet for 5 days, and not to increase pressure in the nose or sinuses for 2–3 weeks. Evidence that the bone graft is forming will be seen on x-ray at about 8 weeks. Movement of teeth into the graft can begin at 3 months once bone graft consolidation is seen on xray. [4]
A buccal exostosis is an exostosis (bone prominence) on the buccal surface (cheek side) of the alveolar ridge of the maxilla or mandible.More commonly seen in the maxilla than the mandible, buccal exostoses are considered to be site specific. [2]
The two most common coding systems used for description of the type of cleft include ICD-9 and ICD-10 (or modifications in the United States, ICD-9-CM and ICD-10-CM). [2] In ICD-9-CM, cleft lip is encoded by 749.10-749.14; cleft palate by 749.00-749.04; and cleft lip with cleft palate by 749.20-749.25.
[8] [9] [10] The most common form is combined cleft lip and palate and it accounts for approximately 50% of cases, whereas isolated cleft lip concerns 20% of the patients. [11] People with cleft lip and palate malformation tend to be less social and report lower self-esteem, anxiety and depression related to their facial malformation.
The upper lip is formed earlier than the palate, from the first three lobes named a to c above. Formation of the palate is the last step in joining the five embryonic facial lobes, and involves the back portions of the lobes b and c. These back portions are called palatal shelves, which grow towards each other until they fuse in the middle. [30]
In phonetics, the term refers more specifically to the ridges on the inside of the mouth which can be felt with the tongue, either on roof of the mouth between the upper teeth and the hard palate or on the bottom of the mouth behind the lower teeth. [4] The curved portion of the process is referred to as the alveolar arch. [5]
Maxillary hypoplasia is the most common secondary deformity that results from cleft lip and cleft palate. Because of the subjective nature of the diagnosis, the incidence of maxillary hypoplasia in people with cleft lip and palate varies between 15-50%. It is estimated that 25-50% of these patients require surgical intervention. [7]
A subepithelial connective tissue graft takes tissue from under healthy gum tissue in the palate, which may be placed at the area of gum recession. This procedure has the advantage of excellent predictability of root coverage, [19] as well as decreased pain at the palatal donor site compared to the free gingival graft. The subepithelial ...