A cleft
in the gum may occur in association with a cleft lip. This may
range from a small notch in the gum to a complete division of
the gum into separate parts. Combination of cleft in lip and palate
is know as cleft lip palate.
A cleft lip palate can be bilateral, right unilateral or left
unilateral.
A bilateral complete cleft lip and palate is a major defect but one
for which much can now be done. Only very rarely is the palate not
involved. Usually the middle section of the lip, being unattached
at both sides, becomes very prominent and the appearance is upsetting
for all concerned. However, once the lip is repaired this appearance
is much improved. Sometimes if this middle section (the premaxilla)
is too prominent to allow the lip repair it may be necessary to use
special braces and tapes to mould it into a more favourable position.
This is done by an orthodontist and is called presurgical orthopedics.
Right or left Unilateral Cleft
Lip and Palate
In right or left unilateral cleft lip and palate only one side in effected.
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