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Incomplete fusion of which of the following causes clefting of the lip?
a) Median palatine process and lateral palatine process
b) Median palatine process and nasal septa
c) Frontal process and maxillary process
d) Maxillary process and globular process
d
At what stage of prenatal development does clefting of the lip take place?
a) 4 to 8 weeks
b) 8 to 12 weeks
c) 13 to 18 weeks
d) 19 to 24 weeks
a
All of the following are oral manifestations of cleft palate, except:
a) poorly formed teeth.
b) mouth breathing.
c) fluorosis.
d) malocclusion.
c
A cleft of the soft palate that includes a cleft lip on the same side of the premaxilla is what classification?
a) Class II
b) Class III
c) Class IV
d) Class V
e) Class VI
d
A removable appliance designed to close off the opening in a cleft palate case is called a(n):
a) prosthodontic retainer.
b) obturator.
c) orthopedic appliance.
d) scaffold.
b
A child with a cleft palate is at greater risk for all of the following, except:
a) upper respiratory infections.
b) middle ear infections.
c) tissue overgrowth.
d) inadequate speech development.
c
A) Cleft lip and cleft palate are craniofacial deformities that are associated with inadequate fusing of the lip, hard and soft palates, and uvula. B) This birth defect occurs during the 22nd to the 40th week of gestation.
a. Statement A is true and statement B is false.
b. Statement A is false and statement B is true.
c. Both statements are true.
d. Both statements are false.
a
A) A child with a cleft palate is more likely to have a mental disability. B) A child with a cleft palate is more prone to ear infections.
a. Statement A is true and statement B is false.
b. Statement A is false and statement B is true.
c. Both statements are true.
d. Both statements are false.
b
Environmental risk factors that may impact normal development and cause clefting to occur include all of the following, except:
a) tobacco smoking.
b) alcohol consumption.
c) use of phenytoin for seizures.
d) use of herbal supplements.
e) folic acid deficiency.
d
A(n) __________ graft is completed to replace palatal tissue to provide architecture through which the maxillary teeth can erupt.
a) alveolar
b) palatal
c) osseous
d) scaffolding
a
A) Malpositioned teeth, problems with mastication, and dental biofilm retention are intensified for cleft palate patients. B) These predisposing factors are also related to a higher incidence rate of caries in children with a cleft palate.
a. Statement A is true and statement B is false.
b. Statement A is false and statement B is true.
c. Both statements are true and related.
d. Both statements are true but not related.
c
All of the following are appointment considerations for patients with cleft palate, except:
a) apprehension and self-esteem.
b) communication.
c) patient motivation.
d) patient control.
d
A) Every attempt is made to avoid the need to remove teeth, especially around the cleft area. B) The presence of teeth encourages optimum arch growth.
a. Statement A is true and statement B is false.
b. Statement A is false and statement B is true.
c. Both statements are true.
d. Both statements are false.
c
Cheiloplasty is surgical repair of a __________ defect.
a) uvula
b) cheek
c) palate
d) lip
e) nose
d
Which of the following is not a part of the team treating the patient with a cleft lip and/or palate?
a) Endodontist
b) Prosthodontist
c) Orthodontist
d) Speech Therapist
a
Class III cleft involves the:
a) soft palate and the hard palate that continues through the alveolar ridge.
b) tip of the uvula.
c) soft palate.
d) soft and hard palates.
c
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment. The first priority to address in providing treatment for Paul is:
a) referral for orthodontics.
b) referral to a speech therapist.
c) routine cleaning and fluoride application.
d) restorative work.
c
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment. The appropriate time to begin orthodontic treatment for realigning the teeth of a child with a cleft is:
a) after the eruption of the 12-year molars.
b) dependent upon which teeth are malpositioned and if they are fully erupted.
c) It should not be completed until adulthood when full development is complete.
d) It can be completed during the mixed dentition years.
d
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment. Due to an obvious need to keep up with oral hygiene care for Paul, recall visits should probably be scheduled at what interval?
a) 1 to 2 months
b) 3 to 4 months
c) Every 6 months
d) Once a year
b
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment. Anticipatory guidance for the parents should address all of the following, except:
a) biofilm removal.
b) speech therapy.
c) orthodontics.
d) hearing loss.
d
