Cleft Lip and Palate
During early pregnancy, separate areas of the face develop individually and then join together, including the left and right sides of the roof of the mouth and lips. However, if some parts do not join properly, sections don’t meet and the result is a cleft. If the separation occurs in the upper lip, the child is said to have a cleft lip.
A completely formed lip is important not only for a normal facial appearance but also for sucking and to form certain sounds made during speech. A cleft lip is a condition that creates an opening in the upper lip between the mouth and nose. It looks as though there is a split in the lip. It can range from a slight notch in the colored portion of the lip to complete separation in one or both sides of the lip extending up and into the nose. A cleft on one side is called a unilateral cleft. If a cleft occurs on both sides, it is called a bilateral cleft.
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. A similar defect in the roof of the mouth is called a cleft palate.
The palate is the roof of your mouth. It is made of bone and muscle and is covered by a thin, wet skin that forms the red covering inside the mouth. You can feel your own palate by running your tongue over the top of your mouth. Its purpose is to separate your nose from your mouth. The palate has an extremely important role during speech because when you talk, it prevents air from blowing out of your nose instead of your mouth. The palate is also very important when eating. It prevents food and liquids from going up into the nose.
As in cleft lip, a cleft palate occurs in early pregnancy when separate areas of the face have developed individually do not join together properly. A cleft palate occurs when there is an opening in the roof of the mouth. The back of the palate is called the soft palate and the front is known as the hard palate. A cleft palate can range from just an opening at the back of the soft palate to a nearly complete separation of the roof of the mouth (soft and hard palate).
Sometimes a baby with a cleft palate may have a small chin and a few babies with this combination may have difficulties with breathing easily. This condition may be called Pierre Robin sequence.
Since the lip and palate develop separately, it is possible for a child to be born with a cleft lip, palate or both. Cleft defects occur in about one out of every 800 babies.
Children born with either or both of these conditions usually need the skills of several professionals to manage the problems associated with the defect such as feeding, speech, hearing and psychological development. In most cases, surgery is recommended. When surgery is done by an experienced, qualified oral and maxillofacial surgeon such as Dr. (doctor), the results can be quite positive.
Cleft Lip Treatment
Cleft lip surgery is usually performed when the child is about 10 years old. The goal of surgery is to close the separation, restore muscle function and provide a normal shape to the mouth. The nostril deformity may be improved as a result of the procedure or may require a subsequent surgery.
Cleft Palate Treatment
A cleft palate is initially treated with surgery safely when the child is between 7 to 18 months old. This depends upon the individual child and his/her own situation. For example, if the child has other associated health problems, it is likely that the surgery will be delayed.
The major goals of surgery are to:
- Close the gap or hole between the roof of the mouth and the nose.
- Reconnect the muscles that make the palate work.
- Make the repaired palate long enough so that the palate can perform its function properly.
There are many different techniques that surgeons will use to accomplish these goals. The choice of techniques may vary between surgeons and should be discussed between the parents and the surgeon prior to the surgery.
The cleft hard palate is generally repaired between the ages of 8 and 12 when the cuspid teeth begin to develop. The procedure involves placement of bone from the hip into the bony defect, and closure of the communication from the nose to the gum tissue in three layers. It may also be performed in teenagers and adults as an individual procedure or combined with corrective jaw surgery.
After Surgical Treatment
After the palate has been fixed, children will immediately have an easier time in swallowing food and liquids. However, in about 1 out of every 5 children following cleft palate repair, a portion of the repair will split, causing a new hole to form between the nose and mouth. If small, this hole may result in only an occasional minor leakage of fluids into the nose. If large however, it can cause significant eating problems, and most importantly, can even affect how the child speaks. This hole is referred to as a “fistula,” and may need further surgery to correct.
Atlantic Oral & Maxillofacial Surgery Associates
I was home for Christmas break from school. I had let my wisdom teeth pain go for a while, but could wait no more. I called Dr. Jungels office and accommodated me immediately with a consult and surgery for my impacted teeth. The staff were very nice and Dr. Jungels was extremely knowledgeable as he explained everything to me about the surgery. Very professional and personalized care given before, during and the week following the surgery. Doctor called the day after surgey to see how I was doing. Such a rarity nowadays. Would highly recommend this practice if you want to make an unpleasant experience, as pleasant as humanly possible.
- Kyle T
I had a stress crack in a molar from my orthodontic band which I didn’t have crowned— of course over time it worsened and needed to be pulled. Dr. Jungles was fabulous and I only had to be numbed! The whole procedure was quick and relevantly painless! He provided instructions, followed up with me and the whole staff was honestly the best I ever used! I love this office and would highly recommend!
- Ginamarie D
Very good experience, friendly and helpful staff. Dr. Jungles was excellent,will return if needed
- Frank L
Office accomodated me the next day. Was in pain. Staff and Doctor were great. Explained options, procedure and after care. Made an unpleasant situation as comfortable as posssible. Thank You.
- Thomas C
His concern for me to keep me calm. He explain what he was going to do and talk to me during the procedure which did keep me calm. I appreciate his patients
- Phyllis E
I recommend them , A+++
- Robert M
Happy with the care I received!
- Gillian M
Staff was very caring and friendly. Dr. Jungles made me feel calm and as comfortable as possible during procedure.
- Cheryl S
Excellant doctor and staff made me feel very relaxed
- joe nigro n
Doctor Jungles explained condition and what to expect with the surgery and recovery.
All options were presented and insurance coverage and co-pays explained with no “surprise” additional fees.
Surgery out come was excellent.
I highly recommend Dr. jungles and his entire staff was wonderful!
- Gary S.
I was refered to this Dr. and I can only say that I need to thank that person because this office was a complete joy.
- Kevin P.
Everything was great. Two convenient locations too.
- Joe F.
Great job, quick, and barely any pain after all four removed.
- Sarah S
Excellent surgery and friendly staff. I had my wisdom teeth removed and recovery was smooth. Thank you, Dr. Jungels and staff for making me feel very safe and in good hands.
- Nastassia D.
I had gastric bypass surgery years ago, an after effect is that my teeth have began to fall apart, I was able to make an appointment, be seen, and have the bad teeth removed all within a week, I will be following up for the remainder of my teeth and would trust no one else!
- Stanley G.
I was in severe pain for over a year with exposed roots and nerves, I went here and in one appointment the teeth were removed as well as impacted wisdom teeth, I have severe anxiety and they took care of that with local sedation, I am now home recovering and can not wait until the extraction pain goes away so I can see how my new mouth feels
- Stanley G.
Quite amazing, actually. As professional, courteous and efficient as one could imagine.
- Alan M.
I was very pleased with my experience.
I had a great experience. I was so scared and anxious about the whole procedure. The doctor and his staff helped ease that a lot
Great office, I would recommend them to anyone seeking a pleasant and calm experience.