Among the oro-facial defects, cleft lip and palate (CLP) is the most common and occurs in the 4th-12th week of intrauterine life. The classification proposed by Veau's divides cleft palate into four main categories: Group I: Defects of Soft Palate only, Group II: Defects involving hard and soft palate, Group III: Defects involving soft palate to the alveolus usually involving lip; and Group IV: Complete bilateral clefts. 1 Panamota et al.'s systematic review showed that cleft lip and palate prevalence varies from 0.57-1.57 per thousand live births. 2 The etiology of cleft lip and palate is multi-factorial and influenced by environmental and genetic factors. Environmental factors include cigarette smoking, alcohol intake, and nutritional status of the mother, such as vitamin and folic acid deficiencies, obesity, diabetes mellitus, etc. Genetic factors are associated with various genes and loci known to cause isolated clefts-IRF6, ch8q24, vax1, and PAX7. 3 Strong correlation is also seen between consanguineous marriages
The present case report illustrates the rehabilitation of a 12-day old
neonate with cleft palate. Since the palatal arch of the neonate was
very small, a feeding spoon was innovatively modified to obtain the
impression. The obturator was fabricated on the same day and delivered
in one appointment.
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