Aspects of social and psychological adjustment were investigated in a sample of 233 Norwegian adults 20-35 years old with repaired complete cleft lip and palate (CLP); in 126 the cleft was on the left, in 45 on the right, and in 62 it was bilateral. All subjects received a standardised regimen of care from the Oslo cleft palate team. The study, based on response to a questionnaire, partly copied a national survey of social and economic life in the Norwegian population. Adults with complete clefts were compared with a large control sample of the same age. The purpose of this paper is to describe the occurrence of common psychological problems among subjects with CLP. Anxiety, depression, and palpitations were reported about twice as often by subjects with CLP compared with controls, and these psychological problems were strongly associated with concerns about appearance, dentition, speech, and desire for further treatment. These findings suggest that there is an impaired level of psychological wellbeing among subgroups of subjects with clefts.

Aspects of social and psychological adjustment were investigated in a sample of 233 Norwegian adults 20-35 years old with repaired complete cleft of the lip and palate (CLP); in 126 the cleft was on the left, in 45 on the right, and in 62 it was bilateral. All subjects received a standardised regimen of care from the Oslo cleft palate team. The investigation, based on response to a questionnaire, partly replicated a national survey of social and economic life in the population, so that adults with complete clefts could be compared with a large control sample of the same age. This report covers education, employment, and marriage. The results confirm previous findings that there are few differences in educational attainment and employment between adults with CLP and other people. Fewer with CLP marry, and when they marry they do so later in life, particularly if the CLP is bilateral. Income seemed to be lower among married men and single women with CLP than among the control population.

The aim of this study was to investigate the long term post-treatment transverse stability of the maxillary dental arch in subjects with unilateral complete cleft lip and palate (UCLP) treated by the Harvold/Bøhn method of orthodontic expansion and prosthodontic retention. The treatment of 22 consecutive patients, primarily operated on during the period 1957-60, was completed at a mean age of 18.1 years by the provision of a fixed partial retention prosthesis across the cleft using the cleft side central incisor and canine only as abutment teeth. The cleft side lateral incisor was missing in each case. Dental casts were made at the time of abutment preparation and at six subsequent times with the final observation 13.5 years after treatment completion. Measurements of any shift in the transverse position of cleft side and non-cleft side canines, premolars and first molars were made on standardized photographs of the casts. A constructed anteroposterior palatal line served as 'midline' reference. A mean reduction of width at the final observation, as recorded from the palatal surface to the reference line, was for the cleft side canine: -0.4 mm, the premolar immediately distal to the prosthesis and the first molar: both -1.2 mm. The corresponding mean width reductions on the noncleft side were: canine -0.9 mm, premolar -1.2 mm, first molar -1.6 mm. The rate of movement towards the midline decreased linearly with In(time) for all variables (P < 0.02) but for the cleft side canine.

The purpose of this methodological investigation was to study the relative magnitude of the various errors in vertical ridge measurements from orthopantomograms of edentulous patients.The study was divided into two parts. Part I and Part II. Part I included eleven patients. Two standard orthopantomograms were taken of each patient. Part II included five ofthe eleven patients in Part I. Here, a third X-ray taken with the mouth open was added to the X-rays from Part I. The X-rays were traced by three dentists.Twelve vertical measurements in the maxilla and in the mandible were made. The variance produced by the patients (morphological variance) and those produced by the dentist, the X-ray, the interaction patient-dentist, the interaction dentist-X-ray and the random variance (methodological variances) were separately estimated on the basis of a three-way mixed analysis of variance model.In Part I, on the average, the sum ofthe methodological variances constituted 1 -7 % and 2-5 % of the total variance in the maxilla and in the mandible respectively. The X-ray produced the greatest single variance component, averaging M % in both jaws. Although generally statistically significant, the remaining methodological variances were of low magnitude. The interaction patient-dentist, however, was not significant in most cases.In Part II, on the average, the sum of the methodological variances increased to 38-8% in the maxilla and 4-6% in the mandible, mainly caused by an increase in the variance produced by the X-ray.

A case of untreated tertiary syphilis involving the soft palate and nose is described and the treatment is outlined. In view of the rising incidence of acquired syphilis the clinician should bear this disease in mind whenever atypical lesions are encountered.