tailieunhanh - Cleft Lip and Palate - part 10

Các quyết định cho kỹ thuật viên chỉnh hình phục hồi chức năng được thực hiện dựa trên nhu cầu của bệnh nhân, động lực để cải tiến, và sự sẵn có của chương trình phục hồi chức năng đề nghị. Khoảng 50% của tất cả các bệnh nhân hở môi và vòm miệng sẽ cần một số loại cố định hoặc di động giả 30 tuổi. | 720 Fig. . Designs by Fauchard showing early obturators employed for palatal defects. From 26 . Reprinted in 27 The decision for prosthetic rehabilitation is made based on the individual patients needs motivation for improvement and availability of the suggested rehabilitative program. Approximately 50 of all patients with cleft lip and palate will need some type of fixed or removable prosthesis by 30 years of age. As our knowledge and experience in the cleft palate field increased those of us responsible for providing prosthetic care recognized the importance of establishing a better prosthodontic concept and principles regarding treatment. In rendering these patients the best service we should first follow all the rules and principles governing the fixed and removable partial denture prosthesis and secondly should remove any fear of causing harm because of existing anatomic functional and physiologic deviation. Chapter 38 Prosthetic Speech Appliances for Patients 721 Diagnosis and Treatment Planning In treating people whose oral-facial handicaps affect speech the best results are achieved when the diagnosis and treatment are carried out by a group of clinicians who represent the various interested specialities and work together as a team rather than independently performing a series of procedures. In diagnosis and treatment planning full consideration should be given to 1 the type and width of the cleft 2 the position and relation of the maxillary segments to each other in unilateral and bilateral clefts 3 the form and lateral and anteroposterior dimensions of the maxillary arch 4 the length thickness and mobility of the soft palate 5 the perforations remaining in the hard and soft palate area and labial sulcus after surgery 6 the posterior and lateral pharyngeal wall movement and the size of the nasopharynx 7 a loose premaxilla 8 the number of missing teeth 9 malformed and malposed teeth 10 partially erupted teeth 11 teeth in the line of the