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What Is a Cleft Palate and Does It Affect the Teeth?

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Many children born with a cleft lip or palate will have significant dental issues. If this is the case with your child, The Dental Anesthesia Center can help.

They may have missing teeth, especially in the line of the cleft. They may also have misshapen or malformed or extra teeth. As a result, their teeth may be tilted, rotated, or crowded.

A child with a cleft lip or palate needs a team of doctors to care for their needs. They’ll likely need an oral surgeon, a pediatric dentist, and an orthodontist for their dental care. If this is the case with your child, The Dental Anesthesia Center can help. We provide dental care for children and adults with special needs.

I have been a patient at the Dental Anesthesia Center for about 20 years! Dr. Hoffman and his team are the premier dental group in the St. Louis area. I believe they are the only location for Dental Anesthesia if you need that service. They are experts in the dental field and I cannot fathom ever going anywhere else. Great team, kind, caring, patient, and looking out for you and your dental needs!
Response from the owner:Thank you for your kind words and continued trust over the years! We’re truly grateful for your support and are honored to have such a caring team dedicated to providing compassionate, high-quality care.
I have been going here for 30 years and the extra care they take is outstanding.
Response from the owner:Thank you for your kind words and longtime support! We truly appreciate you taking the time to share your feedback and are grateful for the trust placed in our team over the years.
DAC is personable and professional. Highly recommended.
Response from the owner:Thank you for the 5-star review and recommendation! We truly appreciate your kind words and support!
It was thorough professional and informative. I was satisfied with consultation and look forward to having my dental needs addressed
Response from the owner:Thank you for your 5-star review! We appreciate your kind words and are grateful you took the time to share your feedback. Thank you for your support!
Everything went great today for her surgery but I do have some feedback about other things. My daughter was scheduled to be put to sleep to undergo a root canal. They ended up needing more anthesia which I was willing to pay for. Surgery was supposed to be an hour (I was told this before they started), and it ended up being 2 hours because of some minor complications. Noone came to the lobby to inform us. When it was over, I asked to see her. They said I had to pay first. I just paid almost 5k and they were more worried about an additional $300 before allowing me to see my daughter? This didn't sit right. I didn't say anything. I paid the bill and went to see my daughter. Dr. Hoffman is the nicest man I have ever met! He was outstanding. Also, in the weeks before her surgery, the office appeared to not communicate. I would receive a call saying one thing then someone else would say another. They were never on the same page. Last week, they needed to speak with me to confirm a few things. They called me at 8:16am then again at 1:06pm. Leaving me a voicemail that if they do not hear from me they were going to cancel her surgery. Wow! I work. I work 8am-5pm. I do not have access to my phone during those hours. They did leave a voicemail and I would have called the next day but they did not give me a chance before sending me an email threatening to cancel. Also, they had called me several weeks before to inform me I had no insurance. I called my insurance company and they said I did. Not sure what happened but it resulted in unnecessary phone calls during my only free 20 minutes at work. If your appointment is at 10am, do not plan on seeing anyone for awhile. All our appointments ran an hour behind. I think Dr. Hoffman is wonderful but the office staff needs some help. Not friendly at all. Noone even smiled! The nurses in the room with my daughter were great too.
Response from the owner:Thank you for your feedback and kind words about Dr. Hoffmann and our clinical team. We appreciate you taking the time to share your experience. Your feedback is valuable to us as we continually strive to provide the best possible care and experience for every family.

What Is a Cleft Lip and Palate?

A cleft lip and palate are congenital abnormalities that form while a baby develops in the uterus. They occur when the tissues of the upper lip and roof of the mouth don’t join together correctly while the baby is developing in the womb. Surgery is required to repair a cleft lip and palate.

Cleft Lip:

During weeks four and seven of pregnancy, a baby’s lips form. Tissues from each side of the head join together at the center of the face to create our lips and mouth. A cleft lip develops when the tissues don’t join together properly. As a result, a gap forms between the two sides of the upper lip. A cleft ranges in size from a slight indentation to a large gap that opens to the nose. This separation can also include the roof of the mouth (the palate.)

Cleft Palate:

During weeks six and nine of pregnancy, the roof of the mouth, or palate, forms. A cleft palate is a split in the roof of the mouth. It can include the boney front part of the roof of the mouth or the soft palate, which is the delicate back part of the roof of the mouth.

Because the lips and mouth develop separately, it’s possible to have a:

  • Cleft palate without a cleft lip
  • Cleft lip without a cleft palate
  • Both a cleft lip and palate – this is the most frequent

Does a Cleft Lip or Palate Affect the Teeth?

Yes, children born with a cleft lip or palate are prone to dental issues such as cavities and missing and malformed teeth. The teeth may not erupt correctly or be in the wrong positions, misshapen, or missing altogether. Consistent exposure to the air can cause dry mouth, allowing bacteria to flourish. Oral surgery, orthodontic and dentistry care are all necessary.

How Can You Help Your Child Maintain Good Oral Hygiene?

It’s essential to begin good oral healthcare habits very young. This is true for everyone, so it’s necessary for those with special needs. Visiting the dentist for regular checkups is also essential. For a child with a cleft palate, we recommend bringing them in well before their first birthday. Your dentist can advise how to best care for your child’s specific needs.

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The first two board-certified Dentist Anesthesiologists in the state of Missouri.

Updated: August 15, 2024

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