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.

Outstanding customer car for our 15 yrs old Autistic Granddaughter. Rebekah really helped put our minds and ease and helped us plan the next visit when it came to reservations we had on the cost of this treatment, and future ones. This is expensive, but worth it knowing they help special needs kids, teens and adults. Sedation dentistry team handle everything great!
Thank you Dr. Thoms and the team!!
Response from the owner:Thank you for your thoughtful review. We’re so glad our team could provide a supportive and reassuring experience while helping you plan for future care. It means a great deal to know you felt informed and cared for every step of the way. We truly appreciate your kind words and the trust you’ve placed in us.
Dr Thoms specializes in dental anesthesia for patients with Special Needs. My daughter has been a patient of his for many years.
His experience, depth of knowledge and understanding the needs of Special Needs patients is excellent.
He presents clear and detailed information for his procedures and treatment options along with expectations during aftercare.
Follow up instructions include a personal phone call from him as well as additional calls from his office staff. I highly recommend Dr Thoms and definitely give him 5 stars.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re grateful for the trust families place in our team and are committed to providing thoughtful, individualized care with clear communication every step of the way. Your recommendation means a great deal to us!
My hygienist, DeLaina Joost, takes excellent care of my teeth with her advanced skills, gentle touch and great “chair side” manner. She is a consummate professional, and such a compassionate person. I look forward to my visits at DAC!
Response from the owner:Thank you for your kind words! We’re so glad to hear you had a positive experience with our team and appreciate you taking the time to share your feedback.
I want to thank everyone at the Dental Anesthesia Center for taking care of me yesterday—Meaghan helped me get the forms filled out correctly and in on time, Daisy for guiding me in and getting me out safely, Dr. Hoffman for taking care of my teeth and dealing with my really terrible gag reflex, and EVERYONE who helps make this happen. I don't know all of your names, but I do know that it takes all of you working together to make my dental care possible and have good results.

I'm always nervous when I first arrive, even though every procedure has had a good outcome. I've never had any pain or excessive bleeding as a result. The one thing I realized yesterday is that all of you are warm, friendly, positive, you have what is called a good vibe, which helps me a great deal.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re so glad our team could help you feel comfortable and supported throughout your visit. Providing a safe, positive environment is very important to us, and your feedback means a great deal. We truly appreciate your trust in our care!
Dr. Thoms and his entire staff at The Dental Anesthesia Center have been absolutely wonderful!! They're all so kind and knowledgeable. I would give them 10 stars if I could!!!
Response from the owner:Thank you so much for your kind words! We truly appreciate you taking the time to share your experience. It means a lot to hear this feedback.

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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