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Cleft and Craniofacial Center
Sri Ramachandra University
Porur, Chennai, 600116
We have completed more than 10,000 free cleft surgeries, and we performed approximately 800 free cleft surgeries every year.
What is cleft Lip & Palate ?
What are craniofacial deformities?
How to feed cleft baby?
At what age treatment starts?
Will child be like normal child aftertreatment?
What is treatment for whole in palate after palate repair?
How to go about if I have speechproblem even after palate repair?
The Smile Train Partner Center
044 24765614
Team and philosophy
Meet our team
Feeding of cleft baby
Surgery & Timing
Anesthesia management
Speech therapy
Pediatric Dental Treatment
Orthodontic treatment
Ear problem
Refinement and Nose correction surgeries
Craniofacial cleft and anomalies
Orthognathic Surgery
Refinement and Nose correction surgeries
Secondary surgery for the refinement can be done at any time to improve the appearance of the child.
3-4 years : A few patients may need minor surgery to improve the the alignment of the lip lines. The shape of the nose can also be improved.

4-6 years : Any child having speech problem in spite of palate repair and speech therapy may need second surgery to improve the speech and reduce the nasality.

6-9 years : All cases involsving clefts through the alveolar ridge of the maxilla require surgical placement of cancellous (spongy) bone. This bone is usually harvested from the hip.

14-16 years : Many children born with cleft lip and/or cleft palate or other craniofacial anomalies are either born with significant imbalance of their jaws alignment or this is developed during their growth due to poor growth of upper jaw. Normal jaw relation ship is essential for good appearance, normal chewing process and speech. Any misalignment of jaws will need orthodontic treatment following by surgeries on both the jaws (orthognathic surgery). This often need long preoperative orthodontic treatment, removal of certain teeth. The orthodontic treatment may continue following surgery and prosthodontist help to replace the missing teeth.

16-20 years : Depending on the demand of the patients, final rhinoplasty (nose surgery) to improve the shape of nose can be done.

Additional Procedures:
Osseointegrated Anchorage Implants

When teeth are lost, their replacement has been improved by the use of osseointegrated anchorage implants. These implants require precision planning, placement, and restorative procedures. When teeth are replaced by removable appliances, adverse stresses are usually applied to teeth used for anchorage, leading to early loss. Cleft cases usually have one or more missing teeth and in addition, the teeth adjacent to the cleft usually have a deficiency of supporting bone, making precarious their use as anchorage for the missing teeth. Thus the use of osseoiontegrated implants for anchorage of the missing teeth eliminates the use of the remaining teeth for anchorage and thus preserves the remaining teeth. Osseointegrated anchorage implants serve as support for prosthetic dental units that are fabricated by a prosthodontist. The surgery and subsequent placement of the prosthetic dental units requires the coordinated efforts of the orthodontist, the oral and maxillofacial surgeon, and the prosthodontist.

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