- CONGENITAL LIP PITS<\/strong><\/li><\/ol>\n\n\n\n
A congenital lip pit<\/strong> or lip sinus<\/strong> is a congenital disorder<\/a> . They are often hereditary, and may occur alone or in association with cleft lip and palate<\/a>, termed Van der Woude syndrome<\/a>.<\/p>\n\n\n\n
CLINICAL FEATURES:<\/strong><\/p>\n\n\n\n
- It is more commonly seen in females.<\/li>
- It is common on vermillion border of either lip and most commonly on the lower lip<\/li>
- It may be up to 3 to 4 mm in diameter and may extend as deep as 2 cm and communicated with underlying minor salivary glands.<\/li>
- In some cases, sparse mucus secretion may be visible from the base of the pit.<\/li>
- Lips sometimes appear swollen accentuating the appearance of the pit.<\/li><\/ul>\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-3.png\")
<\/figure><\/div>\n\n\n\nMANAGEMENT:<\/strong><\/p>\n\n\n\n
Surgical\nexcision for cosmetic purpose.<\/p>\n\n\n\n
- COMMISSURAL PITS<\/strong><\/li><\/ul>\n\n\n\n
A depression\nlocated at an oral commissure.<\/p>\n\n\n\n
CLINICAL FEATURES:<\/strong><\/p>\n\n\n\n
- It is more common amongst males and black people are affected more than white people.<\/li>
- Commissural pit appears as a unilateral or bilateral pit at the corner of the mouth on the vermillion surface.<\/li>
- If it is unilateral, it occurs on the right side of the lip.<\/li>
- It is localized at angle of mouth with the tract diverging dorsolateral into the cheek.<\/li>
- Size ranges from a shallow dimple to a tract measuring 4 mm in length and tissue slightly raised above the opening.<\/li><\/ul>\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-4.png\")
<\/figure><\/div>\n\n\n\nMANAGEMENT:<\/strong><\/p>\n\n\n\n
Surgical\nexcision.<\/p>\n\n\n\n
- DOUBLE LIP<\/strong><\/li><\/ul>\n\n\n\n
It is an excess tissue on the inner surface of the lip.<\/p>\n\n\n\n
CLINICAL FEATURES:<\/strong><\/p>\n\n\n\n
It is associated with Aschers syndrome which consists of double lip, blepharochalasis (It is drooping of the tissue between eyebrow and edge of the upper eyelid so that it hangs loosely over thyroid enlargement.<\/p>\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-5.png\")
<\/figure><\/div>\n\n\n\nMANAGEMENT:<\/strong><\/p>\n\n\n\n
Surgical excision<\/p>\n\n\n\n
- CLEFT LIP AND CLEFT PALATE<\/strong><\/li><\/ul>\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-6.png\")
<\/figure><\/div>\n\n\n\nCleft lip and cleft palate <\/a>are the most common birth defects. The most commonly occur as isolated birth defects but are also associated with many inherited genetic conditions or syndromes.<\/p>\n\n\n\n
cleft lip and cleft palate can be corrected using treatment.<\/p>\n\n\n\n
SYMPTOMS:<\/strong><\/p>\n\n\n\n
Usually, a split in the lip or palate is identifiable at birth. Cleft lip and cleft palate appear as:<\/p>\n\n\n\n
- A split in the lip that affects both sides of the human face<\/li>
- A split in the lip that appears as only a small notch in the lip or extends from the lip through the upper gum and palate into the bottom of the nose<\/li><\/ul>\n\n\n\n
Less commonly, a cleft occurs only in the muscles of the soft palate (sub mucous cleft palate), which are at the back of the mouth and covered by the mouth’s lining. <\/p>\n\n\n\n
- Difficulty with feedings<\/li>
- Difficulty swallowing, with potential for liquids or foods to come out the nose<\/li>
- Nasal speaking voice<\/li>
- Chronic ear infections.<\/li><\/ul>\n\n\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-8.png\")
<\/figure><\/div>\n\n\n\n![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-10.png\")
<\/figure><\/div>\n<\/div>\n\n\n\n\n![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-9.png\")
<\/figure><\/div>\n\n\n\n![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-11.png\")
<\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\nThe blue lines indicate incisions.<\/p>\n\n\n\n
Movement of the flaps; flap A is moved between B and C. C is rotated\nslightly while B is pushed down.<\/p>\n\n\n\n
CAUSES:<\/strong><\/p>\n\n\n\n
- In most cases, the cause of\ncleft lip and cleft palate is unknown. These conditions cannot be prevented.\nMost scientists believe clefts are due to a combination of genetic and\nenvironmental factors. There appears to be a greater chance of clefting in a new-born<\/a> if a sibling, parent, or relative has had the\nproblem.<\/li>
- Another potential cause may be\nrelated to a medication<\/a> a mother may have taken\nduring her pregnancy. Some drugs may cause cleft lip and cleft palate. Among\nthem: anti-seizure<\/a>\/anticonvulsant drugs, acne<\/a> drugs containing Accutane<\/a>, and methotrexate<\/a>, a drug commonly used for treating cancer<\/a>, arthritis<\/a>, and psoriasis<\/a>.<\/li><\/ul>\n\n\n\n
What Problems Are Associated withCleft\nLip and\/or Palate?<\/strong><\/p>\n\n\n\n
- Eating problems:<\/strong> With a separation or opening in the palate, food and liquids\n can pass from the mouth back through the nose. Fortunately, specially\n designed baby bottles<\/a>and nipples that help keep fluids\n flowing downward toward the stomach<\/a> are available. Children with a\n cleft palate may need to wear a man-made palate to help them eat properly\n and ensure that they are receiving adequate nutrition<\/a> until surgical\n treatment is provided.<\/li><\/ul>\n\n\n\n
- Ear infections<\/strong><\/a>\/<\/strong>hearing loss<\/strong><\/a>: <\/strong>Children with cleft\n palate are at increased risk of ear infections<\/a> since they are more prone to fluid\n build-up in the middle ear. If left untreated, ear infections can\n cause hearing loss<\/a>. To prevent this from happening, children\n with cleft palate usually need special tubes placed in the eardrums to aid\n fluid drainage, and their hearing needs to be checked once a year.<\/li><\/ul>\n\n\n\n
- Speech problems:<\/strong> Children\n with cleft lip or cleft palate may also have trouble speaking. These\n children’s voices don’t carry well, the voice may take on a nasal sound,\n and the speech may be difficult to understand. Not all children have these\n problems and surgery may fix these problems entirely for some. For others,\n a special doctor, called speech pathologist, will work with the child to\n resolve speech difficulties.<\/li><\/ul>\n\n\n\n
- Dental Problems:<\/strong> Children\n with clefts are more prone to a larger than average number of cavities<\/a> and often have\n missing, extra, malformed, or displaced teeth<\/a> requiring dental\n and orthodontic treatments. In addition, children with cleft palate often\n have an alveolar ridge defect. The alveolus is the bony upper gum that\n contains teeth<\/a>. A defect in the\n alveolus can displace, tip, or rotate permanent teeth<\/a>, prevent permanent teeth\n from appearing, and prevent the alveolar ridge from forming. These\n problems can usually be repaired through oral surgery.<\/li><\/ul>\n\n\n\n
TREATMENT:<\/strong><\/p>\n\n\n\n
- A cleft lip may require one or\ntwo surgeries depending on the extent of the repair needed. The initial surgery\nis usually performed by the time a baby is 3 months old.<\/li>
- Repair of a cleft palate often\nrequires multiple surgeries over the course of 18 years. The first surgery to\nrepair the palate usually occurs when the baby is between 6 and 12 months old.\nThe initial surgery creates a functional palate, reduces the chances that fluid\nwill develop in the middle ears, and aids in the proper development of the\nteeth and facial bones.<\/li>
- Children with a cleft palate\nmay also need a bone graft when they are about 8 years old to fill in the upper\ngum line so that it can support permanent teeth and stabilize the upper jaw.\nAbout 20% of children with a cleft palate require further surgeries to help\nimprove their speech.<\/li>
- Once the permanent teeth grow\nin, braces are often needed to straighten the teeth.<\/li><\/ul>\n\n\n\n
COMPLICATIONS:<\/strong><\/h3>\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-12.png\")
<\/figure><\/div>\n\n\n\nA baby\nbeing fed using a customized bottle. The upright sitting position allows gravity<\/a> to help the\nbaby swallow the milk more easily.<\/p>\n\n\n\n
Cleft may cause problems with feeding, ear disease,\nspeech, socialization, and cognition.<\/p>\n\n\n\n
Due to lack of suction, an infant with a cleft may have\ntrouble feeding. An infant with a cleft palate will have greater success feeding\nin a more upright position. Gravity will help prevent milk from coming through\nthe baby’s nose if he\/she has cleft palate. Gravity feeding can be accomplished\nby using specialized equipment, such as the Haberman\nFeeder<\/a>, or by using a combination of nipples and bottle inserts\nlike the one shown, is commonly used with other infants. A large hole,\ncrosscut, or slit in the nipple, a protruding nipple and rhythmically squeezing\nthe bottle insert can result in controllable flow to the infant without the\nstigma caused by specialized equipment.<\/p>\n\n\n\n
Individuals with cleft also face many middle ear\ninfections which may eventually lead to hearing loss. The Eustachian tubes<\/a> and external\near canals may be angled or tortuous, leading to food or other contamination of\na part of the body that is normally self-cleaning. Hearing is related to\nlearning to speak. Babies with palatal clefts may have compromised hearing and\ntherefore, if the baby cannot hear, it cannot try to mimic the sounds of\nspeech. Thus, even before expressive language acquisition, the baby with the\ncleft palate is at risk for receptive language acquisition. Because the lips\nand palate are both used in pronunciation, individuals with cleft usually need\nthe aid of a speech therapist.<\/p>\n\n\n\n
MANAGEMENT:<\/strong><\/p>\n\n\n\n
The complete rehabilitation of the\ncondition requires a multidisciplinary approach.<\/p>\n\n\n\n
CHELIOPLASTY: It is surgical closure\nof the lip. A general rule of tens is used in determining optimal timing of lip\nclosure i.e. 10 weeks of age, 10 pounds of body weight and 10gm of Hb. At the\ntime of lip closure, when an infant is under general anaesthesia an impression\nis made for the new obturator.<\/p>\n\n\n\n
OBTURATOR: Between 3rd<\/sup> and\n9th<\/sup> months of age, an obturator is used to provide cross-arch\nstability support and to prevent collapse of maxillary arch.<\/p>\n\n\n\n
PALATOPLASTY: It is performed to\nclose an opening in the palate. Surgeons may close the palate in one surgery\nwhen the child is about one year of age or the palate may be closed in two\nstages the soft palate first followed by the hard palate.<\/p>\n\n\n\n
BONE GRAFTING: Sometimes closure of\npalatal cleft may be done by bone grafting.<\/p>\n\n\n\n
ORTHODONTIC THERAPY: To correct\nmalocclusion.<\/p>\n\n\n\n
CLEFT RHINOPLASTY: To improve nasal\nfunction and correct the distortion.<\/p>\n\n\n\n
SPEECH THERAPY<\/p>\n\n\n\n
FEEDING PLATE: To overcome initial\nfeeding problems, feeding plate is used which acts as an obturator to prevent\nnasal reflux.<\/p>\n\n\n\n
- CHELITIS<\/strong><\/li><\/ul>\n\n\n\n
Cheilitis<\/strong> is\ninflammation of the lips. This inflammation may include the perioral skin (the\nskin around the mouth), the vermilion border, or the labial mucosa. The skin\nand the vermilion border are more commonly involved, as the mucosa is less\naffected by inflammatory and allergic reactions.<\/p>\n\n\n\n
CAUSES:<\/strong><\/p>\n\n\n\n
Chronic exposure to sun, wind and dust as well as use of\ntobacco.<\/p>\n\n\n\n
In several cases, emotional disturbances, as well as familial\noccurrence, suggesting a hereditary pattern.<\/p>\n\n\n\n
Inflammation of enlarged heterotopic salivary glands.<\/p>\n\n\n\n
A) <\/strong>ANGULAR\nCHEILITIS:<\/strong><\/strong><\/p>\n\n\n\n
Angular Cheilitis\nis a condition that causes red, swollen patches in the corners of your mouth<\/a> where your lips meet and\nmake an angle. Other names for it are perleche and angular stomatitis. You can\nget it on one side of your mouth<\/a> or on both sides at the\nsame time.<\/p>\n\n\n\n
SYMPTOMS:<\/strong><\/p>\n\n\n\n
The main\nthings you\u2019ll notice are irritation and soreness in the corner(s) of your mouth<\/a>. One or both corners may be:<\/p>\n\n\n\n
- Bleeding<\/li>
- Blistered<\/li>
- Cracked<\/li>
- Crusty<\/li>
- Itchy<\/li>
- Painful<\/li>
- Red<\/li>
- Scaly<\/li>
- Swollen<\/li><\/ul>\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-13.png\")
<\/figure><\/div>\n\n\n\nYour lips\ncan feel dry and uncomfortable. Sometimes your lips and mouth can feel like\nthey\u2019re burning. You also might have a bad taste in your mouth.<\/p>\n\n\n\n
If the\nirritation is strong, it can make it hard for you to eat. You may not get\nenough nutrients or you may lose weight<\/a>.<\/p>\n\n\n\n
CAUSES:<\/strong><\/p>\n\n\n\n
- Saliva<\/a> gets trapped and builds up in the corners of your mouth. When it\ndries, the skin<\/a> in the area can crack. You may lick your lips often to soothe your\ncracked skin. The warmth and moisture in the corners of your mouth create the\nperfect conditions for fungus to grow and multiply — and cause infection.<\/li>
- Fungal\ninfection is the most common cause of angular Cheilitis. It\u2019s usually caused by\na type of yeast called Candida<\/em><\/a>— the same fungus that causes diaper\nrash<\/a> in babies. <\/em>Certain\nbacteria strains also can cause it.<\/li>
- If\nyour doctor can\u2019t find the cause, it\u2019s called idiopathic angular Cheilitis.<\/li><\/ul>\n\n\n\n
TREATMENT:<\/strong><\/p>\n\n\n\n
- The goal is to clear out the infection and keep the area dry so your\nskin isn’t infected again. Your doctor will recommend an antifungal cream<\/a> to treat fungal infections. Some are:<\/li><\/ul>\n\n\n\n
- nystatin<\/a> (Mycostatin)<\/li>
- ketoconazole<\/a> (Extina<\/a>)<\/li>
- clotrimazole<\/a> (Lotrimin<\/a>)<\/li>
- miconazole<\/a> (Lotrimin<\/a> AF, Micatin<\/a>, Monistat<\/a> Derm)<\/li>
- If your infection is bacterial, your doctor will prescribe an\nantibacterial medication<\/a>, such as:<\/li><\/ul>\n\n\n\n
- mupirocin<\/a> (Bactroban<\/a>)<\/li>
- fusidic acid (Fucidin, Fucithalmic)<\/li>
- If your angular Cheilitis isn\u2019t caused by a fungal or bacterial infection<\/a>, your doctor may suggest you put petroleum jelly on the inflamed areas. This protects your mouth from moisture so the sores can heal.<\/li>
- clear Lift-Clear palate<\/a><\/li><\/ul>\n\n\n\n
B)<\/strong>ECZEMATOUS CHEILITIS<\/strong><\/strong><\/p>\n\n\n\n
Eczematous Cheilitis<\/strong> is inflammation of the lips presenting as\nredness with dryness and scaling. … The major causes of eczematous Cheilitis<\/strong> are\natopic dermatitis and irritant or allergic contact reactions.<\/p>\n\n\n\n
CAUSES:<\/strong><\/p>\n\n\n\n
- Lipstick: they are composed of mineral oils and waxes which form the stick; castor oil as a solvent for the dye, lanolin as an emollient preservative, perfumes, and color. The color includes azo dyes and eosin, which is a bromofluorescein derivative.<\/li><\/ul>\n\n\n\n
- Sunscreen applied in the form of lipstick can also cause contact\nCheilitis.<\/li><\/ul>\n\n\n\n
- Mouthwashes and dentifrices: Essential oils such as peppermint, cinnamon, clove, spearmint, and bactericidal agents can cause Cheilitis.<\/li><\/ul>\n\n\n\n
- Dental preparations: Mercury and eugenol may cause Cheilitis in the\nabsence of stomatitis. Allergy to epinine containing materials used for crowns\nand bridges can cause Cheilitis.<\/li><\/ul>\n\n\n\n
- Foods: Oranges, Mangoes and artichokes are among the food plants which occasionally cause allergic Cheilitis and dermatitis of the skin around the lips.<\/li><\/ul>\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-14.png\")
<\/figure><\/div>\n\n\n\nCLINICAL FEATURES:<\/h2>\n\n\n\n
- The chronic form of eczematous Cheilitis presents with redness,\ndryness, scaling and\nfissuring. The angle of the mouth is often also involved (angular Cheilitis)<\/a>.<\/li>
- The perioral skin and vermilion margin (where the\nred mucosa meets the skin) are\nthe most commonly affected parts of the lips.<\/li>
- It is\nimportant to look for and note skin and mucosal lesions elsewhere as these may give a\nclue as to the cause.<\/li><\/ul>\n\n\n\n
TREATMENT:<\/strong><\/p>\n\n\n\n
- Treatment\nwill depend on the cause. Where an exogenous cause has been identified, this\nshould be avoided if possible. If this does not result in improvement, consider\nanother factor such as a second allergen, irritant or endogenous cause.<\/li>
- For atopic Cheilitis, moisturisers <\/a>and topical corticosteroids may be recommended.<\/li><\/ul>\n\n\n\n
C) <\/strong>ACTINIC CHEILITIS<\/strong><\/strong><\/p>\n\n\n\n
- It is also called as actinic keratosis or solar cheilosis.<\/li>
- It is premalignant squamous cell lesion resulting from\nlong-term exposure to solar radiation and may be found at the vermillion border\nof lip as well as other sun exposed surfaces.<\/li><\/ul>\n\n\n\n
CLINICAL\nFEATURES:<\/strong><\/p>\n\n\n\n
- Occurs as\nthe result of sun damage to the lip.<\/li>
- It is a\nprecancerous condition: squamous cell carcinoma develops in 6-10 per cent of\ncases.<\/li>
- Gradual\nonset of puffiness, with dryness and scaling of the lip that may split and\ncrust. White patches may develop.<\/li><\/ul>\n\n\n\n
MANAGEMENT:<\/strong><\/p>\n\n\n\n
- Topical fluorouracil- for mild cases application 5% fluorouracil 3 times\nfor 10 days.<\/li>
- Rapid freezing with co2 snow or liquid nitrogen on swab stick is used to\nremove superficial lesions.<\/li>
- Biopsy in\ncases of induration, thickening or ulceration.<\/li>
- Avoid\nfurther sun exposure and advise regular use of sunscreen.<\/li>
- Imiquimod\nmay be helpful. Cryosurgery or electro surgery may be useful in focal actinic Cheilitis.<\/li>
- Extensive\nactinic cheilitis may respond to 5-fluorouracil, carbon dioxide laser or\nscalpel vermilionectomy.<\/li><\/ul>\n\n\n\n
D)EXFOLIATIVE CHEILITIS<\/strong><\/strong><\/p>\n\n\n\n
Exfoliative\ncheilitis is a rare reactive condition presenting as continuous peeling of the\nlips.<\/p>\n\n\n\n
Factitial\ncheilitis can present as Exfoliative cheilitis, when it is due to\nattention-seeking or factitial behaviour or an obsessive-compulsive tendency to\npick or chap the lips (exfoliative).<\/p>\n\n\n\n
CLINICAL FEATURES:<\/h2>\n\n\n\n
Exfoliative\ncheilitis presents with continuous peeling of the vermilion (outer) part of the\nlips. It may affect just one lip, usually the lower. The lip may look normal or\nred before the formation of the thickened surface layer. The peeling appears to\nbe cyclical and proceeds at different rates in different sites, so there is\nalways some part of the lip peeling at any time. There may be associated\nbleeding resulting in formation of a haemorrhagic crust. When both lips are involved, the lower lip is\nusually more affected than the upper.<\/p>\n\n\n\n
\n\n![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-16.png\")
<\/figure>\n<\/div>\n\n\n\n\n![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-17.png\")
<\/figure>\n<\/div>\n<\/div>\n\n\n\nThe\ncondition may be painful, causing difficulty in eating and speaking. Other\nsymptoms reported include sensations of:<\/p>\n\n\n\n
- Tingling<\/li>
- Itch<\/li>
- Dryness<\/li><\/ul>\n\n\n\n
Ulceration or\nfissuring may occur.<\/p>\n\n\n\n
Depression\nand personality disorders have been reported commonly in association with\nfactitial exfoliative cheilitis. However, the cheilitis itself can be of such\nunpleasant appearance that the patient avoids social situations, contributing\nto mood disturbance.<\/p>\n\n\n\n
The\ntypical course of exfoliative cheilitis is chronic over years. It may fluctuate, worsening\nwith further stress. Spontaneous improvement has been reported, but it often\nrecurs.<\/p>\n\n\n\n
TREATMENT:<\/h2>\n\n\n\n
Infection should\nbe treated topically or systemically, if present.<\/p>\n\n\n\n
Unless a\npredisposing or associated condition can be identified and treated, exfoliative\ncheilitis is typically resistant to treatment. Unsuccessful use of keratolytic\nlip balms, sunscreen<\/a>, antifungal creams<\/a>, topical steroids<\/a>, systemic steroids<\/a>, antibiotics<\/a>, vitamin D analogues(calcipotriol<\/a>) and cryotherapy<\/a> have been described. There has been one\nreport each of the successful use of topical tacrolimus<\/a> and Calendula officinalis (marigold<\/a>) ointment 10%.<\/p>\n\n\n\n
Treatment\nof an associated mood or anxiety disorder has been reported to improve\nfactitial cheilitis. Obsessive-compulsive disorders respond best to\nselective-serotonin-reuptake inhibitors.<\/p>\n\n\n\n
- GLANDULAR CHELITIS<\/strong><\/li><\/ul>\n\n\n\n
Glandular cheilitis<\/strong> is a clinical diagnosis. A biopsy of the affected area may be\nreported as nonspecific. Findings may include: Enlarged salivary glands and\nducts. Mixed inflammatory infiltrate.<\/p>\n\n\n\n
CAUSES:<\/strong><\/p>\n\n\n\n
The cause of glandular cheilitis is unknown. It\nis associated with: <\/p>\n\n\n\n
- Sun\nexposure<\/li>
- Trauma (e.g.,\nlip biting)<\/li>
- Smoking<\/a>.<\/li><\/ul>\n\n\n\n
CLINICAL FEATURES:<\/h2>\n\n\n\n
Cheilitis glandularis typically has the following features:<\/p>\n\n\n\n
- Swelling and pouting of the lower lip
- An uneven surface of the lip<\/li><\/ul>
- Numerous pin-sized orifices from which saliva\ncan be easily expressed<\/li><\/ul>
- Tenderness.<\/li><\/ul><\/li><\/ul>\n\n\n\n\n\n
![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-18.png\")
<\/figure><\/div>\n<\/div>\n\n\n\n\n![\"\"](\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/image-19.png\")
<\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\nCOMPLICATIONS:<\/h2>\n\n\n\n
- Tenderness.<\/li><\/ul><\/li><\/ul>\n\n\n\n
- Numerous pin-sized orifices from which saliva\ncan be easily expressed<\/li><\/ul>
- An uneven surface of the lip<\/li><\/ul>
- Swelling and pouting of the lower lip
- GLANDULAR CHELITIS<\/strong><\/li><\/ul>\n\n\n\n
- The chronic form of eczematous Cheilitis presents with redness,\ndryness, scaling and\nfissuring. The angle of the mouth is often also involved (angular Cheilitis)<\/a>.<\/li>
- Foods: Oranges, Mangoes and artichokes are among the food plants which occasionally cause allergic Cheilitis and dermatitis of the skin around the lips.<\/li><\/ul>\n\n\n\n
- Dental preparations: Mercury and eugenol may cause Cheilitis in the\nabsence of stomatitis. Allergy to epinine containing materials used for crowns\nand bridges can cause Cheilitis.<\/li><\/ul>\n\n\n\n
- Mouthwashes and dentifrices: Essential oils such as peppermint, cinnamon, clove, spearmint, and bactericidal agents can cause Cheilitis.<\/li><\/ul>\n\n\n\n
- Sunscreen applied in the form of lipstick can also cause contact\nCheilitis.<\/li><\/ul>\n\n\n\n
- ketoconazole<\/a> (Extina<\/a>)<\/li>
- nystatin<\/a> (Mycostatin)<\/li>
- Fungal\ninfection is the most common cause of angular Cheilitis. It\u2019s usually caused by\na type of yeast called Candida<\/em><\/a>— the same fungus that causes diaper\nrash<\/a> in babies. <\/em>Certain\nbacteria strains also can cause it.<\/li>
- Saliva<\/a> gets trapped and builds up in the corners of your mouth. When it\ndries, the skin<\/a> in the area can crack. You may lick your lips often to soothe your\ncracked skin. The warmth and moisture in the corners of your mouth create the\nperfect conditions for fungus to grow and multiply — and cause infection.<\/li>
- CHELITIS<\/strong><\/li><\/ul>\n\n\n\n
- Dental Problems:<\/strong> Children\n with clefts are more prone to a larger than average number of cavities<\/a> and often have\n missing, extra, malformed, or displaced teeth<\/a> requiring dental\n and orthodontic treatments. In addition, children with cleft palate often\n have an alveolar ridge defect. The alveolus is the bony upper gum that\n contains teeth<\/a>. A defect in the\n alveolus can displace, tip, or rotate permanent teeth<\/a>, prevent permanent teeth\n from appearing, and prevent the alveolar ridge from forming. These\n problems can usually be repaired through oral surgery.<\/li><\/ul>\n\n\n\n
- Speech problems:<\/strong> Children\n with cleft lip or cleft palate may also have trouble speaking. These\n children’s voices don’t carry well, the voice may take on a nasal sound,\n and the speech may be difficult to understand. Not all children have these\n problems and surgery may fix these problems entirely for some. For others,\n a special doctor, called speech pathologist, will work with the child to\n resolve speech difficulties.<\/li><\/ul>\n\n\n\n
- Ear infections<\/strong><\/a>\/<\/strong>hearing loss<\/strong><\/a>: <\/strong>Children with cleft\n palate are at increased risk of ear infections<\/a> since they are more prone to fluid\n build-up in the middle ear. If left untreated, ear infections can\n cause hearing loss<\/a>. To prevent this from happening, children\n with cleft palate usually need special tubes placed in the eardrums to aid\n fluid drainage, and their hearing needs to be checked once a year.<\/li><\/ul>\n\n\n\n
- Another potential cause may be\nrelated to a medication<\/a> a mother may have taken\nduring her pregnancy. Some drugs may cause cleft lip and cleft palate. Among\nthem: anti-seizure<\/a>\/anticonvulsant drugs, acne<\/a> drugs containing Accutane<\/a>, and methotrexate<\/a>, a drug commonly used for treating cancer<\/a>, arthritis<\/a>, and psoriasis<\/a>.<\/li><\/ul>\n\n\n\n
- In most cases, the cause of\ncleft lip and cleft palate is unknown. These conditions cannot be prevented.\nMost scientists believe clefts are due to a combination of genetic and\nenvironmental factors. There appears to be a greater chance of clefting in a new-born<\/a> if a sibling, parent, or relative has had the\nproblem.<\/li>
- CLEFT LIP AND CLEFT PALATE<\/strong><\/li><\/ul>\n\n\n\n
- DOUBLE LIP<\/strong><\/li><\/ul>\n\n\n\n
- COMMISSURAL PITS<\/strong><\/li><\/ul>\n\n\n\n