Asociación Mexicana de Ortopedia Maxilar A.C.



Tena Turner, (MSN)

Pediatric nursing, MS genetic counseling
New York, New York

Asociación Mexicana de ortopedia Maxilar, A.C.
9a Reunión Anual AMOM. 24-28 de Noviembre del 2004.
Cancún, Quintana Roo. México.


Treatment of Children with FCA
Team Care

With proper guidance, families of individuals with craniofacial anomalies [CFA] are able to locate qualified health professionals to treat their children. It is important to find a team of professionals who will work in concert to provide comprehensive, coordinated treatment. Interdisciplinary teams are now the “standard of care” in the United States and in other countries. More than 200 have been established in the United States and 25 internationally. These teams ideally consist of plastic surgeon, otolaryngologist, orthodontist, oral/maxillofacial surgeon, geneticist, pediatrician, dentist, speech-language pathologist, audiologist, psychologist, nurse and social worker.

Patients are typically referred to the team during the newborn period and are followed well into their school years. The first visit is primarily for evaluation and subsequent visits establish treatment modalities and follow-up of care. Patient visits typically include evaluation by each member of the team. The team functions are numerous and include assessment and decision making to ensure a coordinated treatment plan, assure quality of care, monitoring outcomes and preventing complications or further disability. Multidisciplinary teams most importantly provide a venue for the ongoing relationship between team members with the inclusion of the patient/family as an important component of the health care team. The patient/family is more likely to follow medical recommendations if they have been a part of the decision making process. A more austere goal of the team is to support the psychological health of the individual and family and ensure maximal independent functioning as a valued member of society.

The American Cleft Palate-Craniofacial Association established “Parameters for Evaluation and Treatment of Patients with Cleft Lip/Palate or Other Craniofacial Anomalies” to guide the care that teams provide. Adherence to these guidelines promotes the best outcome for children with CFA.

This presentation will discuss the complexities of Team care and illustrate the importance of various specialists working in concert to treat individuals with CFA.

Asociación Mexicana de ortopedia Maxilar, A.C.
9a Reunión Anual AMOM. 24-28 de Noviembre del 2004

Genetics for Orthodontics

As a result of our increased understanding of the human genome it is becoming more imperative that health care providers become knowledgeable regarding the genetic conditions that they are likely to see in their practice. A review of the dental literature reveals the known association of dental anomalies and genetic diseases. These dental anomalies can be associated with single gene disorders, chromosome aberrations, sporadic associations, or teratogenic exposures.

Knowledge of these genetic diseases will enable the orthodontist to make a more extensive analysis of the families in which such diseases occur and above all to evaluate more precisely the dental aspects that such conditions favor. This will lead to better management of diseases linked to malocclusion, congenital absence of teeth and anomalous development of dental tissues.

Individuals with undiagnosed genetic disorders may suffer significant health concerns that could have been prevented or managed if they were made aware of their risks.

The orthodontist may be able to contribute to the diagnosis and management of many genetic conditions he faces in his or her everyday work. A better understanding of these will make his work more efficient and perhaps a bit more enjoyable.


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