PERAWATAN ANAK

DENGAN
KEBUTUHAN KHUSUS

IKGA
 Penekanan utama :
Pemeliharaan kebersihan gigi
& mulut di rumah

Pemilihan diet & nutrisi

Fluoridasi topikal

Restorasi preventif
 Dokter Gigi
Tdk ada alasan utk merasa tdk
nyaman dlm merawat pasien khusus.
Perlu pengetahuan & persepsi yg
baik
Kesabaran
Akses ke dalam ruang yg memadai
 Cleft Lip
Cleft Palate
Kelainan kongenital >>>

Merupakan kelainan struktural

pd facial oral

Dpt ringan hingga berat

 Cleft Lip
Cleft Palate
Kelainan lain yg menyertai
Gangguan bicara
Infeksi telinga tengah
Rentan terhadap ISPA

Kelainan ringan
Notching pada bibir
Celah kecil pada uvula
 Cleft Lip
Cleft Palate
Permasalahan dental :
Enamel hipoplasia
Kelainan bentuk gigi
Maloklusi
Congenital missing
Supernumerary teeth
Cleft lip and palate treatment team
Surgeon experienced in cleft
management
Pediatrist
Orthodontist
Pediatric Otorhinolaryngologist
Pediatric Dentist
Geneticist
Spech Terapist
Social Worker
Nurse experienced in cleft problems
 Cleft Lip
Cleft Palate
Perawatan kesehatan gigi dan mulut
- Tahap awal
Pembuatan obturator
- Tahap berikut
Preventif
Konservatif
Orthodontic
Prosthodontic
OBTURATOR
Mead Johnson/Enfamil Cleft Feeder Special Needs Feeder / Haberman Feeder

Pigeon Feeder Dr. Browns Natural Flow to relieve gas

 A baby being fed using a customized bottle. The
upright sitting position allows gravity to help the
baby swallow the milk more easily
When to Operate
Generally (Rules of 10s)

Weight > 10 pound (4500 gr)

Hb > 10 gr
Age > 10 weeks

Cleft lips between 3-6 months

Cleft palate between 12-18 months
(preferred before speech devolops)