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Cleft Lip and Palate Team — ORE Part 1 MCQ

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EasyOrthodonticsCleft Lip and Palate TeamORE Part 1

A patient aged 8 years with a cleft lip and palate attends a regional multidisciplinary cleft clinic. Which combination of dental specialties is most likely to contribute to care across the cleft treatment pathway?

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Correct answer: E — Orthodontics, paediatric dentistry, restorative dentistry, oral and maxillofacial surgery, and prosthodontics

The correct answer is E. UK regional cleft care is multidisciplinary. Orthodontic assessment is required for children with clefts, while paediatric dentistry and restorative dentistry provide preventive, developmental and rehabilitative care. Surgical treatment includes maxillofacial input where indicated. Prosthodontics is within restorative dentistry and may be needed for oral rehabilitation, including management of missing teeth or other cleft-related defects. The other options are incomplete: B omits prosthodontic rehabilitation; C omits surgical input; D omits orthodontics, which is central to cleft dental care; and E omits paediatric dentistry, important for the child’s early preventive and restorative needs. These specialties contribute across the pathway, not necessarily at every clinic appointment.

Reference: NHS England, NHS Standard Contract for Cleft Lip and/or Palate Services (including non-cleft velopharyngeal dysfunction), all ages, section 3.3.6–3.3.7, 2013 (current NHS England hosted specification): https://www.england.nhs.uk/wp-content/uploads/2018/08/Cleft-lip-and-or-palate-services-including-non-cleft-velopharyngeal-dysfunction-all-ages.pdf