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Prof. Hee-Eun Kim

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Department of Dental hygiene,

Gachon University College of Health Science

Prof. Hee-Eun Kim

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16. Clefts of the lip and palate

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All stages of embryo

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Human development

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Pharyngeal Pouches

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 비전두돌기

» 이마, 콧등, 코끝 형성

 외측비돌기

» 콧방울 형성

 내측비돌기

» 비중격

 상악돌기

» 볼의 윗부분, 윗입술

 하악돌기

» 턱, 아랫입술, 볼의 아래부분

얼굴발생 요약

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구순열(cleft lip)

 상악돌기 및 내측, 외측비돌기의 융합부전

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구개열(cleft palate)

 구개돌기끼리의 융합부전 혹은 비중격과 구개돌기의 융합부전

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Treatment

1. 구순열의 치료

» 생후 10주 (기능적, 심미적 개선 목적)

2. 구개열의 치료

» 생후 1~2년 (구개 폐쇄 및 발음개선 목적)

3. 치조열의 치료

» 견치 치근 ¼~1/2 형성되는 9~11세

» 골이식과 함께 치조열 폐쇄, 상악궁의 연속성 회복

4. 상악 및 하악 부조화의 교정 및 악교정수술 5. 구강위생교육

» 치주염, 치아상실의 고위험군

» 부정치열로 인한 구강위험불량

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I am what I’ve chosen

Connecting the Dots

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요새, 실력이 조금 느는 것 같아!

“I believe

I’m beginning to notice

some improvement.”

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