Cleft lip and palate (CLP) are one of the most frequently occurring craniofacial congenital anomalies. A syndromic association is frequently seen in such cases. A feeding obturator is a prosthetic aid that assists a patient in obturating a cleft until surgery is performed. Cleft lip surgery or cheiloplasty is often performed three months after birth, while palate surgery or palatoplasty is typically performed between the ages of six and fourteen months. A 2-day-old newborn presented to the Pediatric Emergency with a complaint of difficulty in feeding. On examination, bilateral cleft of the lip and unilateral cleft of the palate was present. The ultrasonography of the fetus before the birth had revealed non-visualized left kidney, so an ultrasonography (USG) of the abdomen and pelvis was advised which confirmed the finding i.e., left renal agenesis. Electrocardiography (ECG) revealed an arterial septal defect (ASD) of 4.5 mm. Such presentation is commonly seen in cases of isolated gonadotropin-releasing hormone (GnRH) deficiency (IGD). A custom-made feeding obturator was fabricated and delivered to help the baby overcome feeding difficulties. Parents were instructed and well-taught to feed the child with the appliance in place. Apart from giving appropriate instructions regarding feeding and maintenance of the appliance, parents were also informed about the surgical procedures that would be followed at a later date. Also, considering the exceptional psychological situation of the family and the need for a long-standing relationship between the cleft team for a successful outcome, appropriate counseling with reassurance was rendered to the family members.

AbstractDental Fear and Anxiety (DFA) is the fear and anxiety an individual associates with going to the dentist. Researchers are encouraged to find and eliminate DFA since this will improve oral health and quality of life in the long run. Understanding the biology behind fear and anxiety can greatly help us in the management approaches. The amygdala is referred to as a ”fear centre,” and it has been found that fear and anxiety share overlapping neural circuits. As a result, DFA can impact both the patient-dentist relationship and the dental treatment strategy. This article thus aims to discuss the causes of DFA, and also the ways we can overcome it. Dental anxiety is caused by various fears, including fear of pain, blood-injury fears, lack of trust, and so on. It leads to the avoidance of dental care. Psychotherapeutic interventions, pharmaceutical interventions, or a combination of both can be used to manage dental anxiety. On the patient front, they should discuss their fears with the dentist, try to distract themselves, and employ breathing exercises or other mindfulness techniques like those mentioned in the article.