9. Eligible cleft and craniofacial condi9. Eligible cleft and craniofacial conditions

9. Eligible cleft and craniofacial conditions

<table cellspacing="0" cellpadding="0" style="width:397.9pt; margin-left:63.3pt; border-collapse:collapse"><tbody><tr><td colspan="3" style="width:386.1pt; border-top:0.75pt solid #000000; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">Table 9–</span><span> </span><span style="font-weight:bold">Eligible cleft and craniofacial conditions</span></p></td></tr><tr><td colspan="3" style="width:386.1pt; border-top:0.75pt solid #000000; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">1. Oral and/or facial clefting</span></p></td></tr><tr style="height:16.3pt"><td colspan="2" rowspan="2" style="width:69.55pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span style="font-weight:bold"></span></p></td><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Cleft lip, alveolus and/or palate</span></p></td></tr><tr style="height:11.25pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Tessier facial cleft</span></p></td></tr><tr><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">2. Congenital or hereditary craniofacial malformation, deformation or disruption</span></p></td></tr><tr style="height:10.55pt"><td colspan="2" rowspan="19" style="width:69.55pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p></td><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Achondroplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Branchial arch disorders including:</span></p><p class="Item" style="margin-left:0pt"><span>Hemifacial/craniofacial microsomia, Goldenhar syndrome, DiGeorge syndrome, Velocardiofacial syndrome</span></p></td></tr><tr style="height:10.7pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>CHARGE syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Congenital hemifacial hyperplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Congenital</span><span> </span><span>lymphatic and/or vascular malformations of the head &amp; neck, cystic hygroma, Sturge-Weber syndrome,</span><span> </span><span style="font-style:italic">excluding haemangiomas, birthmarks, and naevi.</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Craniofacial Neurofibromatosis Type 1</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Craniometaphyseal dysplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Ectodermal dysplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Hemifacial atrophy (Parry Romberg syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Mandibulofacial dysostosis (Treacher Collins syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Maxillonasal dysplasia (Binder syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Oral-facial digital syndrome Type 1</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Pierre Robin sequence</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Rubinstein-Taybi syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Shprintzen-Goldberg syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Solitary median maxillary central incisor syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Stickler syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Syndromic craniosynostoses including:</span></p><p class="Item" style="margin-left:0pt"><span>Apert, Crouzon, Pfeiffer, Saethre Chotzen, and Muenke syndromes</span></p></td></tr><tr style="height:26.05pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Trichorhinophalangeal syndrome Type 1</span></p></td></tr><tr style="height:15.05pt"><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">3. Hereditary conditions</span><span style="font-weight:bold"> </span><span>presenting with the absence of</span><span> </span><span>6 (six) or more permanent teeth, excluding 3</span><span style="font-size:7.33pt; vertical-align:super">rd</span><span> </span><span>molars</span></p></td></tr><tr style="height:17.45pt"><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">4. Hereditary conditions</span><span style="font-weight:bold"> </span><span>where the presence of supernumerary teeth is a major feature</span></p></td></tr><tr style="height:15.8pt"><td rowspan="2" style="width:69.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p></td><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Cleidocranial dysplasia</span></p></td></tr><tr style="height:11.75pt"><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Gardner’s syndrome</span></p></td></tr><tr style="height:14.4pt"><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">5. Hereditary conditions</span><span style="font-weight:bold"> </span><span>affecting the formation of enamel and/or dentine of all teeth</span></p></td></tr><tr style="height:13.4pt"><td rowspan="3" style="width:69.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span></span></p></td><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:6.9pt"><span>Amelogenesis imperfecta</span></p></td></tr><tr style="height:12.95pt"><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:6.9pt"><span>Dentinogenesis imperfecta</span></p></td></tr><tr style="height:12.4pt"><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:6.9pt"><span>Regional odontodysplasia</span></p></td></tr><tr style="height:0pt"><td style="width:79.9pt"></td><td style="width:0.45pt"></td><td style="width:316.55pt"></td></tr></tbody></table>