Special Needs

As a component of his training in Prosthodontics at the University of Michigan, Dr. Herman Kupeyan was able to gain experience in the Cleft Lip and Palate Clinic. Initially with the introduction of dental implants in 1982, he was involvement with treating adult patients confronted with oral manifestations. This interest led him to be involved with the Windsor and Essex community clinic at the John McGivney Children’s Centre.

One in every 700 infants in Ontario is born with a cleft of the lip and/or palate or other craniofacial anomaly. These conditions can be corrected through surgery, specialized dental treatment and speech therapy.

A Multi-Disciplinary Approach to Treatment

The individual with a cleft lip and/or palate, craniofacial syndrome or severe dental dysfunction may be faced with significant dental concerns affecting the tooth and bone structure in addition to feeding difficulties, middle ear problems and speech and language issues.

Rehabilitation services for these conditions require the expertise of a multi-disciplinary team of medical, dental and other specialists. The complex nature of these conditions and the impact of growth and development on treatment outcomes may necessitate a number of rehabilitation services between birth and adulthood.

The assessment team may include the following professionals:

  • Audiologist
  • Ear, Nose and Throat (ENT) Surgeon
  • Oral and Maxillofacial Surgeon
  • Orthodontist
  • Paediatric Dentist
  • Plastic Surgeon
  • Prosthodontist
  • Psychologist
  • Social Worker
  • Speech and Language Pathologist

Dr Kupeyan is involved with the prosthodontic section and is honored to be involved with such a great team to provide this service in his community.

Special Needs


Adult Cleft Lip and Palate

Ameliogenesis Young Adult

Ameliogenesis Adult

Ectodermal Dysplasia

Excessive Fillings with Gum Recession

Goldenhar Syndrome

Implants with Porcelain Teeth


Missing Front Teeth – Accident


Worn, Chipped, Crooked Teeth


Williams Syndrome