<s>[INST] hi, my daughter has a split uvula and was not able to have her adenoids removed as they felt, that it might affect her pallate.. can this condition cause problems with teeth development, she only got broken fragments as baby teeth now her adult ones are coming and there coming threw rotten? [/INST] Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that your daughter has a IFID uvula, and it occurs when there is a developmental disturbance leading to incomplete fusion of the two sides of the palate leading to a IFID uvula. It is true that it adenoidectomy is performed in this case and if there is incomplete fusion of the palate there can be an opening formed between nose and mouth and can further deteriorate the condition. The other problem that you are facing is that as she has only broken fragments of baby teeth present that means that she has a condition of aggressive cavities or caries known as Rampant caries and when the infection progresses from teeth to the roots it can also effect the underlying growing permanent tooth buds leading to permanently stained, deformed or malformed teeth. It is a matter of concern because the child has to continue with the permanent teeth throughout life. So I would suggest you to consult a Periodontist and get evaluated, and he can do a thorough clinical evaluation and x-rays of the teeth and can advise appropriate treatment like Fluoride application, fillings r capping of teeth depending upon the condition of permanent teeth. Hope this information helps. Thanks and regards. Chat Doctor.  </s>