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Comprehensive orthodontic treatment of adult patient with cleft lip and palate.

Leiva Villagra N, Muñoz Domon M, Véliz Méndez S - Case Rep Dent (2014)

Bottom Line: Treatment included maxillary expansion, tooth extraction, and fixed orthodontic, as well as kinesiology and speech therapy treatment.A multidisciplinary approach allowed us to achieve successfully an excellent result for this patient and gave him a harmonic smile and an optimal function without orthognathic surgery.Two years after treatment, occlusion remains stable.

View Article: PubMed Central - PubMed

Affiliation: Unit of Craniofacial Malformations, Faculty of Dentistry, University of Chile, Avenue Suecia 1033, Providencia, 7510355 Santiago de Chile, Chile.

ABSTRACT
The aim of the paper is to present full orthodontic treatment of an operated cleft lip adult patient. Case Report. An 18-year-old patient consulted for severe crowded teeth. He comes from a poor family. At that time he already had four operations (velum, palate, lip, and myringotomy). Treatment included maxillary expansion, tooth extraction, and fixed orthodontic, as well as kinesiology and speech therapy treatment. A multidisciplinary approach allowed us to achieve successfully an excellent result for this patient and gave him a harmonic smile and an optimal function without orthognathic surgery. Two years after treatment, occlusion remains stable.

No MeSH data available.


Related in: MedlinePlus

Occlusal radiograph. You can see the cleft through the palate compromising alveolar ridge and hard palate.
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fig1: Occlusal radiograph. You can see the cleft through the palate compromising alveolar ridge and hard palate.

Mentions: At orthopantomography and occlusal radiograph (Figure 1), a cleft is observed with a 1.2 agenesis as well as the presence of supernumerary located on the mesial 2.3. Third molars are observed in intraosseous evolution without any space in the arches. Cephalometric analysis showed a facial convexity of 3 mm and ANB angle of 3° gave us retruded mandible but very mild regarding the maxilla, with a component of mandibular clockwise rotation. Mild skeletal class II with severe upper maxillary transverse compression. Regarding soft tissue, there is a good ratio between middle and lower thirds of the face and good upper and lower lip projection. Study models analysis revealed a lack of maxillary space of −26 mm and a discrepancy of −10 mm.


Comprehensive orthodontic treatment of adult patient with cleft lip and palate.

Leiva Villagra N, Muñoz Domon M, Véliz Méndez S - Case Rep Dent (2014)

Occlusal radiograph. You can see the cleft through the palate compromising alveolar ridge and hard palate.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4269306&req=5

fig1: Occlusal radiograph. You can see the cleft through the palate compromising alveolar ridge and hard palate.
Mentions: At orthopantomography and occlusal radiograph (Figure 1), a cleft is observed with a 1.2 agenesis as well as the presence of supernumerary located on the mesial 2.3. Third molars are observed in intraosseous evolution without any space in the arches. Cephalometric analysis showed a facial convexity of 3 mm and ANB angle of 3° gave us retruded mandible but very mild regarding the maxilla, with a component of mandibular clockwise rotation. Mild skeletal class II with severe upper maxillary transverse compression. Regarding soft tissue, there is a good ratio between middle and lower thirds of the face and good upper and lower lip projection. Study models analysis revealed a lack of maxillary space of −26 mm and a discrepancy of −10 mm.

Bottom Line: Treatment included maxillary expansion, tooth extraction, and fixed orthodontic, as well as kinesiology and speech therapy treatment.A multidisciplinary approach allowed us to achieve successfully an excellent result for this patient and gave him a harmonic smile and an optimal function without orthognathic surgery.Two years after treatment, occlusion remains stable.

View Article: PubMed Central - PubMed

Affiliation: Unit of Craniofacial Malformations, Faculty of Dentistry, University of Chile, Avenue Suecia 1033, Providencia, 7510355 Santiago de Chile, Chile.

ABSTRACT
The aim of the paper is to present full orthodontic treatment of an operated cleft lip adult patient. Case Report. An 18-year-old patient consulted for severe crowded teeth. He comes from a poor family. At that time he already had four operations (velum, palate, lip, and myringotomy). Treatment included maxillary expansion, tooth extraction, and fixed orthodontic, as well as kinesiology and speech therapy treatment. A multidisciplinary approach allowed us to achieve successfully an excellent result for this patient and gave him a harmonic smile and an optimal function without orthognathic surgery. Two years after treatment, occlusion remains stable.

No MeSH data available.


Related in: MedlinePlus