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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

Type hyrax disjunction device. Intraoral image of disjunctor. You can observe that the exodontia of 1.5 has already been performed, but not the others yet (lateral incisor 1.2 and supernumerary teeth). Behind the device you can see the mucous scar of the cleft.
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fig2: Type hyrax disjunction device. Intraoral image of disjunctor. You can observe that the exodontia of 1.5 has already been performed, but not the others yet (lateral incisor 1.2 and supernumerary teeth). Behind the device you can see the mucous scar of the cleft.

Mentions: Because of the severe discrepancy, being greater on the maxilla than on the mandible, and great maxillary compression, it was necessary to do extractions of 1.5. This was done at the beginning in order to have space on the arch. A Hyrax disjunctor (Figure 2) is installed with slow maxillary expansion up to 13 mm. It is kept for 5 months and then braces are installed on the upper arch. After reevaluating the case with study models, it is decided to extract 1.2 and the supernumerary, thus achieving harmony on the upper arch, leaving both canine teeth as lateral incisors. On the mandible, it was decided to do exodontia of the first premolars and to install lower braces. Orthognathic surgery was not incorporated to treatment because the discrepancy in sagital jaw relations was small.


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

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

Type hyrax disjunction device. Intraoral image of disjunctor. You can observe that the exodontia of 1.5 has already been performed, but not the others yet (lateral incisor 1.2 and supernumerary teeth). Behind the device you can see the mucous scar of the cleft.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig2: Type hyrax disjunction device. Intraoral image of disjunctor. You can observe that the exodontia of 1.5 has already been performed, but not the others yet (lateral incisor 1.2 and supernumerary teeth). Behind the device you can see the mucous scar of the cleft.
Mentions: Because of the severe discrepancy, being greater on the maxilla than on the mandible, and great maxillary compression, it was necessary to do extractions of 1.5. This was done at the beginning in order to have space on the arch. A Hyrax disjunctor (Figure 2) is installed with slow maxillary expansion up to 13 mm. It is kept for 5 months and then braces are installed on the upper arch. After reevaluating the case with study models, it is decided to extract 1.2 and the supernumerary, thus achieving harmony on the upper arch, leaving both canine teeth as lateral incisors. On the mandible, it was decided to do exodontia of the first premolars and to install lower braces. Orthognathic surgery was not incorporated to treatment because the discrepancy in sagital jaw relations was small.

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