scholarly journals Surgical-orthodontic treatment for severe malocclusion in a patient with osteopetrosis and bilateral cleft lip and palate: Case report with a 5-year follow-up

2021 ◽  
Author(s):  
Jin-Kyu Kim ◽  
Jun-Young Kim ◽  
Hwi-Dong Jung ◽  
Young-Soo Jung
Keyword(s):  
Functional Outcomes ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Chief Complaint ◽  
Radiographic Evaluation ◽  
Bone Metabolism Markers ◽  
Normal Bone ◽  
Bilateral Cleft Lip

ABSTRACT Orthognathic surgery in patients with craniofacial osteopetrosis, a condition associated with osteoclast dysfunction, is usually avoided because of the risk of osteomyelitis. A 19-year-old woman presented with the chief complaint of severe malocclusion and anterior crossbite. After radiographic evaluation, craniofacial osteopetrosis was diagnosed. Surgical-orthodontic treatment was performed after meticulous history taking and verification of normal bone turnover using bone-metabolism markers for endocrine evaluation. Favorable esthetic and functional outcomes were achieved.

The Impacts and Outcomes of Presurgical Nasoalveolar Molding (PNAM) in Newborn Sequential Therapeutic Implementation

2021 ◽  
Author(s):  
Vonda Trivosa
Keyword(s):  
Incidence Rate ◽  
Rural Areas ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mixed Dentition ◽  
Deciduous Dentition ◽  
Parents And Children ◽  
Nasoalveolar Molding

Cleft lip and palate is a common congenital malformation in the oral and maxillofacial regions. According to epidemiological investigation, the incidence rate is about 1.625%, and the incidence rate is high in poor areas and rural areas. Cleft lip and palate mainly involve the upper lip, hard palate, soft palate and nose, which can damage the appearance of children, affect pronunciation, swallowing and chewing, and also bring different degrees of psychological damage to children in the growth stage. Therefore, we should actively carry out sequential treatment and participate in the treatment work through multi-disciplines. Based on restoring the oral and maxillofacial function and health of children, we should also pay attention to their aesthetic needs, enhance the treatment confidence of parents and children, and lay the foundation for the follow-up repair treatment. Most patients with cleft lip and palate are complicated with malocclusion. Orthodontic treatment is an important part of the treatment of cleft lip and palate. The orthodontic treatment of cleft lip and palate can be divided into five periods: newborn period, deciduous dentition period, mixed dentition period, permanent dentition period and combined orthodontic and orthognathic treatment period. Presurgicalnasoalveolar molding (PNAM) was used to reduce the severity of facial deformity in children with cleft lip and palate. This article discusses the therapeutic effect of newborn PNAM according to clinical cases. Objective to study the opportunity and current situation of PNAM in the treatment of children with cleft lip and palate, and to provide a favorable reference for clinical orthodontists, emphasizing the close communication between various disciplines.

Orthodontic Treatment of a Bilateral Cleft Lip and Palate Patient with Bilateral Tooth Transpositions and Congenitally Missing Teeth

2010 ◽  
Vol 35 (2) ◽  
pp. 225-231 ◽  
Author(s):  
Kiyoshi Tai ◽  
Jae Hyun Park ◽  
Masahiro Tanino ◽  
Yasumori Sato
Keyword(s):  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Missing Teeth ◽  
Long Term Stability ◽  
Bilateral Cleft Lip ◽  
Congenitally Missing Teeth ◽  
Congenitally Missing ◽  
Palate Patient

Treatment of patients with a cleft lip and palate can be challenging. A boy, 15 years 11 months old, with a bilateral cleft lip and palate and a convex profile, transposed teeth and congenitally missing teeth was treated by orthodontic treatment. 3 year posttreatment records showed excellent results with good occlusion,facial balance and harmony, and long-term stability.

A Case Report of Multidisciplinary Treatment of an Adult Patient with Bilateral Cleft Lip and Palate

2014 ◽  
Vol 51 (6) ◽  
pp. 711-721 ◽  
Author(s):  
Tomohiro Fukunaga ◽  
Tadashi Honjo ◽  
Yuichi Sakai ◽  
Kiyo Sasaki ◽  
Teruko Takano-Yamamoto ◽  
...  
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Bone Grafting ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Treatment ◽  
Retention Period ◽  
Bilateral Cleft Lip ◽  
Palate Patient

This is a case report about the successful orthodontic treatment of a bilateral cleft lip and palate patient by using a combination of bone grafting and subsequent prosthodontic rehabilitation. An adult patient with a bilateral cleft lip and palate presented with a concave profile, anterior and lateral crossbite, a markedly deep overbite, and residual bilateral alveolar clefts. His jaw movement patterns were unstable and irregular due to his collapsed bite. Orthodontic treatment with bilateral bone grafting improved his concave profile by downward and backward rotation of the mandible within the freeway space, and optimum occlusion and functionally stable and smooth jaw movements were obtained. After a 6-year retention period, no skeletal relapse could be detected, and his occlusal stability was satisfactory.

scholarly journals Presurgical orthodontic treatment of patients with complete bilateral cleft lip and palate

2014 ◽  
Vol 71 (7) ◽  
pp. 693-699 ◽  
Author(s):  
Julija Radojicic ◽  
Tatjana Tanic ◽  
Nebojsa Jovic ◽  
Tatjana Cutovic ◽  
Konstantinos Papadopoulos
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Multiple Role ◽  
Progressive Reduction ◽  
Secondary Palate ◽  
Bilateral Cleft Lip ◽  
Orthodontic Device

Introduction. Cleft lips and palates are the most common congenital orofacial anomaly. This type of clefts is the most severe from the orthodontic-surgical therapy aspect. Case report. A female newborn with a complete cleft of the primary and the secondary palate was admitted to the clinic, where a multiple-role orthodontic device was specially designed and applied to primarily manage the closure of the existing cleft and help to improve the suckling ability of the baby. Besides the fact that it allows breastfeeding, it has a significant orthodontic effect, too. Conclusion. Specificity of this device is the lack of extraoral fixation. What can easily be observed is a progressive reduction of the cleft between the separated segments and the premaxilla retrusion. It, thus, allows the creation of much better conditions for further surgical management of the said defect.

Holoprosencephaly, bilateral cleft lip and palate and ectrodactyly: another case and follow up

2003 ◽  
Vol 12 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Rainer K??nig ◽  
Thomas Beeg ◽  
Gholamali Tariverdian ◽  
Hans Scheffer ◽  
Klaus Bitter
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Bilateral Cleft Lip

scholarly journals Compensation orthodontic treatment of an adult patient with bilateral cleft lip and palate clip. Case Report

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Otto Madrid ◽  
Isabel-Cristina Jaramillo ◽  
Habib Barhoum
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Clinical Case ◽  
Cleft Lip And Palate ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Palate ◽  
Fixed Appliances ◽  
The University

Clinical case of a 28 year old patient with bilateral cleft lip palate, who was treated during a period of 5 years and 4 months, at the University of Valle postgraduate orthodontic’s clinic of lip and palate, is presented. The patient had undershot jaw, severe mandibular macrognatismo, molar malocclusionclass I and class II right and left, accompanied by severe recumbent and mild retrusión of upper incisors and lower and, multiple malposition and impaction tooth 12. A non - surgical orthodontic plan compensation was developed and accompanied by an initial mandibular treatment, orthopedic expansion and corrective orthodontic treatment, using fixed appliances such as standard braces slot 0.22x0.028 inches, extractions of lower first premolars, typing canines as lateral incisors as well as rehabilitation of the upper front teeth. Satisfactory results were obtained in terms of aesthetic and functional occlusion. Key words: Cleft lip, cleft palate, orthodontic treatment of compensation, bilateral cleft lip and palate.

scholarly journals Modern aspects of interdisciplinary treatment in children with bilateral cleft lip and palate

2020 ◽  
Vol 15 (4) ◽  
pp. 75-80
Author(s):  
О.V. Dudnik ◽  
◽  
Ad.A. Mamedov ◽  
A.A. Skakodub ◽  
A.B. Maklennan ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Hard Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mixed Dentition ◽  
Interdisciplinary Treatment ◽  
World Health ◽  
Treatment Methods ◽  
Reconstructive Operations ◽  
Bilateral Cleft Lip

According to the World Health Organization incidence of cleft lip and palate ranges from 0.6-1.6 cases per 1000 newborns per year. Thus, bilateral full cleft lip and palate occurs less frequently around 15–25%. Purpose: to analyze treatment methods for children with bilateral cleft lip and palate during the period of a removable bite. A review of 51 literature sources from 1951 to 2019 was carried out. Occlusion development features in bilateral cleft lip and palate patients during mixed dentition period were analysed. Main anatomical features of the maxillofacial region in children with bilateral cleft lip and palate during mixed dentition period is narrowing of the upper and lower dental arches as well as presence soft tissues scars of the upper lip. The main methods of treatment for such children is surgical reconstructive operations, including the elimination of the anatomical defect of the hard palate using mucoperiosteal flaps from the lateral parts of the hard palate combined with orthodontic treatment methods. Thus, an integral method of treating children with bilateral cleft lip and palate during mixed dentition period is a comprehensive approach, including surgical reconstructive operations, as well as orthodontic treatment, the main purpose of which is to expand and extend dental arch, which results in normal occlusion therefore eliminating myofunctional disorders. Key words: cleft lip, cleft palate, mixed dentition, occlusion features, orthodontic treatment

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