Treatment of a severe Class II Division 1 malocclusion combined with surgical miniscrew anchorage.

This article reports the camouflage treatment of a female patient, aged 15 years 2 months, who had a Class II Division 1 malocclusion with severe anterior protrusion and deep incisor overbite. The camouflage treatment plan included bilateral extraction of the maxillary first premolars combined with the use of temporary anchorage devices (TADs) and tension coil springs to retract canines into the extraction spaces and then the 4 incisors. The treatment included use of a mandibular fixed labial arch with minimal use of Class II elastics to correct mild mandibular spacing and level the curve of Spee.

Soft tissue molding technique in cleft lip and palate patient using laser surgery in combination with orthodontic appliance: A case report.

Background: Although surgical treatment protocols for cleft lip and palate patients have been established, many patients still have some soft tissue defects after complete healing from surgical interventions. These are excess soft tissue, high attached fraena and firmed tethering scares. These soft tissue defects resulted shallowing of vestibule, restricted tooth movement, compromised periodontal health and trended to limit the maxillary growth.

Orthodontic Treatment Combined with Orthognathic Surgery and Simultaneous Alveolar Bone Graft of a Unilateral Complete Cleft Lip and Palate Patient: A Case Report.

This article aimed to present a case of 22 year-old Thai female with cleft lip and palate who had malocclusion developed from dental problems, skeletal disharmony and unrepaired alveolar cleft. The treatment was orthodontic combined with one-stage surgical correction which corrected skeletal discrepancy and alveolar cleft in single operation. After treatment, the patient had improved in facial esthetics, attaining good occlusal function and continuous maxillary dental arch.

Oral Health-Related Quality of Life in Children and Young Adolescent Orthodontic Cleft Patients.

Objective: To evaluate and compare the oral health-related quality of life (OHRQoL) in Thai patients with cleft lip and palate and to evaluate parents' and their children perceptions.

Material And Method: Child Oral Health Impact Profile (COHIP) questionnaire was used to evaluate OHRQoL of the patients and parents' perceptions of patients' OHRQoL. The subjects consisted of 140 cleft patients (aged 8-15 years) and their parents who visited the Department of Orthodontics, Khon Kaen University.

Agreement of Tracing and Direct Viewing Techniques for Cervical Vertebral Maturation Assessment.

Objective: This study aimed to evaluate agreement among three methods for cervical vertebral maturation (CVM) assessment, comprising direct viewing, tracing only, and tracing with digitized points.

Material And Method: Two examiners received training and tests of reliability with each CVM method before evaluation of agreement among methods. The subjects were 96 female-cleft lateral cephalometric radiographs (films of eight subjects for each age ranged from seven to 18 years).

Evaluation of Facial Appearance among Patients With Repaired Unilateral Cleft Lip and Palate: Comparison of Patient- and Clinician-Ratings of Satisfaction.

The objective of this study was to determine the levels of patient-satisfaction on facial and dental appearance compared with clinician ratings. Participants included 61 patients with repaired unilateral cleft lip and palate (UCLP), aged 14-25 years. Raters comprised three cleft team clinicians.

Pre-surgical nasoalveolar molding technique: a literature review.

Cleft lip and palate patients have many defects particularly nasal deformities. The nasoalveolar molding (NAM) technique is an adjunctive treatment, which not only corrects deviated alveolar segments but also addresses nasal deformity before cheiloplasty. NAM technique is claimed to facilitate primary surgical correction and to provide favorable esthetic outcomes.

Orthodontic treatment of unilateral cleft lip and alveolus patient with maxillary lateral incisor missing: case report.

The esthetics of a patient with a cleft lip and alveolus and missing maxillary lateral incisor is important. A girl, aged 9 years 3 months with repaired left unilateral cleft of primary palate only was referred for orthodontic evaluation of her anterior tooth-crowding. She was unhappy with the unattractive appearance of her maxillary anterior teeth, which were behind her mandibular anterior teeth.

Movement of an upper central incisor across the midline in a patient with cleft of primary palate.

Orthodontic treatment for a 10-years-old girl, with repaired bilateral cleft lip and left incomplete unilateral alveolar cleft, was performed by moving her right maxillary central incisor across the midline to replace her congenital missing central incisor and then moving the right lateral incisor toward the midline to act as a new central incisor. A malformed supernumerary tooth, positioned between the right central and lateral incisor, was extracted during incisor movement. Significant lip profile improvement was accomplished by maxillary and mandibular anterior teeth retraction into three-premolar extraction spaces.

Management of bilateral severely impacted mandibular second molars: a case report.

Impaction of the mandibular second molar is relatively rare but when it occurs it may cause a clinical problem for orthodontist and oral surgeon. There are various treatment options to manage this condition depending on the degree of second molar inclination, the position of third molars, and the desired type of tooth movement. Here, a case of orthodontic uprighting of bilateral horizontal impaction of the lower second molars in a 17-years-old Thai female patient is presented.

Correction of complete maxillary crossbite with severe crowding using Hyrax expansion and fixed appliance.

An 18-year-old Thai man who presented with a secondary cleft palate, maxillary hypoplasia and severe crowding was treated by rapid maxillary expansion and fixed orthodontic appliances. Initial assessment found skeletal Class III malrelationship and dental Class II malocclusion with anterior and bilateral posterior crossbites. Camouflage orthodontic treatment was planned using a rapid maxillary expansion appliance and correcting crowding with extraction all four premolar teeth.

Alveolar bone graft evaluation agreement using cone beam computed tomography in cleft lip and palate patients: a pilot study.

Objective: To develop and test assessor agreement using a new cone beam computed tomography (CBCT) examination method for evaluating the outcome of alveolar bone grafts in cleft lip and palate patients.

Material And Method: Twenty patients with complete cleft lip and cleft palate who had undergone alveolar bone grafting with CBCT follow-up 3-6 months postoperative at the Faculty of Dentistry, Khon Kaen University were recruited into the study. Four trained clinical assessors (two orthodontists, an oral surgeon and an oral radiologist) had made a judgment of three outcome measurements: 1) cemento-enamel junction (CEJ) to marginal bone level of the teeth adjacent to the cleft site, 2) marginal bone level to root apex of the teeth adjacent to the cleft site, 3) labio-lingual alveolar bone grafted thickness.

Prevalence and types of dental anomaly in a Thai non-syndromic oral cleft sample.

Objective: To investigate the prevalence and characteristics of dental anomalies (DAs); missing teeth (MT), dens-evaginatus (D-E), dens-invaginatus, dilaceration,fusion, gemination, macrodontia, microdontia (Micro), supernumerary teeth (SNT), and taurodontism, in permanent teeth among subjects with non-syndromic oral cleft.

Material And Method: This cross-sectional study was designed to assess DAs from diagnostic records; comprising panoramic radiograph, intraoral photographs, dental casts, and orthodontic clinic charts of 280 Northeastern Thai subjects, mean age 10.3 +/- 3.

Comparative study between the hand-wrist method and cervical vertebral maturation method for evaluation skeletal maturity in cleft patients.

Objective: To test the measure of agreement between use of the Skeletal Maturation Index (SMI) method of Fishman using hand-wrist radiographs and the Cervical Vertebral Maturation Index (CVMI) method for assessing skeletal maturity of the cleft patients.

Material And Method: Hand-wrist and lateral cephalometric radiographs of 60 cleft subjects (35 females and 25 males, age range: 7-16 years) were used. Skeletal age was assessed using an adjustment to the SMI method of Fishman to compare with the CVMI method of Hassel and Farman.

A comparison of cervical vertebral maturation assessment of skeletal growth stages with chronological age in Thai between cleft lip and palate and non-cleft patients.

Objective: (1) To search for any difference in chronological age related to stages of the cervical vertebral maturation index stages (CVMIs) comparing groups of cleft lip and palate (CLP) and non-cleft (non-CLP) subjects; (2) To investigate the relationship between chronological age and CVMIs in both groups of subjects.

Material And Method: Cervical vertebrae C2, C3, C4 were assessed on 1,549 cephalometric films (503 CLP films, 1,046 non-CLP films of subjects aged 5 to 18 years) using Hassel and Farman's method.

Results: T-tests showed mean chronological ages of CVMIs 2, 3 and 6 were different at p = 0.

Surgery first orthognathic approach for skeletal Class III malocclusion corrections--a literature review.

Management for patients with skeletal Class III malocclusion is orthognathic surgery which involves both orthodontics and surgery. Nowadays, there are two approaches for orthognathic surgery: orthodontics-first and surgery-first approaches. The orthodontics-first approach, or presurgical orthodontics treatment, causes longer treatment time and worsens facial appearance before surgery compared with a surgery-first approach.

Temporomandibular joint growth adaptation and articular disc positional changes in functional orthopedic treatment: magnetic resonance imaging investigation.

Functional orthopedic appliances have been proposed for the correction of Class II malocclusion due to a retrognathic mandible. The aim of using this appliance is to stimulate mandibular growth by forward positioning of the mandible in order to achieve normal jaw relationship. However, the modes of action using this appliance are still inconclusive.

Growth modification in unilateral cleft lip and palate patients with face mask.

The intended aim of treatment in cleft lip and palate patients with growth modification is to improve the relation of jaws by advance the maxilla, restrict the mandible or combination of these. The appliances usually used are face mask or protraction headgear (Delaire and Petit types). Modification of growth is advocated to be applied before the end of adolescent growth spurt and long-term and permanent improvement cannot be guaranteed.

Revision rates of alveolar bone grafting in unilateral cleft lip and palate patients with and without orthodontic preparation.

The main purpose of the present study was to compare the revision rates of alveolar bone grafting in cleft lip and palate (CLP) patients with and without orthodontic preparation. The dental record of 101 patients with unilateral cleft lip and palate were examined. Details were recorded of general characteristic, the need for revision, intraoral condition prior to surgery, surgical procedure and the cause of revision.

Early dental arch relationships as treatment outcome in children with complete unilateral cleft lip and palate in northeastern Thailand.

The objective of the present study was to evaluate the dental arch relationships of children with complete unilateral cleft lip and palate (UCLP) as an early surgical repair outcome in the Northeastern part of Thailand. The study used a 5-year study model of 46 complete UCLP, non consecutive, patients whose primary repair had been performed at Khon Kaen University. The outcome of dental arch relationships was assessed using the 5-Year-Olds' Index.

The final orthodontic treatment outcome evaluation in patients with cleft lip and palate at Khon Kaen University Cleft Lip and Palate Center: a pilot study.

The primary objective of the present study was to use the Peer Assessment Rating (PAR) Index to assess the outcome of the final phase of treatment in cleft lip and palate patients with orthodontic treatment alone and with orthognathic surgery. A secondary objective was to determine the improvement in the occlusion of the two treatment alternatives. The study sample consisted of 27 patients who received orthodontic treatment alone and 7 patients who received orthodontic treatment combined with orthognathic surgery were evaluated.

Comparison of the modified Huddart/Bodenham and GOSLON yardstick methods for assessing outcomes following primary surgery for unilateral cleft lip and palate.

Objective: To test the measure of agreement between the modified Huddart/Bodenham scoring system and the GOSLON Yardstick for assessing the dental occlusions of patients with unilateral complete cleft lip and palate (UCLP) and to test the time taken for each assessment.

Material And Method: 60 sets of study models of 8-10-year-old UCLP patients who attended the Department of Orthodontics at the Faculty of Dentistry, Khon Kean University were evaluated. All subjects had undergone their cleft lip and palate repairs, but no alveolar bone grafts or any orthodontic treatment were done.

Prediction of final treatment for class III malocclusion of patients with oral clefts.

Objective: To evaluate the value of predicted treatment plans interpreted from a previously developed Formula for Orthodontics and Surgery Prediction (FOSP) in patients with cleft lip and/or palate (CLP).

Material And Method: Orthodontic treatment records were collected of 105 non-syndromic CLP patients between the ages of 5 and 29 years, having Class III malocclusions of varying severity. Three cephalometric values from pre-treatment lateral cephalometric radiographs were determined for use with the FOSP.

Comparison of a clinical method with two radiographic methods for assessing quality of alveolar bone grafts.

The aim of the present study was to test the agreement between a new developed clinical examination method and two commonly used radiographic scales (Bergland and Chelsea) for assessing alveolar bone graft outcomes in the cleft lip and palate patients. This new clinical method consisted of: (1) Probing depth for the teeth adjacent to the cleft and (2) Residual defects at the bone graft site. Two trained examiners examined the subjects in the present study.

The assessment of treatment outcome by evaluation of dental arch relationships in cleft lip/palate.

Cleft lip/palate (CLP) patients need an interdisciplinary team approach for optimal treatment, care and results. Evaluation of the treatment outcomes is essential to allow for identification and implementation of the highest possible standard of care. The aim of this paper is to present the less invasive methods of assessment of treatment outcomes by evaluation of dental arch relationships in both unilateral and bilateral CLP.