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Orthodontic-Surgical Approach for Treating Skeletal Class III Malocclusion With Severe Maxillary Deficiency in Isolated Cleft Palate. | LitMetric

AI Article Synopsis

  • Orthodontic treatment for patients with orofacial clefts, like cleft lip and palate, can be difficult due to issues like maxillary growth retardation.
  • Initial treatments may involve maxillary expansion and protraction, but sometimes these methods don't fully correct the issue, leading to remaining skeletal discrepancies in adolescence.
  • The case report discusses a female patient with an isolated cleft palate who underwent several orthognathic surgeries to address her severe skeletal issues, ultimately achieving a balanced facial appearance and stable occlusion.

Article Abstract

Orthodontic treatment in patients with orofacial cleft such as cleft lip and palate or isolated cleft palate is challenging, especially when the patients exhibit severe maxillary growth retardation. To correct this deficiency, maxillary expansion and protraction can be performed in the first phase of orthodontic treatment. However, in some cases, the malocclusion cannot be corrected by these procedures, and thus, skeletal discrepancy remains when the patients are adolescents. These remaining problems occasionally require various orthognathic treatments according to the degree of the discrepancy. Here, we describe one case of a female with isolated cleft palate and hand malformation who exhibited severe maxillary deficiency until her adolescence and was treated with multiple orthognathic surgeries, including surgically assisted maxillary expansion (surgically assisted rapid palatal expansion), LeFort I osteotomy, and bilateral sagittal split osteotomy in order to correct severe skeletal discrepancy and malocclusion. The treatment resulted in balanced facial appearance and mutually protected occlusion with good stability. The purpose of this case report is to show the orthodontic treatment outcome of 1 patient who exhibited isolated cleft palate and subsequent severe skeletal deformities and malocclusion which was treated by an orthodontic-surgical approach.

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Source
http://dx.doi.org/10.1177/1055665618777573DOI Listing

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