Differences in the Alignment Pattern of the Maxillary Dental Arch Following Fixed Orthodontic Treatment in Patients With Bilateral Cleft Lip and Palate

Objective To investigate the effects of infant orthopedic treatment and lip adhesion on maxillary growth of patients with bilateral cleft lip and palate (BCLP). Design Prospective longitudinal study. Setting The present study was conducted at the Cleft Lip and Palate Center, Harapan Kita Children and Maternity Hospital, Indonesia, and the Department of Oral and Maxillofacial Surgery, Kyushu University Hospital, Japan. Subjects The study sample consisted of 53 patients with complete BCLP and 10 noncleft patients with other diseases. Patients with BCLP were divided into three groups: H (-), 11 patients treated without Hotz's plate; H (+), 24 treated with Hotz's plate; and LA-H, 18 treated with lip adhesion and Hotz's plate. Methods Serial dental casts were obtained from each BCLP child at the following four time points: first visit, labioplasty, palatoplasty, and 5 years of age. Each maxillary dental cast was scanned, and the linear and angular dimensions were measured. Results and Conclusion Lip adhesion showed a temporary negative effect. In all patients with BCLP, the surgeries affected the growth of the anterior arch width until the age of 5 years. Collapse of the premaxilla following labioplasty in the H (-) group affected the growth of dental arch length until the age of 5 years. Treatment using Hotz's plate prevented collapse of the premaxilla, and the growth of the arch length was comparable to that observed in the noncleft group.

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

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.35.2.q2t5735873357p47 ◽

2010 ◽

Vol 35 (2) ◽

pp. 225-231 ◽

Cited By ~ 1

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.

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Upper dental arch morphology of adult unoperated complete bilateral cleft lip and palate

American Journal of Orthodontics and Dentofacial Orthopedics ◽

10.1053/od.1998.v114.a86380 ◽

1998 ◽

Vol 114 (2) ◽

pp. 154-161 ◽

Cited By ~ 31

Author(s):

Omar Gabriel da Silva Filho ◽

Fabricio Monteiro de Castro Machado ◽

Adriana Coelho de Andrade ◽

José Alberto de Souza Freitas ◽

Samir E. Bishara

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Bilateral Cleft Lip

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

The Cleft Palate-Craniofacial Journal ◽

10.1597/11-113 ◽

2014 ◽

Vol 51 (6) ◽

pp. 711-721 ◽

Cited By ~ 3

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.

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

Vojnosanitetski pregled ◽

10.2298/vsp1407693r ◽

2014 ◽

Vol 71 (7) ◽

pp. 693-699 ◽

Cited By ~ 2

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.

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Use of Bauru Yardstick in Patients With Complete Bilateral Cleft Lip and Palate at an Indian Center

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665617730360 ◽

2017 ◽

Vol 55 (4) ◽

pp. 602-606

Author(s):

Puneet Batra ◽

Gopala Krishna Annavarapv ◽

Ashish Chopra ◽

Amit Srivastava ◽

Partha Sadhu ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Weighted Kappa ◽

Dental Arch ◽

Age Group ◽

Bilateral Cleft Lip ◽

Examiner Agreement ◽

Dental Cast ◽

Dental Arch Relationship ◽

Very High

Objective: To evaluate dental arch relationship in treated bilateral cleft lip and palate (BCLP) cases at an Indian cleft center using the Bauru yardstick. Patients and methods: Digital photographs of the dental cast of 50 consecutively treated patients (28 males and 22 females) with nonsyndromic BCLP at an Indian cleft center were rated by 2 examiners as per the Bauru yardstick for the 12-year-old age group. The average age group was 12 ± 0.62 years. All cases were treated with same surgical protocol. Results: The inter-examiner agreement between the 3 examiners was found to be very high, with weighted kappa values ranging from 0.894 to 0.951. The intraexaminer agreement between the 2 examinations for all the examiners was also found to be very high, with weighted kappa values ranging from 0.894 to 0.931. Seventy-eight percent of patients were rated with a Bauru yardstick score of 1+2. In addition, 10% of patients were rated with a score of 3, 8% as 4, and 4% as 5. The overall Bauru yardstick score for the center was 2.36. Conclusion: The protocol followed for the repair of BCLP cases by the center was found to be a good regimen in regard to the Bauru yardstick score.

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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

The Angle Orthodontist ◽

10.2319/080320-678.1 ◽

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.

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