The role of general dentists in the management of cleft lip and palate patients

2013 ◽  
Vol 4 (3) ◽  
pp. 124-131
Author(s):  
Madhura Vasanth ◽  
Anne-Marie Smith ◽  
Alison Murray
Keyword(s):  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Standard Of Care ◽  
Effective Management ◽  
Adult Age ◽  
General Dentists

The management of children with cleft lip and palate (CLP) presents many challenges, and effective management involves a multidisciplinary treatment approach, which is now considered the standard of care for these patients. Patients with CLP generally require extensive and prolonged orthodontic treatment and this can be at any stage from birth to young adult age.

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 Multidisciplinary Treatment Approach of a Patient with Amelogenesis Imperfecta Superimposed by Thumb Sucking Habit: A Case Report

2017 ◽  
Vol 24 (4) ◽  
pp. 31-39
Author(s):  
Raed R. Gholman ◽  
Omar A. El Meligy
Keyword(s):  
Stainless Steel ◽  
Composite Resin ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Self Esteem ◽  
Amelogenesis Imperfecta ◽  
Effective Management ◽  
Socioeconomic Condition ◽  
Thumb Sucking

A seven-year-old boy was presented with discontent of his teeth appearance, mild teeth sensitiveness, bad masticatory effectiveness, difficulty in speech and low self-esteem. The clinical and radiographic results indicated amelogenesis imperfecta. Because of uncooperative behavior, treatment was accomplished under general anesthesia. The use of composite resin and stainless steel crowns produced effective and satisfying improvement of the patient’s aesthetic looks, in addition to prevention of further sensitivity and wear so enhancing his functional needs. The lastingness of the thorough management of this patient needed powerful stress on careful oral hygiene. There is a major role of multidisciplinary team to the effective management of patients with hypomaturation type of amelogenesis imperfecta. Many factors have a significant part in treatment planning of amelogenesis imperfecta cases such as patient’s age, socioeconomic condition, seriousness of the defect, the patient’s collaboration and association with other medical conditions.

Occlusal Outcome of Orthodontic Treatment for Patients With Complete Cleft Lip and Palate

2021 ◽  
pp. 105566562199611
Author(s):  
Daniel Stonehouse-Smith ◽  
Aida N.A. Abd Rahman ◽  
Jeanette Mooney ◽  
Haydn Bellardie
Keyword(s):  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Treatment Time ◽  
Peer Assessment ◽  
Tertiary Care ◽  
Standard Of Care ◽  
High Volume ◽  
Retrospective Assessment ◽  
Par Index

Aim: To assess occlusal outcomes of orthodontic treatment for patients with complete cleft lip and palate. Design: Retrospective assessment using the Peer Assessment Rating (PAR) index. Setting: Consecutive patients treated by one consultant orthodontist at a tertiary care cleft center. Participants: One hundred twenty-seven patients with either complete unilateral cleft lip and palate (UCLP) or bilateral cleft lip and palate (BCLP) consecutively treated with fixed appliances. Intervention: Fixed orthodontic appliance treatment and orthognathic surgery when required. Outcomes: The PAR index assessment was carried out by a calibrated-independent assessor. Treatment duration, the number of patient visits, and data on dental anomalies were drawn from patient records and radiographs. Results: One hundred two patients’ study models were assessed after exclusions. Mean start PAR score for UCLP (n = 71) was 43.9 (95% CI, 41.2-46.6, SD 11.5), with a mean score reduction of 84.3% (95% CI, 81.9-86.7, SD 10.1). The UCLP mean treatment time was 23.7 months with 20.1 appointments. Mean start PAR score for BCLP (n = 31) was 43.4 (95% CI, 39.2-47.6, SD 11.4), with a mean score reduction of 80.9% (95% CI, 76.3-85.5, SD 12.5). The BCLP mean treatment time was 27.8 months with 20.5 appointments. Conclusion: These results compare well with other outcome reports, including those for patients without a cleft, and reflect the standard of care provided by an experienced cleft orthodontist. As with high-volume surgeons, orthodontic treatment for this high need group is favorable when provided by a high-volume orthodontist. These findings may be used for comparative audit with similar units providing cleft care.

scholarly journals The Correction of Maxillary Deficiency with Internal Distraction Devices: A Multidisciplinary Approach

2013 ◽  
Vol 14 (5) ◽  
pp. 957-962
Author(s):  
A Alper Öz ◽  
Mete Özer ◽  
Lütfi Eroglu ◽  
Oguz Suleyman Özdemir
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Multidisciplinary Approach ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Treatment ◽  
Multidisciplinary Care ◽  
Cleft Lip Palate ◽  
Maxillary Deficiency ◽  
Internal Distraction

ABSTRACT Aim The purpose of this case report is to present the orthodontic, surgical and restorative treatments in the case of an operated cleft lip and palate and severe maxillary deficiency in a 14-year-old female patient. Background Only orthodontic treatment could be inefficient for cleft lip and palate patients characterized with maxillary hypoplasia. Orthodontic and surgical treatment shows sufficient results, especially with severe skeletal deficiency. Case report A cleft lip and palate patient required complex multidisciplinary treatment to preserve health and restore esthetics. Dental leveling and alignment of the maxillary and mandibular teeth were provided before the surgery. Maxillary advancement and clockwise rotation of the maxillary-mandibular complex was applied by a Le Fort 1 osteotomy with two internal distraction devices. After the active treatment including orthodontic treatment and orthognathic surgery, upper full mouth ceramic restoration was applied. Conclusion This report shows the efficiency of internal distraction devices in cleft lip palate patients and exemplifies the multidisciplinary care required for such difficult cases. Clinical significance Stable improved occlusion and skeletal relations were observed after a follow-up examination period of 12 months. How to cite this article Öz AA, Özer M, Eroglu L, Özdemir OS. The Correction of Maxillary Deficiency with Internal Distraction Devices: A Multidisciplinary Approach. J Contemp Dent Pract 2013;14(5):957-962.

scholarly journals The Role of the Pediatric Dentist in the Multidisciplinary Management of the Cleft Lip Palate Patient

2021 ◽  
Vol 18 (18) ◽  
pp. 9487
Author(s):  
Valeria Luzzi ◽  
Giulia Zumbo ◽  
Mariana Guaragna ◽  
Gabriele Di Carlo ◽  
Gaetano Ierardo ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Management ◽  
Effective Management ◽  
Prenatal Counseling ◽  
Pediatric Dentist ◽  
Wide Range ◽  
Cleft Lip Palate ◽  
Palate Patient

The focus of this paper is the pediatric dental care of Cleft Lip and Palate (CLP) children and the role of the pediatric dentist in the CLP team. The management of children with cleft lip and palate presents many challenges and a multidisciplinary and prepared team is always required. Affected individuals present a multiplicity of problems: effective management involves a wide range of specialities. The value of a multidisciplinary team is widely known and mentioned in the literature, but very few papers focus on the role and the importance of the pediatric dentist. Therefore, the purpose of this article is to underline the role of the pediatric dentist as a member of the cleft lip and palate team which ranges from prenatal counseling, presurgical prevention and orthopedics, to post-treatment rehabilitation and restoration.

Aspects of orthodontic protocol in cleft lip and palate patients

2020 ◽  
Vol 20 (2) ◽  
pp. 137-142
Author(s):  
O. V. Dudnik ◽  
Ad. A. Mamedov ◽  
O. I. Admakin ◽  
A. A. Skakodub ◽  
Y. O. Volkov ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Comprehensive Approach ◽  
Maxillofacial Region ◽  
Indirect Methods ◽  
Indirect Bonding ◽  
The Face ◽  
Direct And Indirect Methods

Relevance. Cleft lip and palate is one of the severe malformations of the face and jaw, requiring a comprehensive approach to the rehabilitation of the patients, including doctors of various specialties, one of which is orthodontists. A feature of orthodontic treatment is difficulty of fixing bracket systems, as well as lowering the level of oral hygiene, caused by deformation and displacement of fragments of the maxillofacial region.Purpose. Improving the effectiveness of orthodontic treatment and hygiene of the oral caviti in patients with cleft lip and palate in permanent bite period.Materials and methods. A comparison was made of the effetctiveness of fixing brackets systmes with direct and indirect bonding techniques and the effectiveness of oral hygiene during orthodontic treatment using irrigators.Results. The results of the study showed a difference in the effectiveness of using direct and indirect methods of fixing bracket systems in patients with cleft and palate. The use of irrigators as additional means of oral hygiene has demonstrated a positive dynamic of hygiene indices.Conclusions. Results of the study demonstrate the advantages of fixation the brackets by indirect bonding and use additional hygiene products irrigator for improving of oral hygiene.

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