Unilateral Advancement of the Maxillary Minor Segment by Distraction Osteogenesis in Patients with Repaired Unilateral Cleft Lip and Palate: Report of Two Cases

2003 ◽  
Vol 40 (3) ◽  
pp. 317-324 ◽  
Author(s):  
Kazuto Kuroe ◽  
Shoichiro Iino ◽  
Kenji Shomura ◽  
Akiro Okubo ◽  
Kazumasa Sugihara ◽  
...  

Objective Collapse of the maxillary minor segment with lateral crossbite is a common feature in patients with repaired unilateral cleft lip/palate because of maxillary alveolar bony defect and palatal scar tissue. Distraction osteogenesis (DOG) is an effective technique of lengthening and augmentation for bone and gingiva. This case report describes the effects of unilateral advancement of the maxillary minor segment by DOG in two patients with the repaired unilateral cleft lip/palate.

JMS SKIMS ◽  
2012 ◽  
Vol 15 (1) ◽  
pp. 78-81
Author(s):  
Asif Iqbal Khan ◽  
Ashok Utreja ◽  
Roobal Behal

Distraction osteogenesis is one of the latest treatment modalities in correcting skeletal discrepancies in the craniofacial region. Maxillary retrusion is a common problem when deformity of the face is concerned, especially in cleft lip and palate patients. Distraction osteogenesis utilizing internal or external has an enormous role in future as an alternative method of skeletal correction in patients with severe maxillary hypoplasia. In addition, periodontal rehabilitation in these patients is of utmost importance especially at the end of treatment. This case report presents one such case of severe maxillary retrusion treated successfully by distraction osteogenesis. JMS 2012;15(1):78-81.


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Otto Madrid ◽  
Isabel-Cristina Jaramillo ◽  
Habib Barhoum

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.


2013 ◽  
Vol 14 (5) ◽  
pp. 957-962
Author(s):  
A Alper Öz ◽  
Mete Özer ◽  
Lütfi Eroglu ◽  
Oguz Suleyman Özdemir

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.


2015 ◽  
Vol 52 (4) ◽  
pp. 95-102 ◽  
Author(s):  
Munkhdulam Terbish ◽  
Hye-Young Choi ◽  
Young-Chel Park ◽  
Choong Kook Yi ◽  
Jung-Yul Cha

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