Presurgical orthopedic treatment of children with unilateral cleft lip and palate with a sequential splints method: indications and long-term results

Stomatologiya ◽  
2020 ◽  
Vol 99 (6) ◽  
pp. 5
Author(s):  
N.V. Udalova ◽  
M.V. Korolenkova ◽  
U.A. Gridasova
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Long Term Results ◽  
Orthopedic Treatment

Alveolar Bone Formation in Patients with Unilateral and Bilateral Cleft Lip and Palate after Early Secondary Gingivoalveoloplasty: Long-Term Results

2007 ◽  
Vol 119 (5) ◽  
pp. 1527-1537 ◽  
Author(s):  
Maria Costanza Meazzini ◽  
Chiara Tortora ◽  
Alberto Morabito ◽  
Giovanna Garattini ◽  
Roberto Brusati
Keyword(s):  
Bone Formation ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Long Term Results ◽  
Bilateral Cleft Lip

Evaluation of Unilateral Cleft Lip and Palate Treatment: Long Term Results

1990 ◽  
Vol 27 (4) ◽  
pp. 354-361 ◽  
Author(s):  
Hans Enemark ◽  
Stig Bolund ◽  
Inge Jørgensen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Long Term Results

scholarly journals Current status of presurgical infant orthopaedic treatment for cleft lip and palate patients: A critical review

2014 ◽  
Vol 47 (03) ◽  
pp. 293-302 ◽  
Author(s):  
P. Priyanka Niranjane ◽  
R. H. Kamble ◽  
S. Pallavi Diagavane ◽  
S. Sunita Shrivastav ◽  
Puneet Batra ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Scientific Evidence ◽  
Subsequent Development ◽  
Long Term Results ◽  
Current Status ◽  
Treatment Modalities ◽  
Aesthetic Results ◽  
Pubmed Search

ABSTRACTRehabilitation of cleft lip and palate (CLP) patients is a challenge for all the concerned members of the cleft team, and various treatment modalities have been attempted to obtain aesthetic results. Presurgical infant orthopaedics (PSIO) was introduced to reshape alveolar and nasal segments prior to surgical repair of cleft lip. However, literature reports lot of controversy regarding the use of PSIO in patients with CLP. Evaluation of long-term results of PSIO can provide scientific evidence on the efficacy and usefulness of PSIO in CLP patients. The aim was to assess the scientific evidence on the efficiency of PSIO appliances in patients with CLP and to critically analyse the current status of PSIO. A PubMed search was performed using the terms PSIO, presurgical nasoalveolar moulding and its long-term results and related articles were selected for the review. The documented studies report no beneficial effect of PSIO on maxillary arch dimensions, facial aesthetics and in the subsequent development of dentition and occlusion in CLP patients. Nasal moulding seems to be more beneficial and effective in unilateral cleft lip and palate patients with better long-term results.

scholarly journals COMPREHENSIVE REHABILITATION OF DISABLED CHILDREN WITH BILATERAL THROUGH-CLEFT LIP AND PALATE IN KRASNODAR REGION

2018 ◽  
Vol 25 (5) ◽  
pp. 14-21
Author(s):  
F. S. Ayupova ◽  
M. N. Mitropanova ◽  
V. V. Volobuev ◽  
A. F. Verapatvelian ◽  
S. S. Guschina ◽  
...  
Keyword(s):  
Growth And Development ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Maxillofacial Surgery ◽  
Pediatric Dentistry ◽  
Long Term Results ◽  
Comprehensive Rehabilitation ◽  
Upper Jaw

Aim.This study was designed to evaluate the immediate and long-term results of the Protocol of complex rehabilitation of 15 Kubanskij nauchnyj medicinskij vestnik 2018; 25 (5) children with bilateral through-cleft lip and palate (BTCLP) developed by the Department of pediatric dentistry, orthodontics and maxillofacial surgery of KSMU.Materials and methods. There was conducted the evaluation of the immediate and long-term results of the complex treatment of 25 patients with BTCLP aged 0 to 18 years according to the Protocol developed by the Department of pediatric dentistry, orthodontics and maxillofacial surgery of KSMU.Results. There was carried out a detailed analysis of the results of the application of the function-forming plate (FFP) in patients with BTCLP aged 0 to 1 year. The results of the models measurement in dynamics showed a significant growth and development of the upper jaw, the approximation of the shape and size of the upper alveolar arc to the norm, reducing the distance between its fragments to the minimum. There was established that long-term gradual orthodontic treatment provides conditions for physiological growth and development of the facial skeleton and for the formation of physiological occlusion in children with BTCLP. The usage of gentle methods of uranoplasty reduces the risk of dentoalveolar anomalies in children with BTCLP. The complex of therapeutic measures and terms of surgical intervention should be planned individually. The elimination of the defects of the alveolar process of the upper jaw by the method of autoosteoplasty is a necessary step in the complex rehabilitation of children with BTCLP during the periods of changing and forming permanent dentition. The planning of the stage of prosthetics of patients with BTCLP is individual and involves the creation of conditions for fullfledged functions of chewing, swallowing and speech, and it is recommended to carry it out with the help of modern aesthetic constructions that ensure the preservation of the results of the complex, including orthodontic, treatment.Conclusion.The analysis of the photographs of the face, TRG, CT and jaws diagnostic models obtained during the treatment of children and adolescents with congenital cleft lip and palate confirms the high morphofunctional and aesthetic result of the application of the developed at the Department of pediatric dentistry, orthodontics and maxillofacial surgery of KSMU Protocol of comprehensive rehabilitation of children with BTCLP. 

Short- and Long-Term Effects of Late Maxillary Advancement With the Liou-Alt-RAMEC Protocol in Unilateral Cleft Lip and Palate

2018 ◽  
Vol 56 (2) ◽  
pp. 159-167 ◽  
Author(s):  
Maria Costanza Meazzini ◽  
Laura B. Zappia ◽  
Chiara Tortora ◽  
Luca Autelitano ◽  
Roberto Tintinelli
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Long Term Results ◽  
Control Group ◽  
Class Iii ◽  
Maxillary Protraction ◽  
Long Term Follow Up ◽  
Short And Long Term

Objective: The objective of this retrospective longitudinal study was to evaluate short- and long-term results of the application of the Liou Alt-RAMEC (alternate rapid maxillary expansion and constriction) technique, a late orthopedic maxillary protraction technique, with intraoral anchorage, in patients with cleft. Materials and Methods: Twenty-six patients with unilateral cleft lip and palate (UCLP) were consecutively treated with the Alt-RAMEC technique. The average age of the patients was 11.7 years (10.3-13.2 years) before protraction and 18.3 years (17.4-21.1 years) at long-term follow-up. A sample of nontreated patients with UCLP was used as a control group. It was matched for sex, skeletal class III, and age (11.3 years). The control sample had records at the end of growth (18.7 years). Results: The sagittal advancement of A-point, after the application of the technique, was 5.7 (2.17) mm. Some mandibular dentoalveolar and positional adaptation was noted. The position of the maxilla was stable in the long term. On the other hand, the UCLP control group showed hardly any growth at the maxillary level during the long-term follow-up period. Conclusion: Our results showed that the Alt-RAMEC technique, performed at the correct time, with a double-hinged expander, followed by class III spring or elastic traction, 24 hours per day, allows for satisfactory maxillary protraction, with, at this stage, apparently stable long-term results. Nevertheless, as only 50% of the patients had long-term follow-up data, we are still unable to predict the percentage of patients which will not eventually need orthognathic surgery.

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