scholarly journals APPLICATION OF MODERN TECHNOLOGIES IN COMPLEX REHABILITATION WITH CONGENITAL CLEFT OF UPPER LIP, ALVEOLAR RIDGE AND PALATE

2018 ◽  
Vol 14 (4) ◽  
pp. 71-76 ◽  
Author(s):  
Евгения Бимбас ◽  
Evgeniya Bimbas ◽  
Светлана Блохина ◽  
Svetlana Blohina ◽  
Евгения Меньшикова ◽  
...  

Object. Considered a clinical case of congenital cleft of the upper lip, alveolar ridge and palate describes the stages of treatment. The aimof the study is to present a comprehensive approach to the treatment of patients with congenital cleft of the upper lip, alveolar ridge and palate on a clinical example. Methodology. The article is devoted to the clinical case of treatment of a patient with congenital cleft of the upper lip, alveolar ridge and palate from birth to completion of complex rehabilitation. The patient in different age periods underwent a complete clinical examination with the use of additional research methods, as well as a step-by-step treatment plan. Within eighteen months, a comprehensive treatment was carried out on a fixed technique with a surgical stage-alveoloplasty. The step-by-step dynamics of complex treatment is presented. Results. As a result of treatment, the patient received a complex rehabilitation specialists MCMC "Bonum" of the city of Yekaterinburg, namely the closure of the defect on the upper lip, alveolar ridge and the palate, the normalization of the position of the teeth, the dentition in the sagittal, vertical and transversal plane, the restoration of the functions of respiration and speech. Conclusion. In case of congenital cleft of the upper lip, alveolarridge, palate, it is necessary to work together orthodontist and maxillofacial surgeon using modern technology, combined with the use of fixed orthodontic technique. An integrated approach allows for the rehabilitation of children with congenital cleft lip, alveolarridge, the sky in a timely manner, with a good end result.

2013 ◽  
Vol 1 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Yulia Vladimirovna Stepanova ◽  
Margarita Sergeevna Tsyplakova

Complex treatment of children with cleft lip and palate is complicated and multi-step. Treatment is conducted by high-skilled specialists. The organization and execution of this complex are possible only at the large specialized center. Coordinator of this work is the maxillofacial surgeon. The performance of rehabilitation circuits includes preoperative orthodontic and orthopedic treatment, operative intervention (reconstructive and plastic surgery), orthodontic and orthopedic treatment after operation. Post-operative conservative treatment prevents the development of secondary deformities of the nose and upper lip. Professional psychological help and long supervision promote the achievement of good social adaptation of patients with congenital cleft lip and palate, improvement of their health.


2020 ◽  
Vol 5 (9) ◽  

The need to develop and improve methods of diagnos is and treatment of patients with deformities of the jaws is determined primarily by the frequency of it prevalence. Dental anomalies occur in 33.7 - 49% of those examined. To improve the effectiveness of orthodontic treatment of patients with skeletal forms of sagittal anomalies of occlusion of the dentition, it is necessary to conduct additional methods of examination, computer modeling of treatment results, drawing up a comprehensive treatment plan. Clinical case. Patient 33 years old. Skeletal III class, Mesial occlusion of dental arches, Narrow upper jaw, Tooth crowding, periodontal problems, gingival loss. After additional diagnostic methods, computer simulation of treatment was performed, various treatment options were considered.


ASJ. ◽  
2021 ◽  
Vol 1 (50) ◽  
pp. 10-13
Author(s):  
A. Eshiev ◽  
N. Taalaibekov ◽  
E. Derbishev

The aim of the study is to examine the incidence and factors of congenital cleft lip and palate in the southern region of the Kyrgyz Republic, according to the form of clefts and according to the classification of MMDI, as well as their rehabilitation. We studied in detail the case histories of 2116 patients treated in the maxillofacial surgery department of Osh Interregional United Clinical Hospital according to the age and sex, as well as the form of congenital cleft lip and palate. Moreover, a questionnaire was administered to parents of children with CCLP for risk factors during pregnancy. A retrospective study of medical history revealed, among congenital anomalies, clefts of the soft, hard palate, alveolar process and upper lip prevailed - (combined) 891 (42,3%) Congenital cleft of soft, hard palate - 586 (27,7%), then isolated congenital cleft of the maxilla - 415 (19,6%), congenital cleft of the soft palate only 10,5% - 224 children were followed. The results of the questionnaire revealed that the parents of children born with CCLP were influenced by various unfavorable factors in the period of formation of the facial section of the fetus. The survey revealed that the relatives had CCLP, which accounted for 12.9% of all newborns, indicating a rather high role of hereditary predisposition. In addition to the hereditary genetic factor, an important role is played by infectious diseases suffered during the first trimester. It is noted that 12.8% of the children born with CCLP had infectious diseases. The mothers independently took drugs during pregnancy (antibiotics, salicylates, sulfonamides without a doctor's prescription), 17.6% of women were anemic during pregnancy, and 16.3% had severe toxemia. Along with this, it was found that the smallest number of women suffered mental trauma in the first trimester of pregnancy 0.4% of the mothers of children born with CCLP. Further, we registered patients with CCLP in the special software ONYX CEPH-3 from 01.01.2015 to the present, where we enter detailed information about patients with CCLP pathology. It creates convenience for parents both informationally and economically, as well as directly for the doctor in terms of dynamic observation of the functional and aesthetic condition and development of the child. In order to further develop programs to prevent the prevalence of congenital pathology, improve the quality of comprehensive treatment method, as well as medical and social rehabilitation of such patients and work with families of children with CCLP, we have developed a single program ONYX CEPH3 providing dispensary and rehabilitation of children.


2017 ◽  
Vol 54 (2) ◽  
pp. 231-234 ◽  
Author(s):  
Alberto Bianchi ◽  
Sara Amadori ◽  
Massimo Bassi ◽  
Iria Neri ◽  
Angelo Campobassi ◽  
...  

A neonate presented to our clinic for evaluation of unusual congenital cleft lip. The clinical follow-up showed at first an ulceration of the lesion and then a stable result after propanolol systemic therapy. After 18 months of clinical follow-up, surgical treatment was performed, which consisted of double unilimb Z-plasty according to Mulliken's microform cleft lip repair. Knowing the existence of these strange vascular anomalies of the lip will allow us to improve the differential diagnosis and treatment plan.


2020 ◽  
Vol 15 (4) ◽  
pp. 162-169 ◽  
Author(s):  
Yulia Rogozhina ◽  
Svetlana Blohina ◽  
Evgeniya Bimbas

Subject. Congenital cleft of the upper lip and palate is one of the most common malformations of the maxillofacial region which percentage is 86-88 %. This defect causes a complex set of anatomical and functional changes in the structures of the face and palate, it negatively affects the development of the child's body, therefore, it requires competent definition and extensive professional knowledge on its systematization and early elimination. The purpose of research — study of the incidence of asymmetric cleft lip and palate on children and complement the clinical and anatomical classification of clefts options asymmetry of the affected tissues. Methodology. There was carried out a retrospective statistical analysis of case histories of 687 patients with congenital cleft of the upper lip and / or palate, who received treatment on the basis of State Autonomic Health Institution of the Sverdlovsk Region Multiprofile Clinical Medical Center «Bonum» for the period 2015—2019 with the determination of the variety of types of lesions. Results. Asymmetry of the affected tissues occurred in 8.59 % of cases of the total number of children (687 patients) who was born with maxillofacial pathology of the upper lip and palate which required clarification of the clinical anatomical classification and the choice of individual treatment tactics. A clinical and anatomical classification that takes into account asymmetric clefts of the upper lip and palate was proposed. Conclusions. The allocation of asymmetric clefts of the upper lip and palate into certain groups of lesions and an assessment of their frequency made it possible to present a classification of this type of defect, which expanded the idea of the variety of anomalies of the maxillofacial region. The classification we proposed takes into account in more detail the clinical features of the congenital cleft of the upper lip and palate and, thus, more fully meets the clinical requirements and international standards, which allowed us to develop new methods of surgical treatment of congenital cleft of the upper lip and palate, as well as to build management tactics for such patients together with other specialists.


Author(s):  
Kaushik Bhattacharya ◽  
Aditya Shikar Bhattacharya ◽  
Neela Bhattacharya

Congenital Cleft Lip and Palate is a common birth defect with an incidence of 1 in 600 to 800 live births. This defect usually affects either the left, right or in some cases both sides of the lip and is called a Tessier Type 3 cleft. Clefting of the face in the midline is exceedingly rare and such a case of a Median Facial Cleft Syndrome is being reported which occurs in nearly 1 in 1,000,000 live births. This was first described by Bechard in 1823 and can be sporadic or part of an inherited syndrome. The child had a median cleft of the upper lip, nose, and palate of a severe, complete variety, with absent philtrum of the upper lip, premaxilla, columella, nasal septum and vomer.


2006 ◽  
Vol 30 (4) ◽  
pp. 280-282 ◽  
Author(s):  
Elena Barbería ◽  
Tania Lucavechi ◽  
Dora Cárdenas ◽  
Myriam Maroto

Unhealthy oral habits may be involved in the etiology of a malocclusion, since they may affect development of the orofacial region. There is little information on the habit of sucking the lower lip, to which practitioners attribute less clinical consequences. However, lower lip sucking is a harmful habit which appears frequently in children, especially during situations requiring increased attention and mental concentration. In patients presenting lower lip sucking, strong contractions of the lower lip's orbicular's muscle and the mentalis muscle, associated with hypertonicity of the upper lip caused by sucking, has to be balanced by lingual thrusting during the act of deglutition. A case is presented in which failure to identify the habit of lower lip sucking led to an atypical lesion on the tongue, caused by the tongue's impaction against the orthodontic appliance prescribed to correct a malocclusion. The recognition and elimination of an unhealthy habit is of great importance in diagnosis and the establishment of a treatment plan, so that undesirable complications can be avoided.


2021 ◽  
Vol 19 (4) ◽  
pp. 338-342
Author(s):  
I. V. Kornetova ◽  
A. V. Mitronin ◽  
I. M. Rabinovich

Primary endodontic treatment of chronic apical periodontitis caused by primary perio lesion, a frequent case in the dental clinical practice. This situation is a dilemma when drawing up a comprehensive treatment plan for a patient, taking into account the pathogenesis of the disease. Extracting or saving a tooth is still a controversial issue for dental surgeons and therapists. To obtain a successful result, it is necessary to carry out high-quality endodontic and periodontal treatment. This article represents a clinical case of primary endodontic treatment of tooth 1.7 with endo-perio lesion. At the final stage, the final result of the treatment is presented in 2 weeks. This article will help dentists acquire additional knowledge necessary for making decisions and choosing treatment tactics in difficult clinical situations.


Sign in / Sign up

Export Citation Format

Share Document