Compensation orthodontic treatment of an adult patient with bilateral cleft lip and palate clip. Case Report

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.

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Prosthetic Rehabilitation of Cleft Lip Palate with Andrews Bridge Modified as Obturator Prosthesis: Case Report

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2020-0010 ◽

2020 ◽

Vol 24 (1) ◽

pp. 57-61

Author(s):

Almina Murić ◽

Demet Cagil Ayvalioglu ◽

Bilge Gokcen Rohlig

Keyword(s):

Case Report ◽

Cleft Palate ◽

Orthodontic Treatment ◽

Cleft Lip ◽

Radiographic Evaluation ◽

Congenital Defects ◽

Prosthetic Rehabilitation ◽

Removable Partial Denture ◽

Partial Denture ◽

Cleft Lip Palate

SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.

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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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Case report on bilateral cleft palate with protuded premaxilla

IP Journal of Paediatrics and Nursing Science ◽

10.18231/j.ijpns.2021.032 ◽

2022 ◽

Vol 4 (4) ◽

pp. 154-157

Author(s):

Priyanka Kosare ◽

Pallavi Madanrao Bobade

Keyword(s):

Case Report ◽

Cleft Palate ◽

Soft Palate ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Bilateral Cleft Lip ◽

Icd 10

Cleft palate (ICD 10-Q 35.9) with Protruding of premaxilla is common feature in patient with bilateral cleft lip and palate it is due to the under trained growth at anterior nasal septal and vomero-premaxillary suture without lateral continuities. Hippocrates (400BC) AND Galen(150AD) mansion cleft lip, but not cleft palate in their writing, Cleft palate –Fanco.(1556), Repair of cleft lip –as early as 255-206 BC in CHINA. The first successful closure of a soft palate defect was reported in 1764 by LEMONNIERa French dentist.

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

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1433 ◽

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.

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Prenatal Diagnosis of Fetal Cleft Lip and Palate with Three-Dimensional Ultrasound Information Technology

Scientific Programming ◽

10.1155/2021/1531724 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Xinglong Deng ◽

Suhui He ◽

Qiumei Wu ◽

Zongjie Weng ◽

Minmin Yang ◽

...

Keyword(s):

Prenatal Diagnosis ◽

Cleft Palate ◽

Detection Rate ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Ultrasound Examination ◽

Three Dimensional ◽

Two Dimensional ◽

Bilateral Cleft Lip ◽

Cleft Lip Palate

Objective. To evaluate the three-dimensional ultrasound paper cleft lip and palate deformities in applications in prenatal diagnosis. Methods. 25 cases of cleft lip and palate fetus, 20–32 weeks of gestational age, with the maternal age of 22–44 years, were examined by prenatal ultrasound in our hospital; conventional two-dimensional ultrasound examination was performed after a cleft lip, and the application of three-dimensional ultrasound imaging surface and a transparent imaging showed the alveolar process and the palate of the fetus. Also, the results of two-dimensional ultrasound and postnatal (or after induction) results were compared. Results. Of the 25 cases, there were 6 cases of postpartum induction or simply unilateral cleft lip, 17 cases of unilateral cleft palate, and two cases of bilateral cleft lip palate. There was no significant ( P > 0.05 ) difference of two- and three-dimensional ultrasound detection rate of pure cleft lip; two-dimensional ultrasound cleft palate detection rate was 36.8% (7/19), and three-dimensional ultrasound cleft palate detection rate was 89.5% (17/19). The two methods showed a statistically significant ( P < 0.05 ) difference in the detection rate of cleft palate. Conclusion. Three-dimensional ultrasound can significantly improve the diagnostic accuracy of prenatal cleft palate.

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Speech in a consecutive series of children born with cleft lip and palate with and without syndromes and/or additional malformations

BMC Pediatrics ◽

10.1186/s12887-021-02783-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kristina Klintö ◽

Maria Sporre ◽

Magnus Becker

Keyword(s):

Cleft Palate ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Consecutive Series ◽

Total Group ◽

One Stage ◽

Audio Recordings ◽

Bilateral Cleft Lip ◽

Palatal Surgery ◽

Group Comparisons

Abstract Background When evaluating speech in children with cleft palate with or without cleft lip (CP/L), children with known syndromes and/or additional malformations (CP/L+) are usually excluded. The aim of this study was to present speech outcome of a consecutive series of 5-year-olds born with CP/L, and to compare speech results of children with CP/L + and children with CP/L without known syndromes and/or additional malformations (CP/L-). Methods One hundred 5-year-olds (20 with CP/L+; 80 with CP/L-) participated. All children were treated with primary palatal surgery in one stage with the same procedure for muscle reconstruction. Three independent judges performed phonetic transcriptions and rated perceived velopharyngeal competence from audio recordings. Based on phonetic transcriptions, percent consonants correct (PCC) and percent non-oral errors were investigated. Group comparisons were performed. Results In the total group, mean PCC was 88.2 and mean percent non-oral errors 1.5. The group with bilateral cleft lip and palate (BCLP) had poorer results on both measures compared to groups with other cleft types. The average results of PCC and percent non-oral errors in the CP/L + group indicated somewhat poorer speech, but no significant differences were observed. In the CP/L + group, 25 % were judged as having incompetent velopharyngeal competence, compared to 15 % in the CP/L- group. Conclusions The results indicated relatively good speech compared to speech of children with CP/L in previous studies. Speech was poorer in many children with more extensive clefts. No significant differences in speech outcomes were observed between CP/L + and CP/L- groups.

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