The journal of contemporary dental practice · 2013
The correction of maxillary defciency with internal distraction devices: a multidisciplinary approach.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Oz A Alper, Ozer Mete, Eroglu Lütfi, Ozdemir Oguz Suleyman
Аннотация
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 defciency in a 14-year-old female patient.
BACKGROUND: Only orthodontic treatment could be ineffcient for cleft lip and palate patients characterized with maxillary hypoplasia. Orthodontic and surgical treatment shows suffcient results, especially with severe skeletal defciency.
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 exemplifes the multidisciplinary care required for such diffcult cases. Clinical signifcance: Stable improved occlusion and skeletal relations were observed after a follow-up examination period of 12 months.
BACKGROUND: Only orthodontic treatment could be ineffcient for cleft lip and palate patients characterized with maxillary hypoplasia. Orthodontic and surgical treatment shows suffcient results, especially with severe skeletal defciency.
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 exemplifes the multidisciplinary care required for such diffcult cases. Clinical signifcance: Stable improved occlusion and skeletal relations were observed after a follow-up examination period of 12 months.
Предметные рубрики MeSH
AdolescentCleft LipCleft PalateDenture DesignDenture, Partial, FixedExtraoral Traction AppliancesFemaleFollow-Up StudiesHumansInternal FixatorsMalocclusionMalocclusion, Angle Class IIIMaxillaOrthognathic Surgical ProceduresOsteogenesis, DistractionOsteotomy, Le FortPatient Care PlanningPatient Care TeamPrognathismTooth Movement Techniques