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Am J Orthod Dentofacial Orthop. 2014 Aug;146(2):238-48. doi: 10.1016/j.ajodo.2013.10.024.

Interdisciplinary treatment for an adult with a unilateral cleft lip and palate.

Author information

1
Attending orthodontist, Department of Orthodontics, Stomatological Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, People's Republic of China.
2
Associate professor, Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, Mich.
3
Associate professor, College of Stomatology, Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
4
Associate professor, Department of Orthodontics, Stomatological Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu, People's Republic of China. Electronic address: lihuang76@nju.edu.cn.

Abstract

A young man, age 18 years 4 months, with a concave profile, a skeletal maxillary deficiency, and a severe alveolar cleft with an unesthetic appearance of the maxillary anterior teeth was referred for orthodontic treatment. After a detailed review of his pretreatment records, both surgical and nonsurgical treatment plans were presented to the patient, who opted for a nonsurgical interdisciplinary approach. His complex 3-dimensional malocclusion required palatal expansion, dental extractions, and periodontal and prosthodontic consultations and treatment, in addition to comprehensive orthodontic therapy. MBT (Xinya, HangZhou, China) 0.022 × 0.028-in appliances combined with a mini-implant to enhance the orthodontic anchorage were used to level, align, and establish a Class I relationship. After the orthodontic treatment, a combined restorative and periodontal approach was used to enhance the patient's esthetic and functional outcomes. Both the final result and the 1-year follow-up records demonstrate that the treatment goals of establishing proper occlusion, normal function, a balanced profile, better esthetics, and a stable outcome were achieved. The purpose of this case report is to demonstrate that an interdisciplinary treatment protocol can significantly improve the transverse discrepancies and achieve a satisfactory occlusion with a balanced profile in patients with cleft lip and palate.

Comment in

PMID:
25085307
DOI:
10.1016/j.ajodo.2013.10.024
[Indexed for MEDLINE]
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