Dentofacial deformity patients combined with cleft lip and palate are usually encountered at dental clinic and they require a rehabilitation for better esthetics and improvement of function.
Rehabilitation of the patient combined with cleft lip and palate requires a consideration of the appearance, speech, occlusion, mastication, hearing an deglutition as well as emotional and social well-being of the patients.
This study is aimed for helping better understanding for ideal materials as bone graft and proper time of bone graft.
The material used in this study consists of the 14 cases of dentoalveolar cleft patients at the department of dentistry, medical college of young nam university, for the period of March 1990 to Jenuary 1993
@ES The obtained results were as follows:
@EN 1. All patients were arranged from 11 years to 36 years, their average age was 30.3 years at male and 15 years at female. Male to female ratio was about 10 : 4.
2. the bone graft materials were obtained from iliac bone in 10 cases, the chin bone in 1 case, alveolar bone of extraction socket in 1 case, and parietal bone 2 cases.
3. There was no presurgical-orthodontic treatment in 3 cases. And others were performed with presurgical-orthodontic treatment. And the period of presurgical-orthodontic treatment were arranged from 3 months to 19 months.
3. Recipient sites showed successful ossification with the exception of 1 case.
5. There was no complication such as infection or necrosis in 13 cases. But we showed a complication with wound dehescence and resorption of graft materiaal caused to poor mucosal flap coverage in 1 case
6. As bone graft of dentoalveolar cleft patients, we found that presurgical-orthodontic treatment was needed for improvement of anterior-posterior discrepancy and security of sufficient intercanine width.
|