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KMID : 0358920000270030388
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Journal of the Korean Academy of Pedodontics
2000 Volume.27 No. 3 p.388 ~ p.393
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Orthodontic and prosthodontic treatment in cleft lip and palate patient
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Chang Weon-Suk
Lee Keung-Ho
Choi Young-Chul
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Abstract
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Cleft lip and palate is one of the most common congenital defects in oho-maxillo-facial region Because most patients undergo surgical repair in early life. the sagittal jaw relationships used to be deteriorated gradually from palate surgery up to adulthood. Also. the maxillary lateral incisor may be absent or atypical-shaped in the cleft site and may not erupt or erupt ectopically, so multidisciplinary dental cares are needed for cleft lip and palate patients. The effects of the cleft lip and alveolus seem to be limited to that part of the dentofacial complex that surrounds the cleft area. In the maxillary arch, the anterior part of 7he non cleft segment has a tendency to be rotated forward. On the other hand, the cleft segment has a tendency to rotated slightly medially ;hence. the tendency for canines to be edge-to-edge and sometimes in crossbite. Lip and alveolus surgery adoquetely correct these problems, with little untoward effect on the skeletal maxillary-mandible relationships.
In this report, the patient has a repaired lip and cleft alveolus on the left side with congenital missing on #62, #22, oronasal fistula. and skeletal class Ⅲ malocclusion which is not affected by lip surgery.
Dental treatments for this patient including orthodontic(space supeivision, functional regulator in mixed dentition, fixed therapy in permanent dentition) and prosthodontic(removable obturator with key and keyway attachment and Konus crown) therapy were performed to improve the patient s functions and esthetics.
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KEYWORD
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Cleft lip and palate, Orthodontic treatment, Obturator
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