Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate

被引:0
作者
Aslan, Belma, I [1 ]
Kucukkaraca, Ebru [1 ]
Atac, Mustafa S. [2 ]
Yildirim-Bicer, A. Zeynep [3 ]
Ucuncu, Neslihan [1 ]
机构
[1] Gazi Univ, Sch Dent, Dept Orthodont, Ankara, Turkey
[2] Gazi Univ, Sch Dent, Dept Maxillofacial Surg, Ankara, Turkey
[3] Gazi Univ, Sch Dent, Dept Prosthodont, Ankara, Turkey
关键词
Untreated UCLP; adult UCLP; multidisciplinary treatment;
D O I
10.5152/TurkJOrthod.2016.15-00002R1
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
We present the multidisciplinary treatment of a young adult patient with unilateral complete cleft lip and palate (UCLP). The patient with UCLP was 17 years old and had not applied for treatment before. He presented with a concave profile, lateral crossbite and a tete-a-tete overbite. After initial orthodontic treatment the patient's cleft lip and nose and afterwards his palate were operated on. During the orthodontic treatment the patient had a negative overjet of 6 mm, a residuel fistule in soft palate, maxillary and secondary nose base deficiency, also a severe alveolar cleft in the premaxilla. To fix these problems, the patient's maxilla was advanced by applying a Lefort-1 osteotomy, the secondary fistule in the soft palate was operated on and the alveolar defect was grafted with a biocollagen membrane, cansellous block graft and cansellous granular graft. The orthodontic treatment lasted 1 year following the orthognathic surgery. At the end of the orthodontic treatment Class I molar relationship was achieved on the right side and full Class II on the left side and also a 1 mm overjet and overbite. After a period of retention of 1.5 years some relapse occurred and delayed prosthetic treatment was performed by applying an adhesive bridge. Late term multidisciplinary treatment gave the UCLP patient a good appearance as well as psychological and social benefits.
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页码:96 / 102
页数:7
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