Reconstruction of Premaxilla With Alveolar Distraction Osteogenesis in a Patient With Complete Cleft Lip and Palate: A Case Report

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Nor ShahabN Erverdi

Abstract

This case report presents an early clinical evaluation of a patient with bilateral cleft lip and palate (CLP) treated with ArchWise Distraction Osteogenesis Technique and Appliance. A 16-year-old patient with a bilateral CLP had a chief complaint of missing upper anterior teeth and poor aesthetics. The patient had class III skeletal and dental relationships, maxillary hypoplasia, maxillary posterior arch constriction, premaxillary deficiency, multiple missing teeth due to an alveolar cleft, and a concave profile. Treatment plan consisted of maxillary expansion with quad helix appliance, leveling and aligning of the arches with fixed orthodontic appliances, and archwise distraction osteogenesis. Osteotomies were performed to mobilize the posterior segments. Activation of the distractors was continued until the lateral segments had contacted each other, and then sagittal distraction was performed in order to correct the sagittal discrepancy. Patient was referred to the oral surgeon and prosthodontist for the final restorations. A very large gap was successfully repaired using this protocol while maintaining the ideal arch form and generating new bone behind the distracted segments.

References

Oct 28, 2003·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Thomas BingerWolfgang J Spitzer
Jun 2, 2005·British Journal of Plastic Surgery·Masaharu MitsugiRafael E Alcalde
Dec 7, 2011·International Journal of Oral and Maxillofacial Surgery·N ErverdiB U Selamet
Nov 13, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Nejat ErverdiNazan Kucukkeles
Sep 13, 2013·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Ahmet Nejat ErverdiKemal Ugurlu

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Citations

Mar 10, 2020·The Journal of Craniofacial Surgery·Da So Mi KimJung-Yul Cha
Jun 21, 2019·Current Opinion in Otolaryngology & Head and Neck Surgery·Lisa Morris
Dec 1, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Amara AbreuDaniel Levy-Bercowski

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Software Mentioned

ArchWise Distraction Appliance ( AWDA
AWDA

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