| Interdisciplinary treatment of an adult with complete bilateral cleft lip and palate. | |
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MedLine Citation:
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PMID: 22449595 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Interdisciplinary treatment was used for an adult patient born with complete bilateral cleft lip and palate. He had a severe maxillary deficiency with a wide cleft involving the alveolar and maxillary bone and palate. Reconstruction of the arches and occlusion in patients who missed the optimal treatment time is a difficult task for orthodontists. The clinical examination showed severe hypogenesis of the maxillary bone with a total crossbite. The maxillary dental arch was extremely narrow, and the maxillary incisors showed extensive caries caused by improper oral hygiene. Fixed and removable expansion appliances were used to improve the lateral crossbite. Alveolar bone grafting and unilateral LeFort I maxillary osteotomy were performed on the right side for alignment of the maxillary arch. Mandibular setback with bilateral sagittal split ramus osteotomy was also performed to correct the anteroposterior skeletal discrepancy. After postsurgical orthodontic treatment, prosthetic treatment was carried out for final reconstruction of esthetics and orthognathic function. Interdisciplinary treatment was necessary for this patient to achieve a proper occlusion and better esthetics. |
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Authors:
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Wataru Okada; Tadayoshi Fukui; Tomoyuki Saito; Chikahiro Ohkubo; Yoshiki Hamada; Yoshiki Nakamura |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics Volume: 141 ISSN: 1097-6752 ISO Abbreviation: Am J Orthod Dentofacial Orthop Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-03-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8610224 Medline TA: Am J Orthod Dentofacial Orthop Country: United States |
Other Details:
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Languages: eng Pagination: S149-58 Citation Subset: D; IM |
Copyright Information:
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Copyright © 2012 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Clinical fellow, Department of Orthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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