구순구개열자의 중안면 열성장 개선을 위한 새로운 접근

New Approach for Midface Hypoplasia in Cleft Lip and Palate Patients

  • 김영오 (부산대학교 치의학전문대학원 치과교정학교실) ;
  • 최윤경 (부산대학교 치의학전문대학원 치과교정학교실) ;
  • 정인교 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 손우성 (부산대학교 치의학전문대학원 치과교정학교실)
  • Kim, Young-Oh (Department of Orthodontics, School of Dentistry, Pusan National University) ;
  • Choi, Yoon-Kyung (Department of Orthodontics, School of Dentistry, Pusan National University) ;
  • Jung, In-Kyo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Yong-Deok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Son, Woo-Sung (Department of Orthodontics, School of Dentistry, Pusan National University)
  • 발행 : 2013.06.25

초록

Purpose : To introduce a more effective and efficient protocol for protraction of maxillary complex in CLP patient and demonstrate it by case presentation. Methods : Miniplates are placed on zygomatic buttress and anterior part of mandible, at the time of secondary alveolar bone graft. During the night time, the orthopedic force is applied by wearing elastics from maxillary miniplates to facemask (500 g per side). During the day time, the intermaxillary elastics connecting maxillary miniplates to mandibular miniplates are applied (200 g per side). During the orthopedic treatment, dental alignment is possible. Results and conclusion : By the new protocol, the intermaxillary relation and occlusion are improved due to the stable intraoral anchorage and better cooperation of patients.

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