Journal of Korean Dental Science

  • 제17권3호
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  • Pages.151-162
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  • 2024
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  • 2005-4742(pISSN)
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  • 2713-7651(eISSN)
대한치의학회 (Korean Academy of Dental Science)
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Non-Surgical Correction of Collapsed Posterior Occlusion in a Unilateral Cleft Lip and Palate Patient with Multiple Missing Teeth: A Case Report

  • Utkarsh Mangal (Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry) ;
  • Hyeonseok Jinn (Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry) ;
  • Heon Jo (Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry) ;
  • Sung-Hwan Choi (Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry)
  • 투고 : 2024.07.11
  • 심사 : 2024.09.12
  • 발행 : 2024.09.30
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초록

This case report demonstrates correction of functional occlusion in a patient with unilateral cleft lip and palate, achieved through nonsurgical orthodontic treatment. An 18-year-old male with unilateral cleft lip and palate presented with posterior occlusion collapse, attributed to the lateral collapse of the right maxillary arch, severe lingual inclination of mandibular molars, and multiple missing teeth. With the usage of fixed orthodontic appliances and mini-implant anchors, functional posterior occlusion, proper anterior overjet, and improved soft tissue profile was achieved. This case exemplifies the impact of specialized orthodontic care in enhancing both function and aesthetics for patients with congenital oral conditions.

키워드

과제정보

This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (Grant Number: HI20C0611) and by the Institute for Project-Y Seed Grant of 2023.

참고문헌

  1. Farronato G, Kairyte L, Giannini L, Galbiati G, Maspero C. How various surgical protocols of the unilateral cleft lip and palate influence the facial growth and possible orthodontic problems? Which is the best timing of lip, palate and alveolus repair? Literature review. Stomatologija. 2014;16:53-60. 
  2. Liao YF, Mars M. Hard palate repair timing and facial growth in cleft lip and palate: a systematic review. Cleft Palate Craniofac J. 2006;43:563-70.  https://doi.org/10.1597/05-058
  3. Mars M, Houston WJ. A preliminary study of facial growth and morphology in unoperated male unilateral cleft lip and palate subjects over 13 years of age. Cleft Palate J. 1990;27:7-10. 
  4. Disthaporn S, Suri S, Ross B, Tompson B, Baena D, Fisher D, Lou W. Incisor and molar overjet, arch contraction, and molar relationship in the mixed dentition in repaired complete unilateral cleft lip and palate: A qualitative and quantitative appraisal. Angle Orthod. 2017;87:603-9.  https://doi.org/10.2319/091916-698.1
  5. Pruzansky S, Aduss H. Prevalence of arch collapse and malocclusion in complete unilateral cleft lip and palate. Rep Congr Eur Orthod Soc. 1967;43:365-82. 
  6. Koo YJ, Choi SH, Keum BT, Yu HS, Hwang CJ, Melsen B, Lee KJ. Maxillomandibular arch width differences at estimated centers of resistance: comparison between normal occlusion and skeletal Class III malocclusion. Korean J Orthod. 2017;47:167-75.  https://doi.org/10.4041/kjod.2017.47.3.167
  7. Ahn J, Kim SJ, Lee JY, Chung CJ, Kim KH. Transverse dental compensation in relation to sagittal and transverse skeletal discrepancies in skeletal Class III patients. Am J Orthod Dentofacial Orthop. 2017;151:148-56.  https://doi.org/10.1016/j.ajodo.2016.06.031
  8. Polder BJ, Van't Hof MA, Van der Linden FP, Kuijpers-Jagtman AM. A meta-analysis of the prevalence of dental agenesis of permanent teeth. Community Dent Oral Epidemiol. 2004;32:217-26.  https://doi.org/10.1111/j.1600-0528.2004.00158.x
  9. Bartzela TN, Carels CE, Bronkhorst EM, Kuijpers-Jagtman AM. Tooth agenesis patterns in unilateral cleft lip and palate in humans. Arch Oral Biol. 2013;58:596-602.  https://doi.org/10.1016/j.archoralbio.2012.12.007
  10. Bartzela TN, Carels CE, Bronkhorst EM, Ronning E, Rizell S, Kuijpers-Jagtman AM. Tooth agenesis patterns in bilateral cleft lip and palate. Eur J Oral Sci. 2010;118:47-52.  https://doi.org/10.1111/j.1600-0722.2009.00698.x
  11. Nakamura SS, Donatelli D, Rosenberg ES. Posterior bite collapse: Guidelines for treatment based on form and function. Int J Periodontics Restorative Dent. 2022;42:351-9.  https://doi.org/10.11607/prd.5073
  12. Cassi D, Di Blasio A, Di Benedetto L, De Biase C, Pedrazzi G, Piancino MG. Evaluation of masticatory function in patients with cleft lip and/or palate. Eur J Oral Sci. 2021;129:e12781. 
  13. Ciancaglini R, Gherlone E, Radaelli G. Association between loss of occlusal support and symptoms of functional disturbances of the masticatory system. J Oral Rehabil. 1999;26:248-53.  https://doi.org/10.1046/j.1365-2842.1999.00368.x
  14. Nguyen MS, Saag M, Jagomagi T, Nguyen QH, VoogOras u. The impact of occlusal support on temporomandibular disorders: a literature review. Proc Singap Health. 2021;31:20101058211023779. 
  15. Tallents RH, Macher DJ, Kyrkanides S, Katzberg RW, Moss ME. Prevalence of missing posterior teeth and intraarticular temporomandibular disorders. J Prosthet Dent. 2002;87:45-50.  https://doi.org/10.1067/mpr.2002.121487
  16. Mack MR. Vertical dimension: a dynamic concept based on facial form and oropharyngeal function. J Prosthet Dent. 1991;66:478-85.  https://doi.org/10.1016/0022-3913(91)90508-T
  17. Mohindra NK, Bulman JS. The effect of increasing vertical dimension of occlusion on facial aesthetics. Br Dent J. 2002;192:164-8.  https://doi.org/10.1038/sj.bdj.4801324
  18. Choi SH, Jeon JY, Lee KJ, Hwang CJ. Clinical applications of miniscrews that broaden the scope of non-surgical orthodontic treatment. Orthod Craniofac Res. 2021;24(Suppl 1):48-58.  https://doi.org/10.1111/ocr.12452
  19. Moreno-Hay I, Okeson JP. Does altering the occlusal vertical dimension produce temporomandibular disorders? A literature review. J Oral Rehabil. 2015;42:875-82.  https://doi.org/10.1111/joor.12326
  20. Li W, Lin J, Fu M. Electromyographic investigation of masticatory muscles in unilateral cleft lip and palate patients with anterior crossbite. Cleft Palate Craniofac J. 1998;35:415-8.  https://doi.org/10.1597/1545-1569_1998_035_0415_eiommi_2.3.co_2
  21. Gross MD, Nissan J, Ormianer Z, Dvori S, Shifman A. The effect of increasing occlusal vertical dimension on face height. Int J Prosthodont. 2002;15:353-7. 
  22. Shellhart WC, Oesterle LJ. Uprighting molars without extrusion. J Am Dent Assoc. 1999;130:381-5.  https://doi.org/10.14219/jada.archive.1999.0208
  23. Baik UB, Chun YS, Jung MH, Sugawara J. Protraction of mandibular second and third molars into missing first molar spaces for a patient with an anterior open bite and anterior spacing. Am J Orthod Dentofacial Orthop. 2012;141:783-95.  https://doi.org/10.1016/j.ajodo.2010.07.031
  24. Kravitz ND, Jolley T. Mandibular molar protraction with temporary anchorage devices. J Clin Orthod. 2008;42:351-5. 
  25. Lopatiene K, Dumbravaite A. Risk factors of root resorption after orthodontic treatment. Stomatologija. 2008;10:89-95. 
  26. Ghorbanyjavadpour F, Rakhshan V. Factors associated with the beauty of soft-tissue profile. Am J Orthod Dentofacial Orthop. 2019;155:832-43.  https://doi.org/10.1016/j.ajodo.2018.07.020
  27. Granger ER. Practical procedures in oral rehabilitation. 1st ed. Philledelphia: Lippincott; 1962.