Browse > Article

Orthodontic treatment and management of adult patient with cleft lip and palate  

Kim, Seong Sik (Department of Orthodontics, School of Dentistry, Pusan National University)
Publication Information
The Journal of the Korean dental association / v.53, no.7, 2015 , pp. 457-467 More about this Journal
Abstract
Patients with cleft lip and palate require interdisciplinary treatment to achieve successful rehabilitation. However, there are special difficulties in orthodontic treatment of adult cleft lip and palate patients: 1. Lack of Tissue, Bone, and Soft tissue; 2. Heavy Scar Tissue, Vestibule, and Palate; 3. Severe Anteroposterior discrepancy and Impaired Maxilla; 4. Distortion of Alveolar Ridge; 5. Abnormal Eruption Path and Malalignment of Tooth. Solving these problems, orthodontist should have differential diagnosis on extent of cleft site and residual deformities of adult cleft lip and palate patient. The tooth missing area in cleft site was commonly treated with a removable or fixed prosthesis, but this method is not stable to retain maxillary arch shape. To establish the more stable arch shape in cleft lip and palate, endosseous implants in the alveolar clefts with bone graft is helpful for management of adult cleft lip and palate patient.
Keywords
cleft lip and palate; orthodontic treatment; residual deformities; implant site development; endosseous implant;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Cooper HK, Long RE Sr., Long RE Jr. and Pepek JH. Orthodontics and Oral orthopedics. In Cooper HK et al, ed. : Cleft palate and cleft lip-A team approach to clinical management and rehabilitation of the patient, Philadephia, WB Saunders Co., 358-429, 1979.
2 Jacobson BN, Rosenstein SW. Cleft lip and palate : The orthodontist's youngest patients. Am J Orthod Dentofac Orthop 1986;90:63-66.   DOI
3 양원식, 손우성, 백승학. 알기 쉬운 순, 구개열 이야기. 서울: 지성출판사, 2001.
4 손우성. 구개 파열자의 상악치궁 회복에 관한 임상적 고찰. 대한치과의사협회지 1993;31:911-919.
5 Evans CA. Orthodontic treatment for patients with clefts. Clin Plastic Surg 2004;31:271-290.   DOI
6 Collins M, James DR, Mars M. Alveolar bone grafting: a review of 115 patients. Eur J Orthod 1998;20:115-20.   DOI
7 Bergland O, Semb G, Abyholm RE. Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J 1986;23:175-205.
8 Kalaaji A, Lilja J, Friede H. Bone grafting at the stage of mixed and permanent dentition in patients with clefts of the lip and primary palate. Plast Reconstr Surg 1994;93:690-696.   DOI
9 Mackay D, Mazahari M, Graham WP, Jeffords K, Leber D, Gorman P, Lieser JD, Wrye S, Kutz R, Saggers G. Incidence of operative procedures on cleft lip and palate patients. Ann Plast Surg 1999;42:445-448.   DOI
10 Cohen SR, Corrigan M, Wilmot J, Trotman CA. Cumulative operative procedures in patients aged 14 years and older with unilateral or bilateral cleft lip and palate. Plast Rec Surg 1995;96:267-271.   DOI
11 Bardach J, Morris HL, Olin WH, McDermott-Murray J, Mooney M, Bardach E. Late results of multidisciplinary management of unilateral cleft lip and palate. Ann Plast Surg 1984;12:235-242.   DOI
12 Bardach J, Morris HL, Olin WH, Gray SD, Jones DL, Kelly KM, Shaw WC, Semb G. Results of multidisciplinary management of bilateral cleft lip and palate at the Iowa Cleft Palate Center. Plast Rec Surg 1992;89:419-435.   DOI
13 Cohen M. Residual deformities after repair of clefts of the lip and palate. Clin Plastic Surg 2004;31:331-345.   DOI
14 Daw JL, Patel PK. Management of alveolar clefts. Clin Plastic Surg 2004;31:303-313.   DOI
15 Kramer FJ, Baethge C, Swennen G, Bremer B, Schwestka-Polly R, Dempf R. Dental implants in patients with orofacial clefts: a long-term follow-up study. Int J Oral Maxillofac Surg 2005;34:715-721.   DOI
16 Dempf R, Teltzrow T, Kramer FJ, Hausamen JE. Alveolar bone grafting in patients with complete clefts: a comparative study between secondary and tertiary bone grafting. Cleft Palate Craniofac J 2002;39:18-25.   DOI
17 Korayem M, Flores-Mir C, Nassar U, Olfert K. Implant site development by orthodontic extrusion: a systematic review. Angle Orthod 2008;78:752-760.   DOI
18 Pena WA, Vargeryik K, Sharma A, Oberoi S. The Role of Endosseous Implants in the Management of Alveolar Clefts. Pediatr Dent 2009;31:329-333.
19 Wang F, Wu Y, Zou D, Wang G, Kaigler D. Clinical outcomes of dental implant therapy in alveolar cleft patients: a systematic review. Int J Oral Maxillofac Implants 2014;29:1098-1105.   DOI