关键词: Cleft lip and palate Malocclusion Mini-implant Orthodontics

Mesh : Humans Cleft Lip / surgery Incisor Cleft Palate / surgery Malocclusion / therapy

来  源:   DOI:10.1186/s40001-023-01589-3   PDF(Pubmed)

Abstract:
Cleft lip and palate is a congenital craniofacial anomaly that affects the lip and oral cavity. The management and orthodontic treatment of this anomaly is important but challenging. This article reports the successful treatment of a patient with bilateral cleft lip and palate, Class III malocclusion, bilateral crossbite, crowding and microdontic maxillary lateral incisors. One mandible incisor was extracted, and three miniscrew anchorages were utilized to distalize the maxillary left dental arch and retract the mandibular arch. After treatment, ideal occlusion and a better profile were established, and long-term stability was confirmed by a 4-year follow-up. This article represents a successful attempt of orthodontic camouflage treatment of severe dentofacial discrepancy, as an important part of the series treatment of cleft lip and palate, to provide some insight into the clinical field.
摘要:
唇腭裂是一种影响嘴唇和口腔的先天性颅面异常。这种异常的管理和正畸治疗是重要的,但具有挑战性。本文报告1例双侧唇腭裂患者的成功治疗,III类错牙合,双侧交叉咬伤,拥挤和微管上颌侧切牙。取出一颗下颌骨门牙,并利用三个微型固定点来扩大上颌左牙弓并缩回下颌弓。治疗后,建立了理想的遮挡和更好的轮廓,4年的随访证实了长期稳定性。本文代表了正畸伪装治疗严重牙面差异的成功尝试,作为唇腭裂系列治疗的重要组成部分,为临床领域提供一些见解。
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