The Elimination of Dental Crowding and Development of a Proper Dental Arch by Maxillary Anterior Segmental Distraction Osteogenesis for a Patient With UCLP
Restricted accessCase reportFirst published online August, 2019
The Elimination of Dental Crowding and Development of a Proper Dental Arch by Maxillary Anterior Segmental Distraction Osteogenesis for a Patient With UCLP
This report describes the case of a male patient with a complete unilateral cleft lip and palate who presented with midface deficiency and an anteroposteriorly constricted maxilla.
Design:
Case report Interventions: Correction involved anterior distraction of the segmented maxilla.
Results:
The present case demonstrates that elongation of the maxilla with anterior distraction is an effective way to develop a proper dental arch, correct anterior and posterior crowding, and improve a midface deficiency.
AikawaTHaraguchiSTanakaSUematsuSIshibashiMKogoMIidaS. Rotational movement of the anterior maxillary segment by hybrid distractor in patients with cleft lip and palate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(3):292–300.
2.
AlkanABasBOzerMBayramMYuzbasiogluE. Maxillary anterior segmental advancement of hypoplastic maxilla in cleft patients by distraction osteogenesis: report of 2 cases. J Oral Maxillofac Surg. 2008;66(1):126–132.
3.
CheungLKChuaHDPHäggMB. Cleft maxillary distraction versus orthognathic surgery: clinical morbidities and surgical relapse. Plast Reconstr Surg. 2006;118(4):996–1008.
4.
ChoiHYHwangCJKimHJYuHSChaJY. Maxillary anterior distraction osteogenesis with 2 different types of distractors. J Craniofac Surg. 2012;23(3):706–711.
5.
CohenSRCorriganMWilmotJTrotmanCA. Cumulative operative procedures in patients aged 14 years and older with unilateral or bilateral cleft lip and palate. Plast Reconstr Surg. 1995;96(2):267–271.
6.
CopeJBHarperRPSamchukovML. Experimental tooth movement through regenerate alveolar bone: a pilot study. Am J Orthod Dentofacial Orthop. 1999;116(5):501–505.
7.
DeLukeDMMarchandARoblesECFoxP. Facial growth and the need for orthognathic surgery after cleft palate repair: literature review and report of 28 cases. J Oral Maxillofac Surg. 1997;55(7):694–697.
8.
FrostHM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res. 1989;(248):283–293.
9.
HirataKTanikawaCAikawaTIshihamaKKogoMIidaSYamashiroT. Asymmetric anterior distraction for transversely distorted maxilla and midfacial anteroposterior deficiency in a patient with cleft lip/palate: two-stage surgical approach. Cleft Palate Craniofac J. 2016;53(4):491–498.
10.
IidaSYagiTYamashiroTOkuraMTakadaKKogoM. Maxillary anterior segmental distraction osteogenesis with the dynaform system for severe maxillary retrusion in cleft lip and palate. Plast Reconstr Surg. 2007;120(2):508–516.
11.
JanulewiczJCostelloBJBuckleyMJFordMDCloseJGassnerR. The effects of Le Fort I osteotomies on velopharyngeal and speech functions in cleft patients. J Oral Maxillofac Surg. 2004;62(3):308–314.
12.
LiWLinJ. Dental arch width stability after quadhelix and edgewise treatment in complete unilateral cleft lip and palate. Angle Orthod. 2007;77(6):1067–1072.
13.
McNamaraJAJr. A method of cephalometric evaluation. Am J Orthod.1984;86(6):449–469.
14.
PosnickJCDagysAP. Skeletal stability and relapse patterns after Le Fort I maxillary osteotomy fixed with miniplates: the unilateral cleft lip and palate deformity. Plast Reconstr Surg. 1994;94(7):924–932.
15.
SchnittDEAgirHDavidDJ. From birth to maturity: a group of patients who have completed their protocol management. Part I. Unilateral cleft lip and palate. Plast Reconstr Surg. 2004;113(3):805–817.
16.
ScolozziP. Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients. J Craniofac Surg. 2008;19(5):1199–1214.
17.
TanikawaCHirataKAikawaTMaedaJKogoMIidaSYamashiroT. Efficacy of maxillary anterior segmental distraction osteogenesis in patients with a cleft lip and palate. Cleft Palate Craniofac J. 2018;55(10):1375–1381.
18.
VernaCDalstraMMelsenB. The rate and the type of orthodontic tooth movement is influenced by bone turnover in a rat model. Eur J Orthod. 2000;22(4):343–352.
19.
VernaCMelsenB. Tissue reaction to orthodontic tooth movement in different bone turnover conditions. Orthod Craniofac Res. 2003;6(3):155–163.
20.
WadaK. A study of the individual growth of maxillofacial skeleton by means of lateral cephalometric roentgenograms. J Osaka Univ Dent Sch. 1977;22:239–269.
21.
WattsGDAntonarakisGSForrestCRTompsonBDPhillipsJH. Is linear advancement related to relapse in unilateral cleft lip and palate orthognathic surgery?Cleft Palate Craniofac J. 2015;52(6):717–723.
