To describe a novel orthodontic appliance to prevent pedicle trauma in patients undergoing double-opposing buccal flap surgery for secondary palatal lengthening.
Design
Case series.
Setting
Cleft and craniofacial clinic, Johns Hopkins Children's Center.
Patients, Participants
Four patients undergoing double-opposing buccal flap surgery for repair of velopharyngeal insufficiency.
Interventions
Patients were fitted with the device, which consists of a lower lingual holding arch with acrylic bite blocks.
Main Outcome Measure
Presence of pedicle trauma postsurgery and tolerability of the device.
Results
The appliance was well tolerated in all 4 patients and no biting trauma to the pedicles was observed.
Conclusions
A reliable appliance has been developed to prevent biting trauma to the pedicles in patients undergoing double-opposing buccal flap surgery in the permanent dentition stage.
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