Orthognathic cleft-surgical/orthodontic treatment

D. Levy-Bercowski Daniel, Eladio DeLeon, John W. Stockstill, Jack C Yu

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

In some cases early intervention and multiphase orthodontic treatment are insufficient to correct the skeletal and soft-tissue disharmonies present in cleft lip and palate patients. Commonly, midface deficiency with skeletal and dental Class III malocclusion is present in combination with other dental anomalies. In cleft lip and palate patients, orthognathic surgery may involve maxillary advancement with a LeFort surgical procedure, maxillary distraction osteogenesis, and mandibular setback in combination with maxillary advancement, and, on rare occasions, isolated mandibular setback. The selection of the optimal treatment for a specific patient depends on the patient's age, amount of needed advancement, severity of the maxillomandibular discrepancy, impact of the surgery on the speech, relapse/stability relationship, esthetic outcome, and the consideration of the possible complications. The need for multidisciplinary treatment planning and sequentially staged treatment is essential for successful patient outcomes. The purpose of this article is to outline multidisciplinary strategies in cleft lip and palate patient care.

Original languageEnglish (US)
Pages (from-to)197-206
Number of pages10
JournalSeminars in Orthodontics
Volume17
Issue number3
DOIs
StatePublished - Sep 1 2011

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Orthodontics
Cleft Lip
Cleft Palate
Tooth
Distraction Osteogenesis
Orthognathic Surgery
Therapeutics
Malocclusion
Esthetics
Patient Care
Recurrence

ASJC Scopus subject areas

  • Orthodontics

Cite this

Orthognathic cleft-surgical/orthodontic treatment. / Levy-Bercowski Daniel, D.; DeLeon, Eladio; Stockstill, John W.; Yu, Jack C.

In: Seminars in Orthodontics, Vol. 17, No. 3, 01.09.2011, p. 197-206.

Research output: Contribution to journalArticle

Levy-Bercowski Daniel, D. ; DeLeon, Eladio ; Stockstill, John W. ; Yu, Jack C. / Orthognathic cleft-surgical/orthodontic treatment. In: Seminars in Orthodontics. 2011 ; Vol. 17, No. 3. pp. 197-206.
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