Yetişkin dudak damak yarıklı olgularda estetik ve fonksiyonel tedavi yaklaşımları

Bu olgu sunumunda dudak damak yarıklı iki bireye uygulanan ortodontik ve protetik tedaviler sunuldu. Her iki olguda da, dar olan üst dentoalveoler yapı ortodontik genişletme apareyleri ile, diş dizilim bozuklukları da sabit ortodontik apareyler ile düzeltildi. Ortodontik tedavi sonrası, eksik dişler ve buna bağlı kapanış bozuklukları oronasal fıstülü de kapatacak şekilde hareketli ve/veya sabit protefık apareyler ile restore edildi. Her iki bireyde de kabul edilebilir okluzyon ve estetik sonuçlar elde edildi.

Aesthetic and functional treatment approaches in adult cleft and palate patients

In this case report, orthodontic and prosthetic treatments of two cleft lip and palate cases are presented. In both cases, narrow upper arches were corrected with orthodontic expansion appliances and tooth alignment problems were corrected with fixed orthodontic treatment. Following the orthodontic treatment, the missing teeth were restored and the occlusion problems were solved with removable and fixed prosthetic appliances that also covered the oronasal fistula. In both cases, they yielded acceptable occlusal and aesthetic results.

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  • 1. Grayson BH, Santiago PE, Brecht LE, Cutting CB. Presurgical nasoalveolar molding in infants with cleft lip and palate. Cleft Palate Craniofacl J 1999 36(6): 486-498.
  • 2. Latham RA, Kusy RP, Georgiade NG. An extraorally activated expansion appliance for cleft palate infants. Cleft Palate J. 1976; 13: 253-261.
  • 3. Hermann NV, Jensen BL, Dahl E, Bolund S, Kreiborg S. Craniofacial comparisons in 22-month-old lip-operated children with unilateral complete cleft lip and palate and unilateral incomplete cleft lip. J Craniofac J. 2000; 37(3): 303-317.
  • 4. Hermann NV, Darvann TA, Jensen BL, Dahi E, Bolund S, ICreiborg S. Early craniofacial morphology and growth in children with bilateral complete cleft lip and palate. Cleft Palate Craniofac J. 2004; 41(4): 424-438.
  • 5. Kemaloglu YK, Kobayashi T, Nakajima T. Analysis of the craniofacial skeleton in cleft children with otitis media with effusion. Int J • Pediatr Otorhinolaryngol. 1999; 25; 47(1): 57-69.
  • 6. Gaggl A, Schultes G, Feichtinger M, Santler G, Mossbock R, Karcher H. Differences in cephalometric and occlusal outcome of cleft palate patients regarding different surgical techniques. J Craniomaxillofac Surg. 2003; 31(1): 20-26.
  • 7. Melissaratou A, Friede H. Dental arches and occlusion in bilateral cleft lip and palate patients after two different routines for palatal surgery. J Orofac Orthop. 2002; 63(4): 300-314.
  • 8. Perlyn CA, Brownstein JN, Huebener DV, Marsh JL, Nissen RJ, Pilgram T. Occlusal relationship in patients with bilateral cleft lip and palate during the mixed dentition stage: does neonatal maxillary arch configuration predetermine outcome? Cleft Palate Craniofac J. 2002; 39(3): 317-321.
  • 9. Millard T, Richman LC. Different cleft conditions, facial appearance, and speech: relationship to psychological variables. Cleft Palate Craniofac J. 2001; 38(1): 68-75.
  • 10. Richman LC. Facial and speech relationships to behavior of children with clefts across three age levels. Cleft Palate Craniofac J. 1997; 34(5): 390-395.
  • 11. Ranta R Orthodontic treatment in adults with cleft lip and palate. J Craniomaxillofac Surg 1989; 17(1): 42-47.
  • 12. Semb G, Brattstrom V, Moisted K, Prahl-Andersen B, Shaw WC. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Part 1: introduction and treatment experience. Cleft Palate Craniofac J. 2005; 42(1): 64-68.
  • 13. Warren DW, Drake AF, Davis JU. Nasal airway in breathing and speech. Cleft Palate Craniofac J. 1992; 29(6): 511-519.
  • 14. Hogan L, Shand JM, Heggie AA, Kilpatrick N. Canine eruption into grafted alveolar Clefts: a retrospective study. Aust Dent J. 2003; 48(2): 119-124.
  • 15. Iannetti G, Cascone P, Saltarel A, Ettaro G. Le Fort I in cleft patients: 20 years' experience. J Craniofac Surg. 2004; 15(4): 662-669.
  • 16. Figueroa AA, Polley JW, Friede H, Ko EW. Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities. Plast Reconstr Surg. 2004; 114(6): 1382-92; discussion 1393-1394.
  • 17. Scheuer HA, Holtje WJ, Hasund A, Pfeifer G. Prognosis of facial growth in patients with unilateral complete clefts of the lip, alveolus and palate. J Craniomaxillofac Surg. 2001; 29(4): 198-204.
  • 18. Haas AJ The treatment of maxillary deficiency by opening the midpalatal suture Am J Orthod 1964; 35(3): 200-217.
  • 19. Enacar A, Ozgen M. Asymmetric maxillary expansion appliance (ABHE). Cleft Palate Craniofac Surg 1993; 30(4): 416-417.
  • 20. Enacar A. Dudak ve damak yarıklarında orta yüz büyümesinin kontrolü: maksiler ortopedik tedavi. Erk Y, Özgür F. Dudak ve damak yarıkları. Hacettepe Üniversitesi Tıp Fakültesi Plastik ve Rekonstrüktif Cerrahi AD. Ank İşkur Matbaa, 1999;303-326.
  • 21. Evans CA. Orthodontic treatment for patients with clefts. Clin Plast Surg. 2004; 31(2): 271-290.
  • 22. Tindlund RS, Rygh P. Maxillary protraction: different effects on facial morphology in unilateral and bilateral cleft lip and palate patients. Cleft Palate Craniofac J. 1993; 30(2): 208-221.
  • 23. Schultes G, Gaggl A, Karcher H. A comparison of growth impairment and orthodontic results in adult patients with clefts of palate and unilateral clefts of lip, palate and alveolus. Br J Oral Maxillofac Surg. 2000; 38(1): 26-32.
  • 24. Tiefengraber J, Diedrich P, Fritz U, Lantos P. Orthodontic space closure in combination with membrane supported healing of extraction sockets (MHE) a pilot study. J Orofac Orthop. 2002; 63(5): 422- .428.
  • 25. Tindlund RS, Rygh P, Boe OE. Intercanine widening and sagittal effect of maxillary transverse expansion in patients with cleft lip and palate during the deciduous and mixed dentitions. Cleft Palate Craniofac J. 1993; 30(2): 195-207.
  • 26. Ali A, Lock J. Cleft palate rehabilitation using a resin-bonded split prosthesis. J Prosthet Dent 1989; 62(4): 39-398.
  • 27. Altay T. Dudak damak yarıklarında protetik tedaviler: Erk Y, Özgür F. Dudak ve damak yarıkları. Hacettepe Üniversitesi Tıp Fakültesi Plastik ve Rekonstrüktif Cerrahi AD. Ank İşkur Matbaa, 1999; 327- 335.
  • 28. DaBreo EL, Ghalichebaf M Provisional restoration for a patient with cleft lip and palate: A clinical report. J Prosthet Dent 1990; 63(2): 119-121.
  • 29. Henry PJ, Tan AES Prosthodontic implications of the adolescence cleftpalate patient. Australian Dent J 1985 30(2): 104-111.
  • 30. Ohyama T Prosthodontic considerations for patients with cleft lip and palate. Int Dent J. 1986; 36: 140-145.
  • 31. Von Schwanewede H, Schuberth H Long-term results of prosthetic therapy in adult cleft lip alveolus and palate patients. J Craniomaxillofac Surg; 1989; 17: 52-54.
  • 32. Pinborough-Zimmerman J, Canady C, Yamashiro D, Morales L Jr Articulation and nasality changes resulting from sustained palatal fistula obturation. Cleft Palate Craniofac J 1998; 35(1): 81-87.
  • 33. Ramstad T, Jendal T. A long-term study of transverse stability of maxillary teeth in patients with unilateral complete cleft lip and palate. J Oral Rehabil. 1997; 24(9): 658-665.
Gazi Medical Journal-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: Gazi Üniversitesi Tıp Fakültesi
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