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Articles linked to this work by shared authors, journal, and citation graph.

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Challenges in Orthodontics and Pediatric Dentistry in the Management of Patients With Cleft Lip and Palate.

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Orthognathic surgery need following BAMP therapy in unilateral complete cleft lip and palate with moderate to severe maxillary deficiency: a prospective study.

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Bone-anchored maxillary protraction long-term outcomes in UCLP.

Daniela Garib, Fernando Pugliese, Renata Mayumi Kato

    The Angle Orthodontist
    |December 30, 2020
    PubMed
    Summary

    Bone-anchored maxillary protraction (BAMP) therapy effectively treated a 12-year-old boy with unilateral cleft lip and palate, significantly advancing the maxilla and improving facial esthetics. This approach successfully prevented the need for orthognathic surgery.

    Keywords:
    Cleft lipCleft palateOrthodontics

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    Area of Science:

    • Orthodontics
    • Craniofacial Surgery
    • Pediatric Dentistry

    Background:

    • Unilateral complete cleft lip and palate (UCLP) often presents with severe maxillary retrusion.
    • Maxillary retrusion can lead to significant occlusal and facial esthetic challenges.
    • Traditional treatment may involve complex surgical interventions.

    Observation:

    • A 12-year-old boy with UCLP and severe maxillary retrusion was treated with bone-anchored maxillary protraction (BAMP) followed by fixed appliances.
    • The patient initially presented with a Goslon 4 interarch relationship, -3.5 mm overjet, and -7.9 mm Wits appraisal.
    • Miniplates were placed, and Class III elastics were used for 12 months post-secondary alveolar bone graft.

    Findings:

    • BAMP therapy resulted in a 5.9 mm increase in overjet.
    • Significant maxillary advancement (SNA +3.2°) and skeletal convexity improvement (NA-APo +12.4°) were achieved.
    • Mandibular retrusion was noted (SNB -2.1°), and BAMP therapy prevented the need for Le Fort I surgery.

    Implications:

    • Bone-anchored maxillary protraction is a viable orthopedic treatment for severe maxillary retrusion in UCLP patients.
    • BAMP therapy can potentially avoid the need for orthognathic surgery, improving outcomes.
    • This approach offers a less invasive alternative for managing complex craniofacial anomalies.