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Published on: September 19, 2015
Orthodontic Care for Patients with Cleft Lip and Palate
Marielena Layuno Matos1, Geoffrey M Greenlee2, Barbara Sheller3
1Craniofacial Orthodontics, Department of Dentistry, Seattle Children's Hospital, Seattle, WA, USA; Department of Orthodontics, School of Dental Medicine of the University of Puerto Rico Medical Science Campus, San Juan, Puerto Rico; School of Dental Medicine, Ponce Health Sciences University, Ponce, Puerto Rico.
Orthodontic treatment for cleft lip and palate involves sequential stages from infancy through adulthood. A multidisciplinary team approach is crucial for optimizing outcomes in patients with cleft lip and palate.
Area of Science:
- Craniofacial surgery
- Orthodontics
- Pediatric dentistry
Background:
- Cleft lip and palate (CLP) treatment requires a staged, comprehensive approach.
- Early intervention can significantly impact long-term outcomes.
Purpose of the Study:
- To outline the sequential stages of orthodontic management for patients with cleft lip and palate.
- To emphasize the importance of multidisciplinary collaboration.
Main Methods:
- Review of standard orthodontic treatment protocols for CLP patients.
- Discussion of interventions from infancy to adulthood.
Main Results:
- Infancy: Pre-surgical infant orthopedics for cleft segment alignment and nasal symmetry.
- Mixed dentition: Monitoring for alveolar bone grafting and orthodontic needs.
- Post-growth: Orthodontic therapy and orthognathic surgery based on malocclusion and skeletal factors.
Conclusions:
- Multidisciplinary team collaboration is essential for successful cleft lip and palate treatment.
- Optimizing occlusion and surgical outcomes requires coordinated care throughout growth.
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