Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate

We present the multidisciplinary treatment of a young adult patient with unilateral complete cleft lip and palate (UCLP). The patient with UCLP was 17 years old and had not applied for treatment before. He presented with a concave profile, lateral crossbite and a tete-a-tete overbite. After initial...

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Main Authors: Belma I. Aslan, Ebru Küçükkaraca, Mustafa S. Ataç, A.Zeynep Yıldırım-Biçer, Neslihan Üçüncü
Format: Article
Language:English
Published: Galenos Yayinevi 2015-09-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/multidisciplinary-treatment-of-an-untreated-young-/53530
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author Belma I. Aslan
Ebru Küçükkaraca
Mustafa S. Ataç
A.Zeynep Yıldırım-Biçer
Neslihan Üçüncü
author_facet Belma I. Aslan
Ebru Küçükkaraca
Mustafa S. Ataç
A.Zeynep Yıldırım-Biçer
Neslihan Üçüncü
author_sort Belma I. Aslan
collection DOAJ
description We present the multidisciplinary treatment of a young adult patient with unilateral complete cleft lip and palate (UCLP). The patient with UCLP was 17 years old and had not applied for treatment before. He presented with a concave profile, lateral crossbite and a tete-a-tete overbite. After initial orthodontic treatment the patient’s cleft lip and nose and afterwards his palate were operated on. During the orthodontic treatment the patient had a negative overjet of 6 mm, a residuel fistule in soft palate, maxillary and secondary nose base deficiency, also a severe alveolar cleft in the premaxilla. To fix these problems, the patient’s maxilla was advanced by applying a Lefort-1 osteotomy, the secondary fistule in the soft palate was operated on and the alveolar defect was grafted with a biocollagen membrane, cansellous block graft and cansellous granular graft. The orthodontic treatment lasted 1 year following the orthognathic surgery. At the end of the orthodontic treatment Class I molar relationship was achieved on the right side and full Class II on the left side and also a 1 mm overjet and overbite. After a period of retention of 1.5 years some relapse occurred and delayed prosthetic treatment was performed by applying an adhesive bridge. Late term multidisciplinary treatment gave the UCLP patient a good appearance as well as psychological and social benefits.
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spelling doaj.art-945d4e8000f24b7fbe8e0f95b8ea16422023-08-01T12:06:59ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052015-09-012839610210.5152/TurkJOrthod.2016.15-00002R113049054Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and PalateBelma I. Aslan0Ebru Küçükkaraca1Mustafa S. Ataç2A.Zeynep Yıldırım-Biçer3Neslihan Üçüncü4 Department Orthodontics, Gazi University School of Dentistry, Ankara, Turkey Department Orthodontics, Gazi University School of Dentistry, Ankara, Turkey Department of Maxillofacial Surgery, Gazi University School of Dentistry, Ankara, Turkey Department of Prosthodontics, Gazi University School of Dentistry, Ankara, Turkey Department Orthodontics, Gazi University School of Dentistry, Ankara, Turkey We present the multidisciplinary treatment of a young adult patient with unilateral complete cleft lip and palate (UCLP). The patient with UCLP was 17 years old and had not applied for treatment before. He presented with a concave profile, lateral crossbite and a tete-a-tete overbite. After initial orthodontic treatment the patient’s cleft lip and nose and afterwards his palate were operated on. During the orthodontic treatment the patient had a negative overjet of 6 mm, a residuel fistule in soft palate, maxillary and secondary nose base deficiency, also a severe alveolar cleft in the premaxilla. To fix these problems, the patient’s maxilla was advanced by applying a Lefort-1 osteotomy, the secondary fistule in the soft palate was operated on and the alveolar defect was grafted with a biocollagen membrane, cansellous block graft and cansellous granular graft. The orthodontic treatment lasted 1 year following the orthognathic surgery. At the end of the orthodontic treatment Class I molar relationship was achieved on the right side and full Class II on the left side and also a 1 mm overjet and overbite. After a period of retention of 1.5 years some relapse occurred and delayed prosthetic treatment was performed by applying an adhesive bridge. Late term multidisciplinary treatment gave the UCLP patient a good appearance as well as psychological and social benefits. http://www.turkjorthod.org/archives/archive-detail/article-preview/multidisciplinary-treatment-of-an-untreated-young-/53530 untreated uclpadult uclpmultidisciplinary treatment
spellingShingle Belma I. Aslan
Ebru Küçükkaraca
Mustafa S. Ataç
A.Zeynep Yıldırım-Biçer
Neslihan Üçüncü
Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate
Turkish Journal of Orthodontics
untreated uclp
adult uclp
multidisciplinary treatment
title Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate
title_full Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate
title_fullStr Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate
title_full_unstemmed Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate
title_short Multidisciplinary Treatment of an Untreated Young Adult Patient with Unilateral Complete Cleft Lip and Palate
title_sort multidisciplinary treatment of an untreated young adult patient with unilateral complete cleft lip and palate
topic untreated uclp
adult uclp
multidisciplinary treatment
url http://www.turkjorthod.org/archives/archive-detail/article-preview/multidisciplinary-treatment-of-an-untreated-young-/53530
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AT mustafasatac multidisciplinarytreatmentofanuntreatedyoungadultpatientwithunilateralcompletecleftlipandpalate
AT azeynepyıldırımbicer multidisciplinarytreatmentofanuntreatedyoungadultpatientwithunilateralcompletecleftlipandpalate
AT neslihanucuncu multidisciplinarytreatmentofanuntreatedyoungadultpatientwithunilateralcompletecleftlipandpalate