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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Language: | English |
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Galenos Yayinevi
2015-09-01
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Series: | Turkish Journal of Orthodontics |
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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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format | Article |
id | doaj.art-945d4e8000f24b7fbe8e0f95b8ea1642 |
institution | Directory Open Access Journal |
issn | 2528-9659 2148-9505 |
language | English |
last_indexed | 2024-03-12T20:38:18Z |
publishDate | 2015-09-01 |
publisher | Galenos Yayinevi |
record_format | Article |
series | Turkish Journal of Orthodontics |
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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