Turkish Journal of Orthodontics
Case Report

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

1.

Department Orthodontics, Gazi University School of Dentistry, Ankara, Turkey

2.

Department of Maxillofacial Surgery, Gazi University School of Dentistry, Ankara, Turkey

3.

Department of Prosthodontics, Gazi University School of Dentistry, Ankara, Turkey

Turk J Orthod 2015; 28: 96-102
DOI: 10.5152/TurkJOrthod.2016.15-00002R1
Read: 826 Downloads: 418 Published: 26 July 2019

Abstract

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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EISSN 2148-9505