USE OF FIXED INDIVIDUAL MICRO-IMPLANT SUPPORTED ORTHODONTIC APPLIANCE IN CHILDREN WITH BILATERAL CLEFT LIP AND PALATE.

Autor: E. G., MARGARYAN, AD. A., MAMEDOV, O. V., DUDNIK, Y. O., VOLKOV, L. A., MAZURINA, A. V., ZUBKOV, G. E., ODZHAGG ULIEVA, S-M. A., AKHMETKHANOV, N. V., GORLOVA, M. A., GUOPEI
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Zdroj: New Armenian Medical Journal; Sep2020, Vol. 14 Issue 3, p60-65, 6p
Abstrakt: Congenital malformations of the maxillofacial region are significant, not completely decisive, medical and social problems. Recent literature data indicate a trend towards improvement. The aim of the study was to improve the effectiveness of treatment of children with bilateral cleft lip and palate due to pre surgical orthodontic treatment. For the period from 2011 to 2019, at the Department of Pediatric Dentistry and Orthodontics of the I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation under supervision were 80 children with cleft lip and palate. From those children 56 were with bilateral cleft of the upper lip and palate from the neonatal period to 3 years, 28 patients made up the first group, which was treated according to the standard protocol with preliminary orthodontic preparation on removable devices, 28 patients made up the second group, which underwent partial opener osteotomy and fixed orthodontic apparatus with miniscrews and maxillary traction. Preoperative orthodontic preparation of 28 children with bilateral cleft and an indicator that 22 (78.6%) patients should not have fully achieved results between the interhuman and fragmentary alveolar process of the upper jaw. In the second group of patients, 27 (96.4%) patients showed a normal ratio of the intermaxillary bone and lateral fragments. The use of the developed orthodontic design with active elements and mini implants in 96.4% of cases requires the presence of prespiral orthodontic preparation, normalization of the position of the intercellular bone and shape, followed by primary cheilorinoplastics and in relation to additional uranoplastics, as well as the periodic stages of rehabilitation of patients with bilateral cleft lip and achieved thereby a stable aesthetic and functional result. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index