Bone-anchored maxillary protraction long-term outcomes in UCLP
| Autor: | Hugo De Clerck, Hilde Timmerman, Marilia Yatabe, Daniela Gamba Garib, Renato André de Souza Faco, Renata Mayumi Kato, Fernando Pugliese |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Cephalometry Cleft Lip Overjet medicine.medical_treatment Orthognathic surgery Case Report Orthodontics Maxillary protraction Mandible Occlusion Maxilla Long term outcomes medicine Humans Child Alveolar Bone Grafting business.industry medicine.disease Cleft Palate Orthopedic surgery business |
| Zdroj: | Angle Orthod |
| ISSN: | 0003-3219 |
| DOI: | 10.2319/121219-795.1 |
| Popis: | This case report presents a 12-year-old boy with unilateral complete cleft lip and palate and severe maxillary retrusion treated with bone-anchored maxillary protraction (BAMP) therapy followed by fixed appliances. The follow-up period extended until the end of growth. Initially, the patient demonstrated a Goslon 4 interarch relationship with an overjet of −3.5 mm and a Wits appraisal of −7.9 mm. Six months after the secondary alveolar bone graft, Bollard miniplates were fixed bilaterally at the infrazygomatic region in the maxilla and between the canines and lateral incisors in the mandible. Class III elastics were used bilaterally full time for 12 months. After treatment, the overjet increased 5.9 mm. Significant maxillary advancement (SNA +3.2°) and skeletal convexity improvement (NA-APo +12.4°) were observed. Retrusion of the anteroposterior position of the mandible was observed (SNB –2.1°). Comprehensive orthodontic treatment was performed after BAMP therapy with nighttime bone-anchored Class III elastics as active retention until the end of growth. Occlusion and facial esthetics were satisfactory at the end of orthodontic treatment and growth. Le Fort I surgery for maxillary advancement was not required. BAMP therapy demonstrated an adequate orthopedic outcome, preventing the need for orthognathic surgery in unilateral complete cleft lip and palate. |
| Databáze: | OpenAIRE |
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