Treatment of Unilateral Cleft Lip and Palate Patient With Intraoral Tooth Tissue Borne Distractor and Facemask Therapy: A Case Report
| Autor: | Harshavardhan Kidiyoor, Anand K. Patil Morth, Akansha Bansal Agrawal |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Orthodontics
Palatal Expansion Technique Adolescent Hyrax biology Cephalometry business.industry Cleft Lip Masks 030206 dentistry biology.organism_classification Cleft Palate 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology Maxilla Extraoral Traction Appliances Humans Medicine Female Rapid maxillary expansion Tooth Tissue Oral Surgery 030223 otorhinolaryngology business |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 58:1569-1576 |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1177/1055665621993366 |
| Popis: | This case report demonstrates the successful use of intraoral distractor/hygenic rapid expander (HYRAX) for rapid maxillary expansion in anteroposterior direction with an adjunctive use of face mask therapy for anterior orthopedic traction of maxillary complex in a cleft patient with concave profile. The patient was a 13-year-old girl who reported with a chief complaint of backwardly positioned upper jaw and a severely forward positioned lower jaw. Therefore, a treatment was chosen in which acrylic bonded rapid maxillary expansion was done with tooth tissue borne intraoral distractor/HYRAX having a different activation schedule along with Dr Henri Petit facemask to treat maxillary retrognathism. As a result, crossbite got corrected and attained a positive jet with no bone loss in cleft area over a period of 5 months which was followed by fixed mechanotherapy achieving a well settled occlusion in 1 year. After completion of expansion and fixed mechanotherapy, ANB became +1 post-treatment which was −4 pretreatment. The prognathic profile was markedly improved by expansion and taking advantage of the remaining growth potential, thus minimizing the chances of surgery later in life. This provided a viable alternative to orthognathic surgery with good long-term stability. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|