Abstract
The interdisciplinary approach is critically important for the treatment of cleft lip and palate patients with a jaw deformity. This paper describes a course of the treatment of a left unilateral cleft lip and palate patient with severe collapse of the maxillary dental arch and undergrowth of the maxilla.
A 20-year 10-month-old male patient was treated with a quad-helix appliance and multi-bracket appliance in order to expand the maxillary dental arch during preoperative orthodontic treatment. At the age of 22 years 8 months, alveolar bone grafting was performed with fresh autogenous particulate cancellous bone and marrow of iliac bone. Six months later, an osseointegrated implant was installed in the transplanted bone, and ther glossectomy was performed at the age of 23 years 8 months. Preoperative treatment was completed at the age of 24 years 4 months, and then two-jaw surgery was performed. Orthodontic retainers were placed in the upper and lower dentitions after the postoperative orthodontic treatment for 9 months. The patient underwent lip and nose repair and prosthodontic treatment in the period of retention. The patient was fairly satisfied with the improved facial appearance and stabilized dental occlusion.
