Cleft lip and palate are common congenital anomalies of the maxillofacial region. They often impair oral functions such as feeding, swallowing, and articulation, as well as affect esthetics and psychosocial well-being. Early, multidisciplinary intervention and continuous care from a specialized medical team are important. However, in rare cases, patients may reach adulthood without having received timely or appropriate treatment.
This case report describes a 22-year-and-3-month-old female patient with untreated bilateral cleft lip and palate since early childhood, presenting with severe maxillary constriction, alveolar bone defects, malocclusion, and significant esthetic and psychological problems. Pre-surgical orthodontic treatment required approximately 15-mm maxillary expansion in the canine region, which was successfully achieved despite the patient’s age. Subsequent alveolar bone grafting resulted in successful bone bridge formation. This grafting enabled postoperative orthodontic treatment, resulting in favorable tooth alignment and occlusal function.
Comprehensive interdisciplinary management led to marked improvements in oral function, esthetics, and psychological well-being, with marked patient satisfaction.
