The orthodontic strategies for adult patients of cleft lip and palate

Kim,  Jae-Hoon

J Korean Dent Assoc > Volume 53(7); 2015 > Article

The Journal of The Korean Dental Association 2015;53(7):450-456.
Published online July 31, 2015.

성인 구순구개열환자의 교정치료 전략

김재훈

연치과의원, 대한구순구개열학회

The orthodontic strategies for adult patients of cleft lip and palate

Jae-Hoon Kim

Yon dental Clinic

Abstract

Even the adult cleft lip and palate patient who has not had timely treatment during the growth period, can be treated with orthodontic treatment without the necessity of orthognathic surgery if only the patient is treated under correct diagnosis and fitting appliances. Initially, maxillary arch form is established by constructing trifocal circles. Posterior region can be expanded and derotated laterally with pentahelix and anterior teeth are aligned with Tiggle brackets and "ㄷ"-shaped spring. Thereafter, anterior and posterior regions are consolidated. Mandibular intercanine width should be adjusted to maxillary intercanine width which was unavoidably reduced. Mandibular anterior tooth extraction will be helpful to attain proper mandibular intercanine width and better anterior dental showing.

Key Words: Cleft lip and palate;adult;pentahelix;Tiggle;TG line;Trifocal Circled Pentagon;Malformation;Deformation;Deformity;