Orthodontic treatment and management of adult patient with cleft lip and palate

Kim,  Seong Sik

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

The Journal of The Korean Dental Association 2015;53(7):457-467.
Published online July 31, 2015.

성인 구순구개열환자의 교정치료 및 관리

김성식

부산대학교 치의학전문대학원 치과교정학교실

Orthodontic treatment and management of adult patient with cleft lip and palate

Seong Sik Kim

Department of Orthodontics, School of Dentistry, Pusan National University

Abstract

Patients with cleft lip and palate require interdisciplinary treatment to achieve successful rehabilitation. However, there are special difficulties in orthodontic treatment of adult cleft lip and palate patients: 1. Lack of Tissue, Bone, and Soft tissue; 2. Heavy Scar Tissue, Vestibule, and Palate; 3. Severe Anteroposterior discrepancy and Impaired Maxilla; 4. Distortion of Alveolar Ridge; 5. Abnormal Eruption Path and Malalignment of Tooth. Solving these problems, orthodontist should have differential diagnosis on extent of cleft site and residual deformities of adult cleft lip and palate patient. The tooth missing area in cleft site was commonly treated with a removable or fixed prosthesis, but this method is not stable to retain maxillary arch shape. To establish the more stable arch shape in cleft lip and palate, endosseous implants in the alveolar clefts with bone graft is helpful for management of adult cleft lip and palate patient.

Key Words: cleft lip and palate;orthodontic treatment;residual deformities;implant site development;endosseous implant;