1. [Interdisciplinary orthodontic surgical treatment of children with cleft lip and palate from 9 to 20 years of age].
- Author
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Kuijpers-Jagtman AM, Mink van der Molen AB, Bierenbroodspot F, and Borstlap WA
- Subjects
- Adolescent, Cephalometry methods, Child, Child, Preschool, Cleft Lip therapy, Cleft Palate therapy, Facial Asymmetry therapy, Female, Humans, Infant, Male, Malocclusion, Angle Class III therapy, Mastication physiology, Oral Hygiene, Palatal Expansion Technique instrumentation, Patient Care Team, Alveolar Bone Grafting methods, Cleft Lip surgery, Cleft Palate surgery, Esthetics, Dental, Patient Care Planning
- Abstract
Cleft lip and palate is a common congenital malformation with a prevalence of 1:600 newborns. Children with orofacial clefts are treated by an interdisciplinary team of specialists while parents and child play a key role in their own care process. The orthodontic and facial orthopedic treatment of a child with a cleft takes many years. Children often get bored of the long treatment and this can cause problems with compliance and oral hygiene. Therefore it is advisable to distinguish 5 well-defined stages in the orthodontic treatment and to attempt to have some 'orthodontics free' time in between. The 3 orthodontic treatment phases between the age of 9 and 20 years consist of orthodontic treatment concerning the closing of the cleft with a bone transplant, the treatment of the permanent dentition and, finally, a possible combined orthodontic surgical treatment at the end of the period of growth. Good interdisciplinary collaboration among the different dental disciplines is essential in this regard.
- Published
- 2015
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