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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2007, Number 2

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Cir Plast 2007; 17 (2)

Orthodontic and surgical treatment in patients with bilateral primary cleft palate and prominent premaxilla

Pérez-González A, Ayuso AAL, Pérez DMR, Gutiérrez VDH

Language: Spanish
References: 26
Page: 113-120
PDF size: 212.42 Kb.


ABSTRACT

The validity of the results in rapid maxillary expansion and premaxilla retrusion was determined in the treatment of primary bilateral cleft lip and palate with prominent premaxilla in pediatric patients attended in the Reconstructive and Plastic Surgery Unit of the National Institute of Pediatrics from January, 2002 to December, 2004. The sample was 16 patients, whose photographs, lateral cefalography, dental records and occlusal radiographs were analyzed .The treatment was planned in two phases: first, surgical (with two preoperatory phases and queiloplasty), and another orthopedic with Latham expansors. The patients follow-up was 2.8 years. Were male 81% were male the mean age was 5.5 months. The sample had 11 mm maxillary expansion, the distance between premaxila and the processes was 21 mm, retroposition was 18 mm; the transversal relation in all the patients was good. The sagital position of the first molar and canine was Class I. There was a 90% of overjet and overbite increased. The retraction of the premaxila with transoperatory rapid maxillary expansion reduces the time required to position the prominent premaxila adequately, decreasing postoperative complications.


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