medigraphic.com
ISSN 2395-9215 (Print)
Órgano Oficial de Difusión de la Facultad de Odontología de la UNAM

2014, Number 3

<< Back Next >>

Rev Mex Ortodon 2014; 2 (3)

Anteroposterior and vertical maxillary changes with facial mask use in patients with unilateral cleft lip palate sequelae from General Hospital «Dr. Manuel Gea González»

Ponglertnapakorn AA, Yudovich BM, Quiroz BJC

Language: Spanish
References: 19
Page: 174-178
PDF size: 315.37 Kb.


ABSTRACT

Cleft lip and palate is a congenital malformation which can affect breathing, swallowing, language articulation, audition and voice. These patients show an insufficient maxillary growth and a class III skeletal malocclusion due to maxillary retrusion. Orthopedic treatment of the unilateral cleft lip and cleft palate patient by means of a facemask during the right time can stimulate maxillary growth. This study reviewed 90 clinical charts (pre and post treatment) of patients with complete unilateral cleft lip and cleft palate, treated from 1996 to 2007 with rapid palatal expansion through an occlusal acrylic plate and facemask at the Orthodontic Department, General Hospital «Dr. Manuel Gea González» in Mexico City. To evaluate the sagittal and vertical maxillomandibular change the student’s T test, Wilcoxon test and χ2 test (SPSS v.10) were used. Our results show that the use of this appliance increases vertical dimension and reduces maxillomandibular discrepancy due to downward and forward growth of the maxilla.


REFERENCES

  1. Ngan PW et al. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod. 1997; 3: 255-264.

  2. Irie M, Nakamura S. Orthopedic approach to severe skeletal class III malocclusion. Am J Orthod. 1975; 67: 377-392.

  3. Rygh P, Tindlund RS. Orthopedic expansion and protraction of maxilla in cleft palate patients-a new treatment rationale. Cleft Palate J. 1982; 19: 104-112.

  4. Tindlund RS. Orthopedic protraction of the mid face in the deciduous dentition-results covering 3 years out of treatment. J Craniomaxilofac Surg. 1989; 17 (suppl. 1): 17-19.

  5. Staggers JA, Germane N, Legan HL. Clinical considerations in the use of protraction headgear. J Clin Orthod. 1992; 26: 87-91.

  6. Tindlund RS, Rygh P. Maxillary protraction: different effects on facial morphology in unilateral and bilateral cleft lip and palate patients. Cleft Palate Craniofac J. 1993; 30: 208-221.

  7. Tindlund RS, Rygh P, Boe OE. Orthopedic protraction of upper jaw in cleft lip and palate patients during the deciduous and mixed dentition periods in comparison with normal growth and development. Cleft Palate Craniofac J. 1993; 30: 182-194.

  8. Hasund A, Ulsten G. The position of incisors in relation to the lines NA and NB in different facial types. Am J Orthod. 1970; 57: 1-14.

  9. Holdaway RA. Changes in relationship of points A and B during orthodontic treatment. Am J Orthod. 1956; 42: 176-193.

  10. 10.Tindlund RS. Skeletal response to maxillary protraction in patients with Cleft Lip and Palate before 10 years. Cleft Palate Craniofac J. 1994; 31: 295-308.

  11. Gavidia de Ramírez MY, Yudovich B. Tratamiento ortopédico para la corrección vertical de la premaxila en niños preescolares con secuela de labio y paladar hendido bilateral. Revista Iberoamericana de Ortodoncia. 1997; 16 (1): 18-24

  12. Bishara SE. Ortodoncia. México: McGraw Hill; 2001: pp. 420-432.

  13. Björk A. Sutural growth of the upper face studied by the implant method. Acta Odontol Scand. 1966; 24: 109-127.

  14. Delaire VJ, Verdan P, Floor J. Ziele und ergebnisse extraoraler zuge in postero-anteriorer Richtung in anwendung eiener orthopadischen maske bei der Behandlung von Fallen der Klasse III. Fortschr Kieferorthop. 1976; 37: 246-262.

  15. Subtelny JD. Oral respiration: facial maldevelopment and corrective dentofacial orthopaedics. The Angle Orthod. 1980; 50: 147.

  16. Bergland O. Changes in cleft palate malocclusion after the introduction of improve surgery. Trans Eur J Orthod Soc. 1967; 43: 383-398.

  17. Sarnas KV, Rune B. Extraoral traction to the maxilla with face mask: a follow up consecutively treated patients with and without cleft lip and palate. Cleft Palate J. 1987; 24: 95-103.

  18. Ranta R. Forward traction of maxilla and cleft lip and palate in mixed and permanent dentitions. J Cranio Max Fac Surg. 1987; 17: 20-22.

  19. Buschang PH, Porter C. Face mask therapy preadolescents with unilateral cleft lip and palate. The Angle Orthod. 1994; 64: 145-150.




2020     |     www.medigraphic.com