Long-term stability after multidisciplinary treatment involving maxillary distraction osteogenesis, and sagittal split ramus osteotomy for unilateral cleft lip and palate with severe occlusal collapse and gingival recession: A case report

• 발행기관: 대한치과교정학회
• 저자명: Satoshi Kokai Eiji Fukuyama Susumu Omura Sachiko Kimizuka Ikuo Yonemitsu Koichi Fujita Takashi Ono
• 간행물 정보: 『The Korean Journal of Orthodontics』제49권 제1호, 59~69쪽, 전체 11쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2019.01.31

영문 초록

In this report, we describe a case involving a 34-year-old woman who showed good treatment outcomes with long-term stability after multidisciplinary treatment for unilateral cleft lip and palate (CLP), maxillary hypoplasia, severe maxillary arch constriction, severe occlusal collapse, and gingival recession. A comprehensive treatment approach was developed with maximum consideration of strong scar constriction and gingival recession; it included minimum maxillary arch expansion, maxillary advancement by distraction osteogenesis using an internal distraction device, and mandibular setback using sagittal split ramus osteotomy. Her post-treatment records demonstrated a balanced facial profile and occlusion with improved facial symmetry. The patient’s profile was dramatically improved, with reduced upper lip retrusion and lower lip protrusion as a result of the maxillary advancement and mandibular setback, respectively. Although gingival recession showed a slight increase, tooth mobility was within the normal physiological range. No tooth hyperesthesia was observed after treatment. There was negligible osseous relapse, and the occlusion remained stable after 5 years of post-treatment retention. Our findings suggest that such multidisciplinary approaches for the treatment of CLP with gingival recession and occlusal collapse help in improving occlusion and facial esthetics without the need for prostheses such as dental implants or bridges; in addition, the results show long-term post-treatment stability.

목차

INTRODUCTION

DIAGNOSIS AND ETIOLOGY

TREATMENT OBJECTIVES

TREATMENT ALTERNATIVES

TREATMENT PROGRESS AND DISTRACTION PROCEDURE

RESULTS

DISCUSSION

CONCLUSION

키워드

Cleft lip and palate Orthodontic treatment planning Distraction osteogenesis Gingival recession