Orthodontic treatment and demand of a cleft lip and palate patient.
Most orthodontists would agree the treatment plan followed in this case was a severe compromise; many oral surgeons will find it completely unacceptable. However, during the relatively short treatment time--a total of 12 months--the anterior crossbite was corrected and the patient got the front teeth she wanted. Demand or perceived need of the patient should always be the prime objective of any kind of treatment in order to have patient's cooperation. The patient and her parents are now very grateful and ready for the prosthodontic procedures. Although this case was not treated according to the need perceived by the specialists, the result is by all means acceptable and satisfactory to both parties.
So
L L
LL
Department of Children's Dentistry and Orthodontics, Prince Philip Dental Hospital, Hong Kong.
D002648:Child; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000175:diagnosis / Q000628:therapy*; D009971:Orthodontics, Corrective; D010155:Palatal Expansion Technique; D010347:Patient Care Planning; D014087:Tooth Movement Techniques