title: Late management of cleft lip and palate problems: a joint orthodontic/surgical approach.
abstract: Three patients are presented from a larger case series of adolescent cleft lip and palate patients to illustrate a combined approach to the treatment of severe facial and dentoalveolar discrepancy. The following treatment regime was employed: orthopaedic expansion of the maxillary dentoalveolus; tertiary bone grafting of the alveolar cleft; upper and lower dental arch alignment and decompensation; and orthognathic surgery to correct the skeletal defect by means of a maxillary single unit advancement. The advantages of tertiary grafting (when secondary grafting has not been carried out) in the orthodontic and surgical management of these patients is discussed.
authors.affiliation: Department of Child Dental Health, University of Wales College of Medicine, Heath Park, Cardiff, UK.
authors.forename: M L
authors.initials: ML
authors.lastname: Jones
authors.forename: A W
authors.initials: AW
authors.lastname: Sugar
mesh_terms: D000293:Adolescent; D002971:Cleft Lip / Q000000981:diagnostic imaging / Q000601:surgery*; D002972:Cleft Palate / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D009971:Orthodontics, Corrective / Q000379:methods*; D011859:Radiography