Combined surgical/orthodontic treatment and autotransplantation of a premolar in a patient with unilateral cleft lip and palate.
The treatment of a patient with a complete unilateral left cleft lip and palate, agenesis of the left upper second premolar, and a severely malformed left upper lateral incisor is reported. Treatment included placement of an autologous bone graft from the left iliac crest into the alveolar cleft at 8 years of age and transplantation of a lower premolar into the reconstructed alveolar process at 10 years of age. During the succeeding orthodontic treatment, the dental arches were aligned and corrected toward a Class I molar occlusion. One year after the end of treatment, the status of the transplanted premolar was good.
De Muynck
Stijn
S
Department of Orthodontics, School of Dentistry, Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
Verdonck
Anna
A
Schoenaers
Joseph
J
Carels
Carine
C
D000543:Alveoloplasty / Q000379:methods*; D000848:Anodontia / Q000209:etiology / Q000601:surgery*; D001641:Bicuspid / Q000002:abnormalities / Q000637:transplantation*; D016025:Bone Transplantation; D002648:Child; D002971:Cleft Lip / Q000150:complications; D002972:Cleft Palate / Q000150:complications*; D005260:Female; D006801:Humans; D007180:Incisor / Q000002:abnormalities; D008310:Malocclusion / Q000209:etiology / Q000628:therapy*; D010155:Palatal Expansion Technique