title: Maxillary advancement using distraction osteogenesis with intraoral device.
abstract: This article describes the surgical orthodontic treatment of maxillary hypoplasia in a patient with cleft lip and palate using maxillary distraction osteogenesis with internal maxillary distractors. Maxillary advancement was performed to correct the retrusive maxillary facial profile and Class III malocclusion. Rotational movement of the distraction segment was made to correct the upper dental midline. Although maxillary advancement was insufficient because of unexpected breakage of the intraoral distractor after completion of the distraction, skeletal traction with a face mask compensated for the shortage. Successful esthetic improvement and posttreatment occlusal stability were achieved with no discernible relapse after 2 years of retention.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Osaka University Dental Hospital, Osaka, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Takigawa
authors.forename: Setsuko
authors.initials: S
authors.lastname: Uematsu
authors.forename: Kenji
authors.initials: K
authors.lastname: Takada
mesh_terms: D000293:Adolescent; D002508:Cephalometry; D002971:Cleft Lip / Q000150:complications; D002972:Cleft Palate / Q000150:complications*; D005115:Extraoral Traction Appliances; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008313:Malocclusion, Angle Class III / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D008437:Maxilla / Q000601:surgery*; D008844:Micrognathism / Q000209:etiology / Q000601:surgery*; D009971:Orthodontics, Corrective / Q000295:instrumentation; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D019857:Osteogenesis, Distraction / Q000295:instrumentation*