title: Application of interdental distraction osteogenesis to unilateral cleft lip and palate patients.
abstract: Distraction osteogenesis is widely used for the treatment of craniofacial deformities. In patients with cleft lip and palate, distraction osteogenesis can be employed to repair the alveolar cleft. In this report, we describe the management of three cases of unilateral cleft lip and palate by interdental distraction osteogenesis. Interdental distraction osteogenesis of the maxillary bone was performed to reduce the width of the alveolar cleft in these patients in conjunction with orthodontic treatment. Tooth-tooth type distraction devices were fabricated and delivered at the same time as osteotomy. Distraction was continued until the midline of the dentition coincided with the facial midline, and until the width of the alveolar cleft was reduced to the width of lateral incisor or had closed. One month after distraction was complete, orthodontic treatment with an edgewise appliance was initiated, and neighboring teeth were moved into the newly created bone. A favorable treatment outcome was achieved in all three cases.
authors.affiliation: Department of Orthodontics, Tokyo Dental College. tesakamoto@tdc.ac.eedu
authors.forename: Teruo
authors.initials: T
authors.lastname: Sakamoto
authors.forename: Takenobu
authors.initials: T
authors.lastname: Ishii
authors.forename: Miya
authors.initials: M
authors.lastname: Mukai
authors.forename: Akinobu
authors.initials: A
authors.lastname: Ueki
authors.forename: Kenji
authors.initials: K
authors.lastname: Sueishi
authors.forename: Kenichirou
authors.initials: K
authors.lastname: Suga
authors.forename: Yoko
authors.initials: Y
authors.lastname: Nakano
authors.forename: Takeshi
authors.initials: T
authors.lastname: Uchiyama
mesh_terms: D000293:Adolescent; D002648:Child; D002971:Cleft Lip; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods*; D014087:Tooth Movement Techniques / Q000379:methods*