title: Mid-maxillary distraction osteogenesis of cleft patients using a special custom-made tooth-borne device.
abstract: A relatively new approach to maxillary advancement by maxillary distraction using a combined surgical and modified orthodontic technique is described. This protocol and the technique have been used for the past 3 years (2006 to 2009) on more than 60 patients, aged between 14-29 years. Distraction of between 7 and 18 mm has been achieved, creating class 1 or mild class 2 arch relationships in cleft lip and cleft palate patients who had class 3 arch relationship compounded by significant maxillary retrusion. The technique is simple, inexpensive and less time consuming.
authors.affiliation: Regional Cleft Centre, Teaching Hospital, Karapitiya, Galle, Sri Lanka. dkdias@sltnet.lk
authors.forename: D K
authors.initials: DK
authors.lastname: Dias
authors.forename: H L
authors.initials: HL
authors.lastname: De Silva
authors.forename: W M
authors.initials: WM
authors.lastname: Senadeera
mesh_terms: D000293:Adolescent; D000328:Adult; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000209:etiology / Q000601:surgery*; D019186:Mandibular Advancement / Q000295:instrumentation / Q000379:methods*; D019857:Osteogenesis, Distraction / Q000295:instrumentation* / Q000379:methods; D010027:Osteotomy; D011183:Postoperative Complications / Q000601:surgery; D055815:Young Adult