title: Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies-USP (HRAC-USP)--part 3: oral and maxillofacial surgery.
abstract: This paper presents the treatment protocol of maxillofacial surgery in the rehabilitation process of cleft lip and palate patients adopted at HRAC-USP. Maxillofacial surgeons are responsible for the accomplishment of two main procedures, alveolar bone graft surgery and orthognathic surgery. The primary objective of alveolar bone graft is to provide bone tissue for the cleft site and then allow orthodontic movements for the establishment of an an adequate occlusion. When performed before the eruption of the maxillary permanent canine, it presents high rates of success. Orthognathic surgery aims at correcting maxillomandibular discrepancies, especially anteroposterior maxillary deficiencies, commonly observed in cleft lip and palate patients, for the achievement of a functional occlusion combined with a balanced face.
authors: Department of Stomatology, Hospital for Rehabilitation of Craniofacial Anomalies Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
authors: José Alberto de Souza
authors: JA
authors: Freitas
authors: Daniela Gamba
authors: DG
authors: Garib
authors: Ivy Kiemle
authors: IK
authors: Trindade-Suedam
authors: Roberta Martinelli
authors: RM
authors: Carvalho
authors: Thais Marchini
authors: TM
authors: Oliveira
authors: Rita de Cássia Moura Carvalho
authors: Rde C
authors: Lauris
authors: Ana Lúcia Pompéia Fraga de
authors: AL
authors: Almeida
authors: Lucimara Teixeira das
authors: LT
authors: Neves
authors: Renato Yassutaka Faria
authors: RY
authors: Yaedú
authors: Simone
authors: S
authors: Soares
authors: Reinaldo
authors: R
authors: Mazzottini
authors: João Henrique Nogueira
authors: JH
authors: Pinto
mesh_terms: D000543:Alveoloplasty / Q000379:methods*; D001938:Brazil; D002971:Cleft Lip / Q000473:pathology / Q000534:rehabilitation / Q000601:surgery*; D002972:Cleft Palate / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D007085:Ilium / Q000637:transplantation; D020390:Tooth Socket / Q000601:surgery; D016896:Treatment Outcome