title: Early orthodontic intervention followed by fixed appliance therapy in a patient with a severe Class III malocclusion and cleft lip and palate.
abstract: This case report describes the treatment of a girl, age 11 years 10 months, with a cleft lip and palate and a postsurgical scar. The clinical examination showed a concave profile, a retrusive maxilla, an asymmetric face, severe dental crowding, a Class III dental relationship, and a complete dental crossbite. Maxillary expansion and distraction, chincap, and high-pull headgear were used to moderate the skeletal discrepancy. These approaches, combined with tooth extraction and fixed orthodontic appliances, finally established a functional and esthetic occlusal relationship, normal overjet and overbite, and a well-balanced facial appearance.
authors.affiliation: Staff orthodontist, Affiliated Hospital of Stomatology, Chongqing Research Center for Oral Diseases and Biomedical Science, Chongqing Medical University, Chongqing, China.
authors.forename: He
authors.initials: H
authors.lastname: Zhang
authors.forename: Feng
authors.initials: F
authors.lastname: Deng
authors.forename: Huaqiao
authors.initials: H
authors.lastname: Wang
authors.forename: Qianqian
authors.initials: Q
authors.lastname: Huang
authors.forename: Yi
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D001641:Bicuspid / Q000601:surgery; D002508:Cephalometry / Q000379:methods; D002648:Child; D002971:Cleft Lip / Q000150:complications*; D002972:Cleft Palate / Q000150:complications*; D004955:Esthetics, Dental; D005115:Extraoral Traction Appliances; D005146:Facial Asymmetry / Q000628:therapy; D005260:Female; D006801:Humans; D007180:Incisor / Q000473:pathology; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000002:abnormalities / Q000473:pathology; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation; D010155:Palatal Expansion Technique; D010347:Patient Care Planning; D013997:Time Factors; D014081:Tooth Extraction; D014087:Tooth Movement Techniques / Q000295:instrumentation