title: Interdisciplinary treatment for an adult with a unilateral cleft lip and palate.
abstract: A young man, age 18 years 4 months, with a concave profile, a skeletal maxillary deficiency, and a severe alveolar cleft with an unesthetic appearance of the maxillary anterior teeth was referred for orthodontic treatment. After a detailed review of his pretreatment records, both surgical and nonsurgical treatment plans were presented to the patient, who opted for a nonsurgical interdisciplinary approach. His complex 3-dimensional malocclusion required palatal expansion, dental extractions, and periodontal and prosthodontic consultations and treatment, in addition to comprehensive orthodontic therapy. MBT (Xinya, HangZhou, China) 0.022 × 0.028-in appliances combined with a mini-implant to enhance the orthodontic anchorage were used to level, align, and establish a Class I relationship. After the orthodontic treatment, a combined restorative and periodontal approach was used to enhance the patient's esthetic and functional outcomes. Both the final result and the 1-year follow-up records demonstrate that the treatment goals of establishing proper occlusion, normal function, a balanced profile, better esthetics, and a stable outcome were achieved. The purpose of this case report is to demonstrate that an interdisciplinary treatment protocol can significantly improve the transverse discrepancies and achieve a satisfactory occlusion with a balanced profile in patients with cleft lip and palate.
authors.affiliation: Attending orthodontist, Department of Orthodontics, Stomatological Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, People's Republic of China.
authors.forename: Qiao Ling
authors.initials: QL
authors.lastname: Ma
authors.affiliation: Associate professor, Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, Mich.
authors.forename: R Scott
authors.initials: RS
authors.lastname: Conley
authors.affiliation: Associate professor, College of Stomatology, Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
authors.forename: Tuojiang
authors.initials: T
authors.lastname: Wu
authors.affiliation: Associate professor, Department of Orthodontics, Stomatological Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu, People's Republic of China. Electronic address: lihuang76@nju.edu.cn.
authors.forename: Huang
authors.initials: H
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000539:Alveolar Process / Q000002:abnormalities / Q000473:pathology; D001641:Bicuspid / Q000473:pathology; D002508:Cephalometry / Q000379:methods; D002971:Cleft Lip / Q000628:therapy*; D002972:Cleft Palate / Q000628:therapy*; D003442:Crowns; D003724:Dental Arch / Q000473:pathology; D005500:Follow-Up Studies; D005882:Gingival Diseases / Q000628:therapy; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D008437:Maxilla / Q000002:abnormalities / Q000473:pathology; D016382:Orthodontic Appliance Design; D010155:Palatal Expansion Technique / Q000295:instrumentation; D010347:Patient Care Planning; D010348:Patient Care Team; D014079:Tooth Eruption, Ectopic / Q000628:therapy; D014081:Tooth Extraction; D014087:Tooth Movement Techniques / Q000295:instrumentation; D016896:Treatment Outcome