Orthodontic considerations for maxillary distraction osteogenesis in growing patients with cleft lip and palate using internal distractors.
The orthodontist plays a key role in the selection of the optimal treatment for patients followed by a craniofacial team. For patients with cleft lip and palate, the need for multidisciplinary treatment planning and sequentially staged treatment is essential for successful patient outcomes. The technique of Le Fort I distraction osteogenesis of the maxilla using an internal device is potentially a predictable, stable, and convenient option for the correction of severe maxillary hypoplasia. It is an alternative option for treatment of maxillary hypoplasia in growing patients. In this article, the authors describe the orthodontist's approach to the management of cleft patients with severe maxillary deficiency with the use of an internal distraction device. The information is presented with a focus on the clinical aspects of treatment, using case illustrations and appropriate literature.
Department of Orthodontics, Dell Children's Craniofacial & Reconstructive Plastic Surgery Center, Austin, Texas.
Adriana da
Ad
Silveira
Department of Craniofacial Orthodontics, Baylor College of Dentistry, Dallas, Texas.
Pollyana Marques de
PM
Moura
Department of Craniofacial & Pediatric Plastic Surgery, Dell Children's Medical Center, University Medical Center Brackenridge, Austin, Texas.
Raymond J
RJ
Harshbarger
cleft lip and palate; distraction osteogenesis; internal Le Fort I distractor; maxillary distraction; maxillary hypoplasia