title: A Novel Technique To Correct Multiplanar Maxillary Hypoplasia.
abstract: Dental malocclusion and facial deformity are frequent observations in patients with clefts of the orofacial region. These patients have a low self perception secondary to their aesthetic appearance. Cleft palate patients are further affected in their speech and oral function with direct impediment to their quality of life. Early identification and treatment in cleft lip and palate patients may directly enhance their overall well being and productivity with sustainable prognosis when managed by skilled and evidence informed operators. We present a successful case management of a patient with a cleft palate and dentofacial deformity with a past surgical history, treated with an anterior maxillary advancement osteotomy, stabilized with an interpositional non vascular iliac bone graft. The posterior open bite was corrected using overlay full coverage crowns. Both these techniques are rarely reported in the literature. The procedure positively improved the quality of life in our patient with regards to her aesthetics, speech and function. This treatment approach could be considered in similar cases to achieve predictable outcomes.
authors.affiliation: Associate Professor, Department of Dental Surgery, Unit 1, Christian Medical College and Hospital , Vellore, Tamil Nadu, India .
authors.forename: Sibu Sajjan
authors.initials: SS
authors.lastname: Simon
authors.affiliation: Associate Professor, Department of Dental Surgery, Unit 1, Christian Medical College and Hospital , Vellore, Tamil Nadu, India .
authors.forename: Arun Paul
authors.initials: AP
authors.lastname: Charlu
authors.affiliation: Professor, Department of Dental Surgery, Unit 1, Christian Medical College and Hospital , Vellore, Tamil Nadu, India .
authors.forename: Rabin Kurudamannil
authors.initials: RK
authors.lastname: Chacko
authors.affiliation: Assistant Professor, Department of Dental Surgery, Unit 1, Christian Medical College and Hospital , Vellore, Tamil Nadu, India .
authors.forename: Saurabh
authors.initials: S
authors.lastname: Kumar
keywords: Anterior maxillary advancement osteotomy; Cleft palate; Illiac crest graft; Overlay crowns; Posterior open bite