TREATMENT OF MAXILLARY HYPOPLASIA IN INDIVIDUALS WITH CLEFT LIP AND PALATE WITH RED SYSTEM
Authors:
Zyli M.1, Sophocleous V.3, Gkinosati A.1, Fakitsas D.2, Nicolaou Z.4, Laspos C.1
Affiliation:
1 European University Cyprus, School of Dentistry,
2 European University Cyprus, School of Medicine,
3 Universitat Internacional de Catalunya, Spain,
4 Cyprus Cranio-Maxillofacial Center
Doi: 10.54936/haoms242p80
ABSTRACT:
Objective: The aim of this case report is to present a patient with unilateral cleft lip and palate and maxillary hypoplasia who was treated with Rigid External Distraction (RED) device. With the RED system, a double jaw surgery, that was necessary in the past, can be avoided as gradual distraction at an early age can correct the deformity of the maxilla both in the horizontal and vertical axis, with better and long lasting results.
Methods and Materials: Diagnostic records of the jaws and the facial bones including x-rays were taken. Fixed orthodontic appliances were placed in the mouth before surgery. RED appliance was placed under general anesthesia engaging the area around the Le-Fort I osteotomy to enable distraction osteogenesis. A latency period of seven days postoperatively was necessary before the activation of the device. Maxilla was advanced 1mm every day.
Results: Significant protraction of the maxilla lead to correction of the Class III skeletal relationship. Concavity of the profile was corrected and a stable Class I occlusion was obtained.
Conclusion: The RED system has good control of the maxillary protraction in all three planes of space, thus enabling us to correct the maxillary deformity effectively. Caution should be taken not to cause velopharyngeal incompetence and speech problems.
KEY WORDS:
Authors:
Zyli M.1, Sophocleous V.3, Gkinosati A.1, Fakitsas D.2, Nicolaou Z.4, Laspos C.1
Affiliation:
1 European University Cyprus, School of Dentistry,
2 European University Cyprus, School of Medicine,
3 Universitat Internacional de Catalunya, Spain,
4 Cyprus Cranio-Maxillofacial Center
Doi: 10.54936/haoms242p80
ABSTRACT:
Objective: The aim of this case report is to present a patient with unilateral cleft lip and palate and maxillary hypoplasia who was treated with Rigid External Distraction (RED) device. With the RED system, a double jaw surgery, that was necessary in the past, can be avoided as gradual distraction at an early age can correct the deformity of the maxilla both in the horizontal and vertical axis, with better and long lasting results.
Methods and Materials: Diagnostic records of the jaws and the facial bones including x-rays were taken. Fixed orthodontic appliances were placed in the mouth before surgery. RED appliance was placed under general anesthesia engaging the area around the Le-Fort I osteotomy to enable distraction osteogenesis. A latency period of seven days postoperatively was necessary before the activation of the device. Maxilla was advanced 1mm every day.
Results: Significant protraction of the maxilla lead to correction of the Class III skeletal relationship. Concavity of the profile was corrected and a stable Class I occlusion was obtained.
Conclusion: The RED system has good control of the maxillary protraction in all three planes of space, thus enabling us to correct the maxillary deformity effectively. Caution should be taken not to cause velopharyngeal incompetence and speech problems.
KEY WORDS: