Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies - USP (HRAC-USP) - Part 2: Pediatric Dentistry and Orthodontics
J. appl. oral sci
; 20(2): 272-285, Mar.-Apr. 2012. ilus
Article
in English
| LILACS
| ID: lil-626432
Responsible library:
BR1.1
ABSTRACT
The aim of this article is to present the pediatric dentistry and orthodontic treatment protocol of rehabilitation of cleft lip and palate patients performed at the Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC-USP). Pediatric dentistry provides oral health information and should be able to follow the child with cleft lip and palate since the first months of life until establishment of the mixed dentition, craniofacial growth and dentition development. Orthodontic intervention starts in the mixed dentition, at 8-9 years of age, for preparing the maxillary arch for secondary bone graft procedure (SBGP). At this stage, rapid maxillary expansion is performed and a fixed palatal retainer is delivered before SBGP. When the permanent dentition is completed, comprehensive orthodontic treatment is initiated aiming tooth alignment and space closure. Maxillary permanent canines are commonly moved mesially in order to substitute absent maxillary lateral incisors. Patients with complete cleft lip and palate and poor midface growth will require orthognatic surgery for reaching adequate anteroposterior interarch relationship and good facial esthetics.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Orthodontics, Corrective
/
Cleft Lip
/
Cleft Palate
/
Pediatric Dentistry
Type of study:
Practice guideline
Limits:
Child
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
J. appl. oral sci
Journal subject:
Dentistry
Year:
2012
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of São Paulo/BR