Contemporary Clinical Dentistry (Jan 2020)

Orthosurgical management of a patient with cleft lip and palate

  • Sergio Martires,
  • Nandini V Kamat,
  • Vikas Dhupar

DOI
https://doi.org/10.4103/ccd.ccd_200_18
Journal volume & issue
Vol. 11, no. 2
pp. 171 – 178

Abstract

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A 31-year-old male patient reported with a chief complaint of a forwardly placed lower jaw. Oral examination revealed Angle's Class III relationship bilaterally and cephalometrically; the patient presented with a small-sized retrognathic maxilla and normal mandible. Orthosurgical treatment was carried out with 4 mm of maxillary advancement and 4 mm of mandibular setback to achieve ideal overjet, overbite, and intercuspation of teeth. The ANB angle showed a drastic change from −9.5° to 1° and a successful conversion of the skeletal profile from Class III to Class I. Orthosurgical treatment can thus be an effective means of treating a patient with cleft lip and palate but requires a detailed understanding of the case and a sound diagnosis to attain a successful outcome.

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