Early rehabilitation of bilateral cleft lip and palate patients using an orthopaedic appliance and gingivo-periosteoplasty: pilot study
DOI:
https://doi.org/10.17533/udea.rfo.2437Keywords:
Bilateral cleft lip and palate, Pre-surgical orthopedics, Gingival-periosteoplastyAbstract
Introduction: premaxilla repositioning in cases of bilateral cleft lip and palate (BCLP) by means of intraoral devices has been a controversial aspect in its treatment. This study presents a therapeutic proposal for early intraoral dynamic orthopedics for out community. The objective was to evaluate the results obtained by using a mucosa bony supported intra oral device along with gingiva-periostioplasty surgery as part of the initial lip closure in cases of complete BCLP. Methodology: 4 babies with complete BCLP, 20 weeks old were evaluated, 3 boys and 1 girl. Every patient received an intra oral mucosa bony supported device. After the orthopedic result, a primary rhino cheiloplasty and a gingival periostioplasty were performed. Models of the upper arch were compared before and after the orthopedic treatment with digital measurements that were then subjected to descriptive statistical analysis; bone formation was evaluated by means of computerized tomography 6 months after the gingival periostioplasty. Results: every patient achieved retraction of the maxilla and a satisfactorily alveolar alignment. There was bone formation in 3 of the 6 sites in which the gingival-periosteoplasty was performed. Conclusions: pre-surgical orthopedic treatment with an intraoral-appliance can successfully improve mal-alignment of the pre-maxilla in patients with bilateral cleft lip and palate, and allows bone formation when it is followed by gingival-periosteoplasty. This protocol represents a practical option for treatment in cases with protrusion of the pre-maxilla in our community.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
