Alzain Ibtesam, Batwa Waeil, Cash Alex, Murshid Zuhair A
Pediatric Dentistry.
Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Clin Cosmet Investig Dent. 2017 May 31;9:53-59. doi: 10.2147/CCIDE.S129598. eCollection 2017.
Patients with cleft lip and/or palate go through a lifelong journey of multidisciplinary care, starting from before birth and extending until adulthood. Presurgical orthopedic (PSO) treatment is one of the earliest stages of this care plan. In this paper we provide a review of the PSO treatment. This review should help general and specialist dentists to better understand the cleft patient care path and to be able to answer patient queries more efficiently. The objectives of this paper were to review the basic principles of PSO treatment, the various types of techniques used in this therapy, and the protocol followed, and to critically evaluate the advantages and disadvantages of some of these techniques. In conclusion, we believe that PSO treatment, specifically nasoalveolar molding, does help to approximate the segments of the cleft maxilla and does reduce the intersegment space in readiness for the surgical closure of cleft sites. However, what we remain unable to prove equivocally at this point is whether the reduction in the dimensions of the cleft presurgically and the manipulation of the nasal complex benefit our patients in the long term.
唇腭裂患者需要经历一个从出生前开始并持续到成年的多学科终身治疗过程。术前正畸（PSO）治疗是该治疗计划的早期阶段之一。在本文中，我们对PSO治疗进行了综述。这篇综述应有助于普通牙医和专科牙医更好地理解唇腭裂患者的治疗路径，并能够更有效地回答患者的疑问。本文的目的是回顾PSO治疗的基本原则、该治疗中使用的各种技术类型以及遵循的方案，并批判性地评估其中一些技术的优缺点。总之，我们认为PSO治疗，特别是鼻牙槽塑形，确实有助于使腭裂上颌骨的各部分接近，并确实减少节段间间隙以为腭裂部位的手术闭合做好准备。然而，目前我们仍无法明确证明术前腭裂尺寸的减小和鼻复合体的操作是否能使我们的患者长期受益。
