Altuğ Ayşe Tuba
Department of Orthodontics, Ankara University School of Dentistry, Ankara, Turkey.
Turk J Orthod. 2017 Dec;30(4):118-125. doi: 10.5152/TurkJOrthod.2017.17045. Epub 2017 Dec 1.
Nonsyndromic complete cleft lip and palate deformity is primarily functional, then esthetic, and finally but not least importantly, a dental challenge. Feeding and facial appearance are important during the first years of a newborn. Nutrition is universally provided by passive feeding plates. If the Cleft Team prefers to use active plates, alveolar molding combined with nasal approaches in infants is the best method to improve esthetics to date. Orthodontists are predominantly responsible for achieving both the goals. After those difficulties have been met in early days of the life, dentists are mainly responsible for the treatment thereafter. If the infants have a dentoalveolar unity without any fistulas and correctly aligned maxillary deciduous teeth, this is a real success. Therefore, this article is an overview of presurgical infant orthopedics and its contribution to subsequent dental practice.
非综合征性完全性唇腭裂畸形主要是功能性的,其次是美观性的,最后但同样重要的是,对牙科来说是一项挑战。在新生儿的头几年,喂养和面部外观很重要。营养普遍通过被动喂养板提供。如果腭裂治疗团队倾向于使用主动板,那么婴儿期的牙槽塑形结合鼻腔入路是迄今为止改善美观的最佳方法。正畸医生主要负责实现这两个目标。在生命早期解决这些困难之后,牙医主要负责后续治疗。如果婴儿的牙槽骨完整无瘘且上颌乳牙排列正确,这就是真正的成功。因此,本文概述了术前婴儿正畸及其对后续牙科实践的贡献。