Department of Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil.
Department of Oral and Maxillofacial Surgery, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil.
J Orthod. 2022 Dec;49(4):457-462. doi: 10.1177/14653125221087289. Epub 2022 Mar 24.
Orthodontic treatment in patients with cleft lip and palate (CLP) is challenging. Alignment of the maxillary segments and orthodontic levelling of the teeth adjacent to the cleft area are important before alveolar bone grafting (ABG), in the permanent dentition. In this clinical report, orthodontic procedures, before and after late ABG, are described as an alternative that can optimise the orthodontic and periodontal results. The gingival margins of the teeth adjacent to the cleft area were levelled. Root divergence was corrected. Interdental papilla and improvement of the periodontal condition were obtained.
唇腭裂患者的正畸治疗具有挑战性。在进行牙槽骨移植（ABG）之前，尤其是在恒牙列中，对上颌骨段的对齐和腭裂区域附近牙齿的正畸排齐非常重要。在本临床报告中，描述了晚期 ABG 前后的正畸程序，作为一种可优化正畸和牙周效果的替代方法。对腭裂区域附近牙齿的牙龈边缘进行了排齐。纠正了牙根分叉。获得了牙间乳头和改善牙周状况。
