Sanchla Abhishek D, Shrivastav Sunita, Bhola Nitin D, Kamble Ranjit
Department of Orthodontics, Sharad Pawar Dental College & Hospital (SPDCH), Wardha, IND.
Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College & Hospital (SPDCH), Wardha, IND.
Cureus. 2023 Apr 5;15(4):e37148. doi: 10.7759/cureus.37148. eCollection 2023 Apr.
A 10-year-old girl had reported to Sharad Pawar Dental College. Her parents had chief complaints of lip and palate deformity. On examination, it was found that the patient had unilateral cleft lip and palate on the right side. The aim was to expand the maxilla with alveolar bone grafting in the cleft region to facilitate the eruption of permanent canine and further reduce the deformity to prepare the patient for face mask therapy, reduce morbidity in the permanent dentition, and avoid Le Fort one surgery in the future. She had been previously operated on for cleft lip repair and palatal fistula closure eight years back. The present condition in the mixed dentition needed arch expansion, bone in the cleft region for the eruption of permanent canine, and further arch alignment for facemask therapy. This would reduce the severity of skeletal deformity and later on avoid the surgical advancement of the maxilla.
一名10岁女孩前往沙拉德·帕瓦尔牙科学院就诊。她的父母主要抱怨唇部和腭部畸形。经检查，发现该患者右侧存在单侧唇腭裂。目的是通过在腭裂区域进行牙槽骨移植来扩展上颌骨，以促进恒牙尖牙萌出，并进一步减轻畸形，为患者进行面罩治疗做准备，降低恒牙列的发病率，避免未来进行勒福Ⅰ型手术。她曾在八年前接受过唇裂修复和腭瘘闭合手术。目前处于混合牙列期的状况需要扩弓、在腭裂区域提供骨组织以利于恒牙尖牙萌出，以及进一步排齐牙弓以便进行面罩治疗。这将减轻骨骼畸形的严重程度，并避免日后上颌骨的手术前移。
