Orthopaeddontics in Cleft Treatment
Journal Title: Journal of Dental Health and Oral Research - Year 2024, Vol 5, Issue 2
Abstract
Orthopaeddontics offers a comprehensive treatment paradigm tailored to paediatric patients aged 5 to 11 years with cleft anomalies, focussing on early correction of dento-alveolar and orthognathial deformities alongside structured psychological support. The intensive pre- surgical preparational treatment phase, conducted during this very active growth period, lays the foundation for subsequent surgical interventions, particularly secondary osteofusion, in children with the CLA and CLAP deformities. The primary objective is to achieve optimal gothic arch formation, ideal maxillary-mandibular occlusal relationship and attain balanced facial aesthetics while mitigating orthognathial deformities. Following surgery, orthopeaddontic maintenance continues into the pre-adolescent years, typically until the age of 12 years, ensuring sustained treatment efficacy before transitioning to standard orthodontic care. Central to this approach is a non-extraction treatment philosophy targeting both primary and permanent dentition, aimed at aligning teeth to achieve the most ideal arch or horse-shoe- shaped alveolus arch for all of the two (uCLA/uCLAP) or three arch segments (bCLA/bCLAP) within a balanced maxillary-mandibular occlusal relationship with an ideal facial balance. Various orthopaeddontic techniques are employed to address abnormal dimensional appearances, complimented by a psychologically sensitive approach to support paediatric patients and their families. During the orthopaeddontic treatment the treating expert needs to liaise with the parents to support the cleft child with a gentle, psychologically meaningful approach to warrant essential ultimate outcome with lifelong positive aesthetic appearance and functionality and to secure an easier acceptance of their odyssey as a person with a cleft deformity. A result of the utilization of this growth phase, related to the midfacial development and function, needs to be comparable with the expected development of a non-cleft child at a similar age. Ultimately, successful orthopeaddontic intervention during the critical growth phase should yield marked improvements in speech, facial aesthetic and a functional occlusion, potentially reducing the need for future orthodontic treatments and minimizing treatment duration.
Authors and Affiliations
Rolanda Prinsloo1*, Kurt-W Bütow2, Daleen SM du Plessis3
Keywords
Related Articles
- EP ID EP736218
- DOI https://doi.org/10.46889/JDHOR.2024.5202
- Views 78
- Downloads 0
Effect of Smoking and Periodontal Diseases on Salivary Glycoconjugates and Oxidative Stress Markers-A Comparative Study
Background and Objectives: The most important feature in periodontal disease is degradation of extracellular matrix, resulting in elevated levels of various salivary biomarkers in periodontal diseases. Smoking results...
Evaluation of the Oral Health of Hemophiliac Patients in Cameroon
Introduction: The aim of our study was to identify oral pathologies, determine their frequencies and assess the oral care needs of hemophilia patients in Cameroon. Method: A descriptive cross-sectional study was condu...
Role of Conservative Management in Treating Ameloblastoma of Jaw Bones: A Review of Literature
Objective: The objective of this review article is to identify the role of conservative management and conditions which could produce positive outcomes in a recurrent tumor like Ameloblastoma of the jaw bones. Method:...
Alveolar Ridge Augmentation with Implant Placement in the Anterior Maxilla: A Case Report
Loss of teeth in the anterior region in a young patient can be very traumatic. Not only are they concerned about the function, but also about the aesthetics. The rehabilitation of missing teeth poses the challenge of def...
Malpractice Payments and Adverse Actions against Dentists in Texas-A Fifteen-Year Trend Analysis
Objective: Health practitioners are potentially subject to malpractice claims against them and previous research has indicated that legal proceedings against dentists are becoming a larger proportion of all malpractice p...