A modified presurgical alveolar molding technique for treatment of cleft in Down syndrome

• 발행기관: 대한치과교정학회
• 저자명: Merve Gonca Mehmet Birol Ozel
• 간행물 정보: 『The Korean Journal of Orthodontics』제51권 제6호, 428~434쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2021.11.30

영문 초록

Craniofacial clefts are extremely rare deformities. Tessier’s classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21-month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.

목차

INTRODUCTION

DIAGNOSIS AND ETIOLOGY

TREATMENT OBJECTIVES

TREATMENT ALTERNATIVES

TREATMENT PROGRESS

TREATMENT RESULTS

DISCUSSION

CONCLUSION

CONFLICTS OF INTEREST

REFERENCES

키워드

Appliances Cleft lip and palate Craniofacial anomalies Functional