医学
上颌发育不全
牵张成骨
正颌外科
反牙合
口腔正畸科
颅面
发育不良
牙科
错牙合
闭塞
牙弓
畸形
头影测量
面部对称
分散注意力
外科
心理学
神经科学
精神科
作者
Runzhi Guo,Yiping Huang,Guo-hua Ye,Yifan Lin,Xiaojing Liu,Yilin Jia,Weiran Li
标识
DOI:10.1016/j.xaor.2023.07.002
摘要
Maxillary hypoplasia is a craniofacial characteristic in patients with isolated cleft palate (ICP). For maxillary hypoplasia with dental arch length deformity and severe crowding, premaxillary distraction osteogenesis can correct maxillary hypoplasia and increase the dental arch length to eliminate crowding. This case report describes the interdisciplinary treatment of a 20-year-old female with ICP with severe maxillary hypoplasia, mandibular prognathism and asymmetry, severe maxillary crowding, missing teeth, midline discrepancy, and anterior crossbite. An interdisciplinary treatment plan that included comprehensive orthodontic treatment, premaxillary distraction osteogenesis, mandibular orthognathic surgery, implant surgery, and endodontic and periodontal treatment was implemented to correct craniofacial deformity and malocclusion. A harmonious facial profile with satisfactory occlusion was obtained at the end of the interdisciplinary treatment. At 1-year follow-up, the treatment outcomes were stable. This case report aimed to demonstrate that interdisciplinary collaboration and excellent patient compliance are essential for patients with ICP to achieve functional occlusion and harmonious facial esthetics.
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