Congenital Facial Deformities

  • Jeff Marschall Green
  • Eric D. Bednar
  • Lewis C. Jones


Craniofacial deformities encompass a wide array of congenital and acquired syndromes of the head, neck, face, and jaws. The care of these complex patients requires a team-based approach with multiple providers, including but not limited to surgeons, pediatricians, and dentists. Understanding normal growth and development of the maxillofacial complex and the deciduous and succedaneous dentition is essential as it has a profound influence on the timing of surgical and nonsurgical interventions. This chapter is designed to introduce the general dentist who practices on the craniofacial team of the basic principles in the care of these patients.


Craniofacial deformities Malocclusion Congenital facial deformities Apert syndrome 


  1. Bjork A, Skieller V. Growth of the maxilla in three dimensions as revealed radiographically by the implant method. Br J Orthod. 1977;4(2):53–64.CrossRefGoogle Scholar
  2. Bokhout B, Hofman FX, van Limbeek J, Kramer GJ, Prahl-Andersen B. Increased caries prevalence in 2.5-year-old children with cleft lip and/or palate. Eur J Oral Sci. 1996;104(5-6):518–22.CrossRefGoogle Scholar
  3. Coots BK. Alveolar bone grafting: past, present, and new horizons. Semin Plast Surg. 2012;26(4):178–83.PubMedPubMedCentralGoogle Scholar
  4. DeAngelis V. Dentofacial growth and development/orthodontics, vol. 2. Williams and Wilkins Company: Baltimore; 1975.Google Scholar
  5. Enlow DH, Hans MG. Essentials of facial growth. Philadelphia: Saunders; 1996.Google Scholar
  6. Foley TF, Mamandras AH. Facial growth in females 14 to 20 years of age. Am J Orthod Dentofac Orthop. 1992;101(3):248–54.CrossRefGoogle Scholar
  7. Kirchberg A, Treide A, Hemprich A. Investigation of caries prevalence in children with cleft lip, alveolus, and palate. J Craniomaxillofac Surg. 2004;32(4):216–9.CrossRefGoogle Scholar
  8. Love RJ, Murray JM, Mamandras AH. Facial growth in males 16 to 20 years of age. Am J Orthod Dentofac Orthop. 1990;97(3):200–6.CrossRefGoogle Scholar
  9. O’Neill J. More caries in primary teeth of children who have cleft lip and palate. Do children who have cleft lip and palate have elevated caries levels in the primary and permanent dentition? Evid Based Dent. 2007;8(4):106.CrossRefGoogle Scholar
  10. Proffit WR, Fields HW Jr, Moray LJ. Prevalence of malocclusion and orthodontic treatment need in the United States: estimates from the NHANES III survey. Int J Adult Orthodon Orthognath Surg. 1998;13(2):97–106.PubMedGoogle Scholar
  11. Proffit WR, White RP, Sarver DM. Contemporary treatment of dentofacial deformity. St. Louis, MO: Mosby; 2003.Google Scholar
  12. Savara BS, Singh IJ. Norms of size and annual increments of seven anatomical measures of maxillae in boys from three to sixteen years of age. Angle Orthod. 1968;38(2):104–20.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Jeff Marschall Green
    • 1
  • Eric D. Bednar
    • 2
  • Lewis C. Jones
    • 3
  1. 1.Oral and Maxillofacial SurgeryUniversity of LouisvilleLouisvilleUSA
  2. 2.Department of OrthodonticsUniversity of LouisvilleLouisvilleUSA
  3. 3.Department of Oral and Maxillofacial SurgeryUniversity of LouisvilleLouisvilleUSA

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