Abstract
A 16-year-old female patient presented with absence of the premaxilla and bilateral complete cleft lip and palate (Fig. 7.1). The etiology was uncertain. The treatment plan was reconstruction of the premaxilla and correction of the sagittal jaw relationship, using the alveolar distraction protocol to improve the patient’s facial profile and appearance. Treatment started with rapid maxillary expansion, followed by leveling and alignment of the dental arches with orthodontic treatment (Fig. 7.2). A 2 mm space was left between the maxillary second premolar and first molar to avoid root exposure during osteotomy. At the end of the preoperative orthodontic treatment, braces were removed, polyvinyl siloxane impression was taken, and Cr–Co appliance was fabricated (Fig. 7.3). During the appliance fabrication, thermal retainer was given to keep the teeth retained.
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Erverdi, N., Motro, M. (2015). Archwise Distraction Appliance (AWDA) in Cleft Lip and Palate Patient Treatment: Case Reports. In: Alveolar Distraction Osteogenesis. Springer, Cham. https://doi.org/10.1007/978-3-319-07707-9_7
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DOI: https://doi.org/10.1007/978-3-319-07707-9_7
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-07707-9
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