Management of the Premaxilla/Maxilla in Bilateral Cleft Lip and Palate
Methods for presurgical management of the prominent premaxilla in bilateral cleft lip and palate are described. Emphasis is on the methods used at UCSF. The later management of the premaxillary/maxillary complex is described and illustrated by patient photos and radiographs. Maxillary expansion in preparation for alveolar bone grafting, maxillary protraction, canine substitution for congenitally missing lateral incisors, management of vertical excess of the premaxilla, implants for missing teeth, and treatment sequencing for maxillary hypoplasia are described. Pertinent published papers are referenced.
KeywordsCone Beam Compute Tomography Orthodontic Treatment Lateral Incisor Maxillary Central Incisor Bilateral Cleft
- Bartzela T, Katsaros C, Ronning E et al (2011) A longitudinal three-center study of craniofacial morphology at 6 and 12 years of age in patients with complete bilateral cleft lip and palate. Clin Oral Investig. doi: 10.1007/s00784-011-0615-y
- Pena W, Sharma A, Vargervik K et al (2009) The role of endosseous implants in the management of alveolar clefts. J Pediatr Dent 47:318–321Google Scholar