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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
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ISSN : 0376-4672

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55권 12호

성장기 구순구개열 환자의 악정형 치료에 관한 최신 지견

Orthopedic treatment of cleft lip and palate child. An update

임성훈 (조선대학교)
대한치과의사협회지 / The Journal of the Korean Dental Association, (P)0376-4672; (E)2713-7961
2017, v.55 no.12, pp.870-882
https://doi.org/10.22974/jkda.2017.55.12.005
임성훈. (2017). 성장기 구순구개열 환자의 악정형 치료에 관한 최신 지견. 대한치과의사협회지, 55(12), 870-882, https://doi.org/10.22974/jkda.2017.55.12.005

Abstract

Maxillary growth is hindered by the restricting pressure from the scar tissue formed after lip closure and palate closure surgeries of the cleft. Therefore, the anteroposterior skeletal relationship of both jaws exacerbates as patient grows. Conventional facemask treatment is valuable for dentoalveolar compensatory treatment and for very mild maxillary hypoplasia. To achieve further maxillary protraction, bone-anchored facemask or bone-anchored maxillary protraction can be attempted. For moderate maxillary hypoplasia, surgical orthodontic treatment after growth completion can be an efficient treatment reducing uncontrollable problems. For moderate to severe maxillary hypoplasia, distraction osteogenesis (DO) can be used alone or with later surgical orthodontic treatment. To compensate the severe relapse after DO, overcorrection and bone plate placement after DO are recommended. In case of hypernasality, maxillary anterior segmental distraction osteogenesis can be chosen to prevent exacerbation of the hypernasality.

keywords
Cleft lip and palate, facemask, distraction osteogenesis, maxillary hypoplasia, orthopedic treatment

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