open access
메뉴ISSN : 0376-4672
Cleft lip and palate is one of the most frequent craniofacial deformities impacting the patients' life from birth. Multidisciplinary treatments given by the team approach is necessary to resolve many problems. One of the treatments challenging to the team is orthopedic treatment for protracting maxilla during the period of growth. Conventional way of maxillary protraction is using facemask with intraoral appliaces such as bonded expander, labiolingual arch, and so on. Despite the efforts of the clinicians, it has been well known to have not so good prognosis for the orthopedic treatment. Recently, with the help of skeletal anchorage, better effectiveness and efficiency in maxillary protraction using facemask has been reported. Therefore, it is worth seeking its clinical applicability and prognosis through clincial cases and literature reviews especially for cleft lip and palate patients.
1. Korean council of orthodontic faculites: Treatment of craniofacial deformities. In Textbook of orthodontics 4th edition; Daehan Narae Publishing, Inc.:Seoul, 2020.
2. Ross RB. Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Cleft Palate J 1987;24:5-77.
3. Baek SH, Moon HS, Yang WS. Cleft type and Angle's classification of malocclusion in Korean cleft patients. Eur J Orthod 2002;24:647-53.
4. Seo YJ, Park JW, Kim YH, Baek SH. Initial growth pattern of children with cleft before alveolar bone graft stage according to cleft type. Angle Orthod 2011;81:1103-10.
5. Gilley FP. A cephalometric analysis of the developmental pattern and facial morphlogy in cleft palate. Dent Res Gradd Study. 1947;48(7):13-5.
6. Ricketts RM. Present status of knowledge concerning the cleft palate child. Angle Orthod 1956;26(1):10-21.
7. Kokich VG, Shapiro PA, Oswald R, Koskinen-Moffett L, Clarren SK. Ankylosed teeth as abutments for maxillary protraction: a case report. Am J Orthod. 1985;88(4):303-7.
8. Enacar A, Giray B, Pehlivanoglu M, Iplikcioglu H. Facemask therapy with rigid anchorage in a patient with maxillary hypoplasia and severe oligodontia. Am J Orthod Dentofacial Orthop. 2003;123(5):571-7.
9. Cha BK, Lee NK, Choi DS. Maxillary protraction treatment of skeletal Class III children using miniplate anchorage. Korean J Orthod, 2007;37:73-84.
10. Cevidanes L, Baccetti T, Franchi L, McNamara JA Jr, De Clerck H. Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion. Angle Orthod. 2010;80(5):799-806.
11. Cohen SR, Burstein FD, Stewart MB, Rathburn MA. Maxillarymidface distraction in children with cleft lip and palate: a preliminary report. Plast Reconstr Surg 1997;99:1421-8.
12. Schnitt DE, Agir H, David DJ. From birth to maturity: a group of patients who have completed their protocol management. Part I. Unilateral cleft lip and palate. Plast Reconstr Surg 2004;113:805-17.
13. Park HM, Kim PJ, Kim HG, Kim S, Baek SH. Prediction of the need for orthognathic surgery in patients with cleft lip and/or palate. J Craniofac Surg 2015;26:1159-62.
14. Antonarakis GS, Watts G, Daskalogiannakis J. The need for orthognathic surgery in nonsyndromic patients with repaired isolated cleft palate. Cleft Palate Craniofac J 2015;52:e8-13.
15. Yu SH, Baek SH, Choi JY et al. Cephalometric predictors of future need for orthognathic surgery in Korean patients with unilateral cleft lip and palate despite long-term use of facemask with miniplate. Korean J Orthod 2021;51(1):43-54.
16. Yun-Chia Ku M, Lo LJ, Chen MC, Wen-Ching Ko E. Predicting need for orthognathic surgery in early permanent dentition patients with unilateral cleft lip and palate using receiver operating characteristic analysis. Am J Orthod Dentofacial Orthop 2018;153:405-14.