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Multidisciplinary treatment from infancy to adolescence of a patient with a unilateral cleft lip and palate: a 16-year follow-up case report

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Figure 1.

(A) When the patient applied to the clinic in the neonatal period. (B) Appearance of the appliance used for NAM before surgery. (C) Final state before lip surgery.
(A) When the patient applied to the clinic in the neonatal period. (B) Appearance of the appliance used for NAM before surgery. (C) Final state before lip surgery.

Figure 2.

Follow-up records at age 2.
Follow-up records at age 2.

Figure 3.

Front view of lips, nose, and mouth at 8 years old.
Front view of lips, nose, and mouth at 8 years old.

Figure 4.

Photographs of the patient before and during orthodontic treatment in the mixed dentition period. Pre-treatment intraoral and extraoral profile and frontal photographs and panoramic and cephalometric radiographs.
Photographs of the patient before and during orthodontic treatment in the mixed dentition period. Pre-treatment intraoral and extraoral profile and frontal photographs and panoramic and cephalometric radiographs.

Figure 5.

Appearance of anterior brackets and custom-made transpalatal arch applied after maxillary expansion procedure in the maxilla and lingual arch in the mandible.
Appearance of anterior brackets and custom-made transpalatal arch applied after maxillary expansion procedure in the maxilla and lingual arch in the mandible.

Figure 6.

Post-treatment intraoral and extraoral profile and frontal photographs and panoramic and cephalometric radiographs. Modified essix retainer with acrylic artificial teeth applied for retention after orthodontic treatment.
Post-treatment intraoral and extraoral profile and frontal photographs and panoramic and cephalometric radiographs. Modified essix retainer with acrylic artificial teeth applied for retention after orthodontic treatment.

Figure 7.

Intraoral and extraoral views of minimally invasive aesthetic rehabilitation with multidisciplinary approach after prosthodontic consultation in 2-year follow-up after orthodontic treatment.
Intraoral and extraoral views of minimally invasive aesthetic rehabilitation with multidisciplinary approach after prosthodontic consultation in 2-year follow-up after orthodontic treatment.

Figure 8.

Graphical representation of cephalometric changes that occurred because of orthodontic treatment and subsequent growth and development.
Graphical representation of cephalometric changes that occurred because of orthodontic treatment and subsequent growth and development.

Cephalometric measurements of the patient who was treated and followed up.

Measurements Before treatment End of treatment 6 months follow-up 2 years follow-up
SNA° 75.8 76.2 76.3 76.3
SNB° 74.3 74.8 74.1 74.5
ANB° 1.6 2.4 2.2 1.8
A-Na Perp (mm) ‒2.5 ‒2.2 ‒1.7 ‒1.1
Pg-Na Perp (mm) ‒6.8 ‒5.6 ‒4.6 ‒2.4
ANS-Me (mm) 55.6 59.4 59.5 59.6
SN/GoGn° 36.0 37.9 36.3 35.7
NaMe (AFH) (mm) 103.1 109.8 110.5 111.4
SGo (PFH) (mm) 62.8 67.7 69.1 70.0
N-ANS (UFH) (mm) 48.3 51.9 51.5 52.3
ANS-Gn (LFH) (mm) 54.0 59.2 58.5 58.6
N-Gn (TFH) (mm) 102.3 111.1 110.0 110.9
CoA (mm) 75.3 79.1 80.1 80.6
CoGn (mm) 101.0 108.1 108.9 109.2
U1/SN° 97.1 104.3 106.6 106.8
U1/PP° 106.5 115.6 119.2 122.8
U1-NA (mm) 2.7 4.8 4.9 6.4
U1/NA° 21.2 28.1 29.4 30.9
L1-APog (mm) 2.0 3.4 4.0 4.8
IMPA° 90.6 97.8 99.7 100.3
L1-NB (mm) 3.1 6.0 6.7 6.9
L1/NB° 23.0 32.0 33.0 33.1
I/I° 134.3 116.5 113.9 114.5
Overbite (mm) ‒1.6 1.5 0.9 0.8
Overjet (mm) 1.4 3.3 2.5 2.1
NLA° 91.4 84.1 83.9 80.4
LL-E (mm) ‒0.3 ‒0.1 0.7 2.3
UL-E (mm) -0.7 -1.0 ‒0.7 -2.2
Soft Tissue Convexity° 133.7 136.5 135.6 137.1
eISSN:
2207-7480
Langue:
Anglais
Périodicité:
Volume Open
Sujets de la revue:
Medicine, Basic Medical Science, other