Cleft Lip And Palate Repair Q&A
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Can Dento-facial Orthopedics Be Applied for Someone with a Repaired Cleft Palate?
asked 1 year ago by Guidance4Me in Los Angeles, CA
Latest answer by Lawrence Singer, DMD
Question viewed 290 times
Tags: mouth, crossbite, underbite
For an adult person considering orthodontics plus dento-facial orthopedics to fix an underbite (7.5mm diff b/w lower and upper jaw) and crossbite, is it possible to use orthopedic devices like palatal expanders when the individual has previously had surgery to repair a cleft palate? Since the cleft palate surgery closed the gap in the roof of the mouth, and the expander is supposed to pull it apart, would that create an issue?
3 answers to Can Dento-facial Orthopedics Be Applied for Someone with a Repaired Cleft Palate?
+3
Adult Orthodontics in Cleft Lip and Palate
Dear Guidance4Me, Yes, adults with previously repaired cleft palate can be treated with some nonsurgical treatments to address dental malocclusion (under, over, or cross-bite) . As you likely are aware, facial imbalance such as you describe (7.5 mm) is typical for some people with cleft lip and palate.
As you research your options, please consider having a consultation with an cleft surgeon who performs orthognathic (jaw correction) surgery. This will allow...
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Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
Sacramento Facial Plastic Surgeon
+1
Dentofacial Orthopaedics
Yes is the simple answer. The more complicated explanation is that there may be mahy different approaches to achieve or address your desired result. There is a Dr. Martin Chin in the SF area who is very good with this. You should do multiple consults with multiple teams and see there results. Have them discuss and show you their failures as well as successes.
+1
Cleft Lip and smile makeover
You asked a really great question. Every case is different. Many times I can correct the vertical and anterior-posterior relationship with specialized dental procedures. Other times, I work with the surgeons to show them where the maxillary or upper jaw should be. We do take the TMJ joints in consideration. In other words, it is important to find the correct position for the muscles, teeth, and joints from a functional and esthetic position.
This is the starting...
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Ronald Konig DDS
Houston Cosmetic Dentist
Houston Cosmetic Dentist