International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 11 | Case Report | Open Access
Golnaz Nahvi*
Department of Orthodontics, School of dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Correspondence to: Golnaz Nahvi
Fulltext PDFAim: The current report presents the clinical and orthosurgical management of a median complete dentoalveolar cleft patient with bilateral severe skeletal and dental scissor bite with functional and aesthetic difficulties caused by an unsuccessful distraction osteogenesis (DO) without any primary or secondary graft history.
Methods and materials: The patient was managed by segmental osteotomy, augmentation of the missing tissues, upper (midpalatal) and lower arches TADs (Temporary Anchorage Devices) and fixed orthodontic treatment to correct the iatrogenic scissor bite. Finally, the treatment process followed by implant and prosthetic rehabilitation of the upper anterior teeth.
Results: The final results revealed a functional and aesthetic skeletal and occlusal full cusp class II first molars and class I canines relationship with a normal overjet and overbite and a coincident upper and lower dental midline. The patient’s gingival show at smile and smile arch improved significantly at the end of the treatment.
Conclusions: Although DO is indicated as one of the most popular treatment options for cleft lip and palate patients, but a precise diagnosis and adopting the right kind of DO and predicting the potential side effects and the need for subsequent grafting is essential in treatment planning. Uncontrolled DO in patients with wide cleft lip and palate may cause some iatrogenic side effects that compromises the stability and function of the final occlusion and imposes a more complicated and long-term future treatment to the patient.
Distraction osteogenesis; Cleft lip and palate; Orthodontic mini-implant; Craniofacial anomaly
Siamak Hemmatpour, Golnaz Nahvi, Mehdi Oonchi. Severe Scissor Bite Management in a Cleft Lip and Palate Patient Following an Unsuccessful Distraction Osteogenesis. Int Clinc Med Case Rep Jour. 2023;2(11):1-15.