Maxillary protraction in patients with unilateral cleft lip and palate

Dogan, Ege; Seçkin, O

doi:10.1007/s00056-020-00220-y

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…Lee et al (2012) and Fudalej et al (2008) reported, each of the 257 subjects presented with a significant difference in maxillary prominence after the treatment (Fudalej et al, 2008). However, on the other hand, Dogan and Seckin showed an overgrowth of the mandible due to the retarded pubertal growth leading to correction of overjet (Dogan and Seckin, 2020). Thus, in this study, the patient group selected was age 6 to 13, which is a prime period for rapid growth and occlusal plane adjustment.…”

Section: Discussionmentioning

confidence: 77%

Bite Force Changes in Bilateral Cleft Lip and Palate Patients Before and After ALT-RAMEC Protocol

Shabbir

Sattar

Sami

et al. 2022

The Cleft Palate Craniofacial Journal

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To evaluate the bite force (BF) changes in bilateral cleft lip and palate (BCLP) in contrast to the non BCLP children after ALT-RAMEC Facemask therapy. The prospective study was carried out on a total of 60 subjects of age 6 to 13 years in a tertiary care hospital; treatment group, 30 children with BCLP and control group, 30 children without cleft lip and palate. Each cleft patient was received ALT-RAMEC Facemask treatment and their BF assessed at 4 different stages. Bite force taken before treatment, immediately, 3 months and 6 months after treatment. Bite force of the control group was taken at baseline to compare with the treatment group to demonstrate the difference in BF values. Independent t test and analysis of variance were used to perform statistical analysis. There was a significant difference in BF between the treatment group (BCLP) 122.53 ± 8.64 N and the control group (non BCLP) 181.38 ± 18.84 N at baseline. After the Alt RAMEC protocol, changes in BF recorded over 3 and 6 months of therapy showed significant improvement. The mean values of BF at 3months and 6 months were 106.7 ± 9.3 N and 137.4 ± 9.5 N, respectively. Bite force was significantly improved after ALT-RAMEC protocol followed by facemask therapy in BCLP patients.

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Section: Discussionmentioning

confidence: 77%

Bite Force Changes in Bilateral Cleft Lip and Palate Patients Before and After ALT-RAMEC Protocol

Shabbir

Sattar

Sami

et al. 2022

The Cleft Palate Craniofacial Journal

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“…CLP patients had a deficient maxilla with a concave facial profile. Improvement in SNA, forward movement of the maxilla, and slight backward movement of the mandible contributed to an improvement in the sagittal relationship as well as the angle of convexity [ 19 ]. Our study reported a significant change in the difference in angle of convexity of 7.93˚ at the end of the treatment in the Alt-RAMEC group.…”

Section: Discussionmentioning

confidence: 99%

“…As a consequence, the sutures were significantly better mobilised without any resistance [ 8 ]. A literature survey suggested that the Alt-RAMEC regimen helped circum-maxillary suture disarticulation, with an increase in the maxillary protraction, in a much shorter time [ 6 , 16 , 19 , 24 , 25 ]. When the maxillary sutures were activated using the Alt-RAMEC approach, the maxilla advanced approximately twice as much as with typical RME or FM therapy.…”

Section: Discussionmentioning

confidence: 99%

Effects of Alt-RAMEC protocol with facemask therapy in cleft lip palate patients in a sample of Pakistani population

2023

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Objective The objective of the study is to evaluate the skeletal, dentoalveolar and soft tissue changes before and after treatment with Alt-RAMEC protocol and protraction headgear in comparison to the controls. Material and methods A quasi experimental study was conducted in the orthodontic department on 60 patients of cleft lip and palate. These patients were divided into two groups. Group I was the Alt-RAMEC group that underwent Alt-RAMEC protocol followed by facemask therapy while group II was the control group that underwent RME and facemask therapy. Total treatment time in both the groups was approximately 6 to 7 months. Mean and standard deviation was calculated for all the quantitative variables. Pre and post treatment changes between treatment and control groups were made using paired t-test. Intergroup comparison between treatment and control group was analyzed using independent t-test. Significance for all tests was predetermined at a P-value of ≤ 0.05. Results The Alt-RAMEC group showed significant forward movement of maxilla and improvement in the maxillary base. A remarkable improvement in SNA was seen. The overall outcome was better maxillo-mandibular relationship as shown by positive ANB values and angle of convexity. More effect on maxilla and least effect on mandible was notified with Alt-RAMEC protocol and facemask therapy. Improvement in transverse relationship was also evident in the Alt-RAMEC group. Conclusion Alt-RAMEC protocol in combination with protraction headgear is a better alternative to treat cleft lip and palate patients in comparison to the conventional protocol.

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Tek ve Çift Taraflı Dudak ve Damak Yarıklı Hastalarda Maksiller Genişletme ve İlerletme Uygulamasının Değerlendirilmesi

Zaidan

Aksoy

2021

Black Sea Journal of Health Science

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Dudak ve damak yarıkları; genetik ve çevresel nedenlerden dolayı ortaya çıkan en yaygın kraniyofasiyal anomalilerdir. Dudak ve damak yarıklı bireylerde solunum, işitme ve konuşma gibi fonksiyonel ve psikososyal sorunlar meydana gelmekte ve bu nedenle de bu bireyler multidisipliner tedavilere gereksinim duymaktadır. Dudak ve damak yarıklarının onarımı sonrası iyi bir fonksiyon, estetik ve yumuşak doku rekonstrüksiyonu elde etmek için erken yaşta alveolar yarıkların onarılması gerekmektedir. Alveolar kemik grefti uygulanan cerrahi işlemler, kemik formasyonunu oluşturur; oronasal fistülü ortadan kaldırır, ortodontik problemin nüksetmesini önler ve protetik tedavileri kolaylaştırır. Bu cerrahi işlemler, avantajlarına rağmen dudak damak yarıklı bireylerde skar oluşumuna sebep olur. Bu skar dokusu maksillanın sagital, vertikal ve transversal gelişimini ve pozisyonunu olumsuz yönde etkiler. Dolayısıyla maksiller diş kavsi daralır ve bu durum posterior çapraz kapanışa neden olur. Maksillanın genişletilmesi (maksiller genişletme apareyleri ile) ve ilerletilmesi (yüz maskesi ile) oluşan pozisyonel ve gelişimsel yetersizliklerin giderilmesinde kullanılır. Bu derlemenin amacı; tek veya çift taraflı dudak ve damak yarıklı bireylerin genişletme ve ilerletme uygulamaları sonucunda fasiyal morfolojilerinde meydana gelen iskeletsel, dentoalveolar ve yumuşak doku değişikliklerinin değerlendirilmesidir.

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Maxillary protraction in patients with unilateral cleft lip and palate

Cited by 6 publications

References 20 publications

Bite Force Changes in Bilateral Cleft Lip and Palate Patients Before and After ALT-RAMEC Protocol

Bite Force Changes in Bilateral Cleft Lip and Palate Patients Before and After ALT-RAMEC Protocol

Effects of Alt-RAMEC protocol with facemask therapy in cleft lip palate patients in a sample of Pakistani population

Tek ve Çift Taraflı Dudak ve Damak Yarıklı Hastalarda Maksiller Genişletme ve İlerletme Uygulamasının Değerlendirilmesi

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