Rapid Maxillary Expansion after Secondary Alveolar Bone Graft in a Patient with Bilateral Cleft Lip and Palate

Cavassan, Arlete de Oliveira; Albuquerque, Marcelo d'Albuquerque de; Filho, Leopoldino Capelozza

doi:10.1597/02-099.1

Cited by 19 publications

(5 citation statements)

References 11 publications

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“…However, relapse has also been described when using this protocol [45]. On the other hand, more recent literature describes the benefits of SABG before RME [15,[46][47][48], claiming that this practice supports the mid-palatal suture opening and can provide more stability for RME. However, the results can be unpredictable [25].…”

Section: Discussionmentioning

confidence: 95%

Rapid Maxillary Expansion Treatment in Patients with Cleft Lip and Palate: A Survey on Clinical Experience in the European Cleft Centers

Khdairi¹,

Halilah²,

Khandakji³

et al. 2023

JCM

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Cleft lip and palate patients require complex interdisciplinary treatment, including maxillary expansion and secondary alveolar bone grafting. However, the evidence on these treatment procedures and outcomes is lacking. Therefore, this study aimed to survey the subjective observations of European maxillofacial surgeons and orthodontists on the maxillary expansion and bone grafting treatment protocols and the associated complications. An online questionnaire was sent to 131 centers. The questions assessed the participants’ demographic data, maxillary expansion and alveolar bone grafting protocols, and the associated complications. Descriptive statistics and a t-test were used to analyze the data. The response rate was 40.5%. The average age for maxillary expansion was 9–10 years. The secondary alveolar bone grafting was planned 5–10 months after the expansion. The most common complications were asymmetric expansion, relapse, and fistula formation. The protocols and materials used vary widely among centers. Anatomical alterations and developmental processes, like tooth eruption adjacent to the cleft, should be seriously considered for treatment planning. This survey showed that there is still a lack of consensus on these treatment procedures. Further clinical trials should focus on long-term outcome evaluation to identify treatment components for optimal alveolar bone substitution and transversal maxillary expansion treatment in patients with clefts.

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Section: Discussionmentioning

confidence: 95%

Rapid Maxillary Expansion Treatment in Patients with Cleft Lip and Palate: A Survey on Clinical Experience in the European Cleft Centers

Khdairi¹,

Halilah²,

Khandakji³

et al. 2023

JCM

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“…This will allow for optimal coordination of the maxillary and mandibular dental arches, prevent functional shifts and wear on the permanent teeth, and protect against dentofacial asymmetry and temporomandibular joint disorder [13,14]. As a result, maxillary expansion has become very popular in the orthodontic community and is now a common part of many orthodontic treatments [15]. Although it is recommended to correct transverse defects relatively early, up to the skeletal development spurt [9], the midpalatal suture fusion is inadequately connected with patient age and gender [10].…”

Section: Discussionmentioning

confidence: 99%

“…The effects of maxillary enlargement went beyond the maxilla and spread to most of the structures that were nearby [11,12]. Not only are orthodontist able to increase the transverse palatal dimension, but they are also able to influence the sagittal and vertical facial proportions [13], the mandible with its temporomandibular articulatory system [14], the airway spaces [15], and more. This is made possible by the intimate articulation between the maxilla and the mandible.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Maxillary Expansion on the Maxillary Arch Width in Patients with Bilateral Cleft Palate: A Review

et al. 2023

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Objectives: To perform a comprehensive review of the literature to compare the effects of slow maxillary expansion (SME) and rapid maxillary expansion (RME) on maxillary arch width in patients with bilateral cleft palate. Methods: The databases include Medline, PubMed, Cochrane (CENTRAL) and (CDSR), OpenGrey, and ClinicalTrials.gov were searched for relevant studies that met the eligibility criteria published before or on 31 October 2022. The search was confined to the English language. The selection of eligible studies and collection of data were performed independently. Risk of bias assessment was conducted using the Cochrane Risk of Bias tool 2.0. Results: Two randomized controlled trials were available based on the search in the published literature. Both studies compared arch width between SME and RME in cleft palate patients and digitals casts and three-dimensional images used for the evaluation. A moderate risk of bias was evident in the available studies. Conclusions: Both SME and RME can achieve similar amounts of maxillary expansion in patients with bilateral cleft palate.

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“…This patient has economic problems and recently entered an engineering school, so the possibility of any surgery was beyond his ability to pay. Most of the protocols for cleft patients involve orthognathic surgery, alveolar bone grafting, osteogenic distraction, or even palatal closure [ 8 – 10 ]. This carried us to think of a low cost treatment for a very severe maxillary compression.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Orthodontic Treatment of Adult Patient with Cleft Lip and Palate

Villagra

Domon

Méndez

2014

Case Reports in Dentistry

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The aim of the paper is to present full orthodontic treatment of an operated cleft lip adult patient. Case Report. An 18-year-old patient consulted for severe crowded teeth. He comes from a poor family. At that time he already had four operations (velum, palate, lip, and myringotomy). Treatment included maxillary expansion, tooth extraction, and fixed orthodontic, as well as kinesiology and speech therapy treatment. A multidisciplinary approach allowed us to achieve successfully an excellent result for this patient and gave him a harmonic smile and an optimal function without orthognathic surgery. Two years after treatment, occlusion remains stable.

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Rapid Maxillary Expansion after Secondary Alveolar Bone Graft in a Patient with Bilateral Cleft Lip and Palate

Abstract: The orthopedic effect of rapid maxillary expansion after bone graft was verified. Nevertheless, additional studies are necessary to define any side effects in patients submitted to bone graft.

Cited by 19 publications

References 11 publications

Rapid Maxillary Expansion Treatment in Patients with Cleft Lip and Palate: A Survey on Clinical Experience in the European Cleft Centers

Rapid Maxillary Expansion Treatment in Patients with Cleft Lip and Palate: A Survey on Clinical Experience in the European Cleft Centers

Effect of Maxillary Expansion on the Maxillary Arch Width in Patients with Bilateral Cleft Palate: A Review

Comprehensive Orthodontic Treatment of Adult Patient with Cleft Lip and Palate

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