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논문 기본 정보

자료유형
학술저널
저자정보
Satoshi Kokai (Tokyo Medical and Dental University) Eiji Fukuyama Susumu Omura (Yokohama City University Medical Center) Sachiko Kimizuka (Kitasato University) Ikuo Yonemitsu (Tokyo Medical and Dental University) Koichi Fujita (Yokohama City University Medical Center) Takashi Ono (Tokyo Medical and Dental University)
저널정보
대한치과교정학회 대한치과교정학회지 대한치과교정학회지 제49권 제1호
발행연도
2019.1
수록면
59 - 69 (11page)

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초록· 키워드

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In this report, we describe a case involving a 34-year-old woman who showed good treatment outcomes with long-term stability after multidisciplinary treatment for unilateral cleft lip and palate (CLP), maxillary hypoplasia, severe maxillary arch constriction, severe occlusal collapse, and gingival recession. A comprehensive treatment approach was developed with maximum consideration of strong scar constriction and gingival recession; it included minimum maxillary arch expansion, maxillary advancement by distraction osteogenesis using an internal distraction device, and mandibular setback using sagittal split ramus osteotomy. Her post-treatment records demonstrated a balanced facial profile and occlusion with improved facial symmetry. The patient’s profile was dramatically improved, with reduced upper lip retrusion and lower lip protrusion as a result of the maxillary advancement and mandibular setback, respectively. Although gingival recession showed a slight increase, tooth mobility was within the normal physiological range. No tooth hyperesthesia was observed after treatment. There was negligible osseous relapse, and the occlusion remained stable after 5 years of post-treatment retention. Our findings suggest that such multidisciplinary approaches for the treatment of CLP with gingival recession and occlusal collapse help in improving occlusion and facial esthetics without the need for prostheses such as dental implants or bridges; in addition, the results show long-term post-treatment stability.

목차

INTRODUCTION
DIAGNOSIS AND ETIOLOGY
TREATMENT OBJECTIVES
TREATMENT ALTERNATIVES
TREATMENT PROGRESS AND DISTRACTION PROCEDURE
RESULTS
DISCUSSION
CONCLUSION
REFERENCES

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