Orthodontic Considerations for Cleft Orthognathic Surgery

Stephen Yen; Jeffrey Hammoudeh; Sean P Edwards; Mark Urata

doi:10.1016/j.coms.2020.01.013

Orthodontic Considerations for Cleft Orthognathic Surgery

Oral Maxillofac Surg Clin North Am. 2020 May;32(2):249-267. doi: 10.1016/j.coms.2020.01.013.

Authors

Stephen Yen¹, Jeffrey Hammoudeh², Sean P Edwards³, Mark Urata⁴

Affiliations

¹ Division of Dentistry, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS 116, Los Angeles, CA 90027, USA. Electronic address: syen@usc.edu.
² Division of Oral and Maxillofacial Surgery, Department of Plastic and Reconstructive Surgery, Children's Hospital Los Angeles, MS 96, CA 90275, USA.
³ University of Michigan, Mott Children's Hospital, Floor 3, Reception B, 1540 E Hospital Dr, SPC 4219, Ann Arbor, MI 48109-4219, USA.
⁴ Children's Hospital Los Angeles, MS 96, 4650 Sunset Blvd, Los Angeles, CA 90027, USA.

PMID: 32247439
DOI: 10.1016/j.coms.2020.01.013

Abstract

Preparation and planning for orthognathic surgery in late adolescence depends on the complexity of unresolved problems with which the patient presents. Different strategies are presented to address these unresolved problems in the adult patient with cleft lip and palate. Different surgical and orthodontic treatments are presented to correct the class III malocclusion in patients with cleft lip and palate in ranges that are analogous to the envelope of discrepancy. For complex cases, the principles of achievability, stability, and esthetics should guide the decision-making process for planning the preparation for orthognathic surgery.

Keywords: Class III malocclusion; Cleft lip and palate; Cleft orthognathic surgery; Surgical and orthodontic treatment.

Publication types

Review

MeSH terms

Adolescent
Adult
Cleft Lip / surgery*
Cleft Palate / surgery*
Esthetics, Dental
Humans
Orthognathic Surgery*
Orthognathic Surgical Procedures*