Cleft lip and palate is a common congenital malformation with a prevalence of 1:600 newborns. Children with orofacial clefts are treated by an interdisciplinary team of specialists while parents and child play a key role in their own care process. The orthodontic and facial orthopedic treatment of a child with a cleft takes many years. Children often get bored of the long treatment and this can cause problems with compliance and oral hygiene. Therefore it is advisable to distinguish 5 well-defined stages in the orthodontic treatment and to attempt to have some ‘orthodontics free’ time in between. The 3 orthodontic treatment phases between the age of 9 and 20 years consist of orthodontic treatment concerning the closing of the cleft with a bone transplant, the treatment of the permanent dentition and, finally, a possible combined orthodontic surgical treatment at the end of the period of growth. Good interdisciplinary collaboration among the different dental disciplines is essential in this regard.
Auteur(s) |
A.M. Kuijpers-Jagtman
A.B. Mink van der Molen F. Bierenbroodspot W.A. Borstlap |
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Rubriek | Thema: Parodontologie |
Publicatiedatum | 6 november 2015 |
Editie | Ned Tijdschr Tandheelkd - Jaargang 122 - editie 11 - november 2015; 637-642 |
DOI | https://doi.org/10.5177/ntvt.2015.11.15212 |
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