Principes de prise en charge des fentes labio-maxillo-palatines unilatérales totales Propositions de protocole

Simon, É.; Duroure, F.; C, Coing; Sellal, S.; Chassagne, J.F.; Stricker, M

doi:10.1051/orthodfr/200475229

Cited by 7 publications

(3 citation statements)

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“…Today, most treatment teams agree that repair of the cleft should be early and global. In their protocol for a single surgical procedure Stricker et al 13 Simon et al 12 suggested that surgeons should use a periosteal tibial graft placed lengthwise to cover the alveolar crest as well as the palate in order to take advantage of the osteogenic capacities of the periosteum. To do so they propose the construction of a bone bridge to establish continuity between the fragments.…”

Section: -Initial Morpho-facial Rehabilitationmentioning

confidence: 99%

“…In this protocol, after a stage of early orthopedic treatment with a fixed ''Latham'' type appliance whose goal is to align the fragments correctly, surgeons may at the same time also perform a gingivoperiosteoplasy. With this therapeutic approach surgeons can repair the nose using only nasal tissue, backing up the external mucosa with the abundant and resistant palatal mucosa and repairing the oral area without using palatal fibro-mucosa, thus avoiding the possibility of scar tissue eventually interfering with maxillary expansion 12 .…”

Section: -Initial Morpho-facial Rehabilitationmentioning

confidence: 99%

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Organization of treatment and orthodontic procedures in cleft lip and palate rehabilitation

Weissenbach¹,

Stricker²,

Weissenbach³

et al. 2011

J Dentofacial Anom Orthod

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Only competent centres are able to provide the full range of multi-disciplinary specialized therapies that cleft lip and palate rehabilitation requires. Despite some detail differences in conducting treatment, the agreed centres produced consensual treatment philosophy and observe equivalent therapeutic schemes. These sequences, to which orthodontics invariably contributes, are designed to favour the normal outcome of facial development and functions.Beginning early in mixed dentition, orthodontic rehabilitation is designed to afford patients good dental occlusion through orthopaedic and orthodontic therapies. At the end of the growth period, orthodontics prepares for eventual final surgical and prosthetic repair.We avoid extraction of permanent teeth as an adjunct to treatment because it has deleterious effect on final skeletal harmony. We prefer basic appliances for mechanical therapy, and after completion of active treatment, a prolonged retention. A trained orthodontist is able to complete the orthopaedic and orthodontic stages in cleft lip and palate repair if he fully understands and follows the general cleft lip and palate treatment scheme and effectively communicates with the competent rehabilitation team.

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Section: -Initial Morpho-facial Rehabilitationmentioning

confidence: 99%

Section: -Initial Morpho-facial Rehabilitationmentioning

confidence: 99%

Organization of treatment and orthodontic procedures in cleft lip and palate rehabilitation

Weissenbach¹,

Stricker²,

Weissenbach³

et al. 2011

J Dentofacial Anom Orthod

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“…Some authors 9,25,35 prefer replacing a missing upper lateral incisor with a bridge, not an implant, which is difficult and risky to place in cleft situations.…”

Section: -1 -Bonded Bridgesmentioning

confidence: 99%

Prosthetic rehabilitation of the sequelae of labio-maxillo-palatal clefts: end of the growth period and evolution

Bichet¹,

Molé²,

Weissenbach³

et al. 2012

J Dentofacial Anom Orthod

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With an average frequency of 1/800 births in France, labio-maxillo-palatal clefts (LMPC) are among the most frequent congenital malformations. They raise functional, esthetic, psychological and socio-familial problems that must be managed with an interdisciplinary approach. Within the medical team, the dentist must, by way of prosthetic restorations, compensate for certain sequelae and deficiencies. According to the severity of the case and the success of the treatments, the typical restoration can be limited to replacing the missing lateral incisor, or the restoration may require undertaking comprehensive treatments involving a much more specialized arsenal of surgical and prosthetic procedures. KEY WORDS

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Prise en charge des fentes labio-maxillo-palatines : protocole de Nancy

Simon¹,

Weissenbach²,

Molé³

et al. 2011

Rev Orthop Dento Faciale

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Principes de prise en charge des fentes labio-maxillo-palatines unilatérales totales Propositions de protocole

Cited by 7 publications

References 0 publications

Organization of treatment and orthodontic procedures in cleft lip and palate rehabilitation

Organization of treatment and orthodontic procedures in cleft lip and palate rehabilitation

Prosthetic rehabilitation of the sequelae of labio-maxillo-palatal clefts: end of the growth period and evolution

Prise en charge des fentes labio-maxillo-palatines : protocole de Nancy

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