Abstract
The aim of this study is to present the importance of interdisciplinary treatment approaches for the patients with clefts. In this study, the treatment of four patients with cleft lip and palate were presented. After the completion of fixed orthodontic treatment, proper overjet and overbite relationships were achieved and to obtain the esthetic and functional results, two of the patients had prosthodontic treatment (one of them has removable appliance and another has fixed partial denture). Two of the patients had composite restoration on lateral incisors. Patients with cleft lip and palate require interdisciplinary treatment approaches. Functional occlusion and good dental esthetics can be achieved with a team approach, well-established diagnosis and correct treatment plan. Key words: Cleft lip and palate, interdisciplinary treatment, esthetic, function.
Highlights
Cleft lip and palate (CLP) is a congenital abnormality that is seen approximately one in 700 to 800 births around the world
Sequencing and timing of orthodontic/orthopedic and surgical treatment in infancy, early mixed dentition, early permanent dentition, and the treatment of after the completion of facial growth must be considered in detail (Bartzella et al, 2010; Freitas et al, 2012; Murray, 2002; Shaw et al, 2001; Haque and Alam, 2015)
After all the permanent teeth had erupted at 12 years 3 months, the orthodontic treatment was given with the help of fixed appliances (Standard MBT slot 0.22" brackets) for fifteen months
Summary
Cleft lip and palate (CLP) is a congenital abnormality that is seen approximately one in 700 to 800 births around the world. CLP is the most frequently occurring congenital anomaly and the etiology is still largely unknown. Patients may have problems in feeding, breathing, hearing, speaking and esthetics. The treatment of CLP need an multidisciplinary approach from orthodontics, plastic and reconstructive surgery, maxillofacial surgery, pediatrics, genetics, otolaryngology, social work, nursing, speech therapy, pedodontics, prosthodontics and psychology. The aim of the treatment is to provide esthetics, function and stability. The management of patients with CLP requires prolonged orthodontic and surgical treatment and an interdisciplinary approach in providing them with optimal esthetics, function, and stability. In patients with CLP, the orthodontic problem may occur in three planes namely, antero-posterior, transverse and vertical.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
