Abstract
A 16-year-old female with an operated unilateral cleft lip and palate reported with a chief complaint of severely crowded upper and lower teeth. Significant orthodontic clinical features were retropositioned maxilla, a reverse overjet and a unilateral posterior crossbite, retruded upper lips, and a deranged occlusion. Comprehensive orthodontic therapy including arch expansion with nickel titanium palatal expander followed by a LeFort I maxillary advancement was carried out. The treatment over a period of 3 years resulted in a 97% improvement of the peer assessment review index and long-term stability.
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