Orthodontics for the Craniofacial Surgery Patient

1st Edition, Volume 32-2 - April 15, 2020
Editors: Michael R. Markiewicz, Veerasathpurush Allareddy, Michael Miloro
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 4 9 2 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 4 9 3 - 3

This issue of Oral and Maxillofacial Surgery Clinics of North America is devoted to Orthodontics for the Craniofacial Surgery Patient and is edited by Drs. Michael R. Markiewicz,… Read more

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This issue of Oral and Maxillofacial Surgery Clinics of North America is devoted to Orthodontics for the Craniofacial Surgery Patient and is edited by Drs. Michael R. Markiewicz, Sath Allareddy and Michael Miloro. Articles will include: Craniofacial growth: Current theories and influence on management; Overview of timeline of interventions in cleft lip and palate; Dentofacial orthopedics for the cleft patient (non-NAM techniques); Nasoalveolar molding (NAM) techniques; Orthodontic preparation and management of the cleft maxilla; Obturation and tissue transfer for large craniofacial defects; Orthodontic management for craniofacial syndromes; Orthodontics for cleft orthognathic surgery; Maxillary distraction osteogenesis in cleft lip and palate; Mandibular distraction osteogenesis; Technological adjuncts to craniofacial orthodontics and surgery; Orthodontics for unilateral and bilateral cleft deformities; Complications of craniofacial orthodontics and surgery; and more!

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Craniofacial Growth: Current Theories and Influence on Management
Key points
Introduction
Basic terminology
Core concepts of normal growth and development
Craniofacial growth by tissue type
Craniofacial growth by anatomic subunit
Growth modification
Summary
An Overview of Timeline of Interventions in the Continuum of Cleft Lip and Palate Care
Key points
Background
Presurgical infant orthopedic treatment
Lip repair
Palate repair
Velopharyngeal insufficiency/incompetence
Preparation for cleft maxillary bone grafting
Maxillary bone grafting
Premaxillary repositioning
Limited orthodontic treatment following maxillary bone grafting
Comprehensive phase of orthodontic treatment
Restorative phase
Summary
Dentofacial Orthopedics for the Cleft Patient: The Latham Approach
Key points
Presurgical infant dentofacial orthopedic treatment
Controversy surrounding presurgical infant dentofacial orthopedic treatment
Overview of Latham approach
Treatment of unilateral complete cleft lip and palate with the Latham approach
Treatment of bilateral complete clefts with Latham approach
Perioperative complications of the Latham protocol
Summary
Nasoalveolar Molding for Unilateral and Bilateral Cleft Lip Repair
Key points
Background
Goals of nasoalveolar molding
Nam appliance
Treatment planning
Nasoalveolar molding for unilateral cleft lip and palate
Nasoalveolar molding for bilateral cleft lip and palate
Questions for consideration
Summary
Orthodontic Preparation for Secondary Alveolar Bone Grafting in Patients with Complete Cleft Lip and Palate
Key points
Background
Timing of alveolar bone grafting
Evaluation of the alveolar defect, nearby teeth, and other structures
Orthodontic preparation for alveolar bone grafting
Summary and take home points
Obturation and Tissue Transfer for Large Craniofacial Defects
Key points
Introduction
Goals of reconstruction
Reconstructive options
Summary
An Overview of Craniosynostosis Craniofacial Syndromes for Combined Orthodontic and Surgical Management
Key points
Overview of craniosynostosis
Epidemiology
Syndromic versus nonsyndromic craniosynostosis
Genetics
Orofacial features of common craniosynostosis syndromes
Surgical management during early years
Combined orthodontic and surgical treatment protocols and timing with case examples
Summary
Orthodontic Considerations for Cleft Orthognathic Surgery
Key points
Another consideration is cost
The treatment can be complex
Regaining archform and resolving dental crowding
Cognitive delay
Addressing failed bone grafts
Using ectopic palatal teeth
Aligning a mutilated dentition
Correcting midlines
Leveling the occlusal plane and maintaining the periodontium
Addressing the transverse dimension
Addressing the class III malocclusion
Relapse and retention
Discussion
LeFort Distraction in the Cleft Patient
Key points
History of maxillary distraction in the cleft patient via LeFort I osteotomy
Types of maxillary distraction devices
Types of anchorage
Bone borne distractor devices
Combination bone to tooth borne
Transpalatal support in the cleft palate patient
Indications for LeFort I distraction osteogenesis in the cleft patient
Contraindications
Timing
Protocol to plan LeFort distraction osteogenesis
Orthodontic treatment protocol
Skeletal anchors
The surgical technique for complete LeFort I distraction osteogenesis—internal and external distractors
Device activation
Consolidation
Total LeFort distraction versus anterior maxillary distraction osteogenesis in the face of velopharyngeal incompetence
Complications of LeFort distraction osteogenesis
Summary
Orthodontic and Surgical Principles for Distraction Osteogenesis in Children with Pierre-Robin Sequence
Key points
Introduction: Pierre-Robin sequence and development of mandibular distraction osteogenesis
Biology of distraction osteogenesis
Animal studies to develop orthodontic principles for guiding distraction procedures
Mandibular distraction surgical technique used at University of Oklahoma
Complications
Requiring additional procedures
Summary
Orthodontics for Unilateral and Bilateral Cleft Deformities
Key points
Introduction
Orthodontics and orthopedic considerations in bilateral and unilateral clefts
Summary
Surgical-Orthodontic Considerations in Subcranial and Frontofacial Distraction
Key points
Background
Goals of subcranial and frontofacial distraction
Treatment planning
Distraction devices
Splint fabrication and application
Perioperative orthodontic treatment
Postdistraction orthodontic treatment
Summary
Selected Orthodontic Principles for Management of Cranio-Maxillofacial Deformities
Key points
Mandibular dental arch form
Maxillary dental arch form
Anteroposterior jaw position
Mandibular anterior jaw height
Clinical application of selected orthodontic principles