Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2009-12-4
pubmed:abstractText
To evaluate the feasibility of anterior maxillary segmental distraction (AMSD) to correct maxillary hypoplasia and severe dental crowding in cleft lip and palate (CLP) patients, 7 patients (average age 16.4 years) with maxillary hypoplasia, shortened maxillary dental arch length and severe anterior dental crowding secondary to CLP were selected for this study. After anterior maxillary segmental osteotomy, 3 patients were treated using bilateral internal distraction devices, and 4 patients were treated using rigid external distraction devices. Photographs and radiographs were taken to review the improvement in facial profile and occlusion after distraction. An average 10.25 mm anterior maxillary advancement was obtained in all patients after 10-23 days of distraction and 9-16 weeks of consolidation. The sella-nasion-point A (SNA) angle increased from 69.5 degrees to 79.6 degrees. Midface convexity was greatly improved and velopharyngeal competence was preserved. The maxillary dental arch length was greatly increased by 10.1 mm (P<0.01). Dental crowding and malocclusion were corrected by orthodontic treatment. These results show that AMSD can effectively correct the hypoplastic maxilla and severe dental crowding associated with CLP by increasing the midface convexity and dental arch length while preserving velopharyngeal function, and dental crowding can be corrected without requiring tooth extraction.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1399-0020
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1237-43
pubmed:meshHeading
pubmed-meshheading:19720499-Adolescent, pubmed-meshheading:19720499-Cephalometry, pubmed-meshheading:19720499-Cleft Lip, pubmed-meshheading:19720499-Cleft Palate, pubmed-meshheading:19720499-Dental Arch, pubmed-meshheading:19720499-External Fixators, pubmed-meshheading:19720499-Feasibility Studies, pubmed-meshheading:19720499-Female, pubmed-meshheading:19720499-Humans, pubmed-meshheading:19720499-Internal Fixators, pubmed-meshheading:19720499-Male, pubmed-meshheading:19720499-Malocclusion, pubmed-meshheading:19720499-Mandible, pubmed-meshheading:19720499-Maxilla, pubmed-meshheading:19720499-Nasal Cavity, pubmed-meshheading:19720499-Nose, pubmed-meshheading:19720499-Osteogenesis, Distraction, pubmed-meshheading:19720499-Osteotomy, pubmed-meshheading:19720499-Osteotomy, Le Fort, pubmed-meshheading:19720499-Photography, Dental, pubmed-meshheading:19720499-Sella Turcica, pubmed-meshheading:19720499-Tooth Movement, pubmed-meshheading:19720499-Velopharyngeal Sphincter, pubmed-meshheading:19720499-Young Adult
pubmed:year
2009
pubmed:articleTitle
Anterior maxillary segmental distraction for correction of maxillary hypoplasia and dental crowding in cleft palate patients: a preliminary report.
pubmed:affiliation
Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing, 100081, China. liwxx@yahoo.com.cn
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't