Korean Journal of Cleft Lip And Palate (대한구순구개열학회지)

Korean Cleft Lip and Plate Association (대한구순구개열학회)
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Long-term Orthodontic Treatment and Phonetic Assessment of a Congenital Cleft Lip and Palate Patient

선청성 구순구개열 환자의 장기적인 교정 치료 및 음성언어학적 고찰

  • Hong, Ji-Suk (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Kim, Yoon-Ji (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Hwang, Yong-In (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Kim, Dae-Sung (Department of Orthodontics, Hallym Graduate School of Hallym University) ;
  • Park, Yang-Ho (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center)
  • 홍지숙 (한림대학교 의료원 강동성심병원 치과교정과) ;
  • 김윤지 (한림대학교 의료원 강동성심병원 치과교정과) ;
  • 황용인 (한림대학교 의료원 강동성심병원 치과교정과) ;
  • 김대성 (한림대학교 대학원 치과교정학과) ;
  • 박양호 (한림대학교 의료원 강동성심병원 치과교정과)
  • Published : 2009.06.30
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Abstract

Orthodontic treatment planning of cleft lip and palate requires consideration of the characteristic features, growth pattern and functional disorders related to cleft lip and palate patients. Tissue deficiencies and constriction of the scar tissue in surgically treated cleft lip and palate results in disturbance of maxillary growth and deficiency of midfacial region with anterior and posterior crossbite. These patients often present congenital missing of teeth, supernumerary teeth, malformed teeth, or ectopic position of teeth, which should be treated by orthodontic treatment by expanding upper arch followed by fixed appliance. Proper use of retainer and continuous follow-up is needed to prevent relapse after orthodontic treatment has finished. Also we have to pay attention to correct speech disorder which is caused by the velopharyngeal insufficiency.

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