Download PDF
Informationen aus Orthodontie & Kieferorthopädie 2020; 52(01): 30-34
DOI: 10.1055/a-0966-5754
Übersichtsartikel
© Georg Thieme Verlag KG Stuttgart · New York

Überlegungen zur kieferorthopädischen Therapie von Lippen-Kiefer-Gaumenspalten

Considerations for Orthodontic Therapy of Cleft Lips, Jaws and Palates
Margit Pichelmayer
1   Klinische Abteilung für orale Chirurgie und Kieferorthopädie, Universitätsklinik für Zahnmedizin und Mundgesundheit
› Author Affiliations
Further Information

Publication History

Publication Date:
25 March 2020 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Bezüglich der kieferorthopädischen Behandlung von Lippen-, Kiefer- und Gaumenspalten gibt es viele verschiedenen Philosophien. Derzeit existiert kein international einheitliches Konzept. Die grundlegenden Überlegungen, die Behandlung dieser sehr häufigen angeborenen Fehlbildungen betreffend, sind jedoch sehr ähnlich, da sie sich automatisch aus den Defiziten von Weichteilen, Knochen und Zähnen ergeben. Ein nicht unwesentlicher Aspekt ist dabei der Umgang mit Abweichungen von der natürlichen Symmetrie, die in erster Linie bei einseitigen Spalten zu finden sind, die generell häufiger vorkommen als die doppelseitigen Fehlbildungen.

Abstract

There are many different philosophies, concerning orthodontic treatment of cleft lip and palate. There is no international consensus regarding cleft management today. However, the basic considerations in treating these very common congenital malformations are very similar, as they automatically result from the deficiencies of soft tissues, bones and teeth. A not inconsiderable aspect is the handling of deviations from the natural symmetry, which primarily exist in unilateral clefts, which generally occur more frequently than the bilateral malformations.

Schlüsselwörter

Lippen-Kiefer-Gaumenspalte - Spaltenfehlbildung - Symmetrie - Defizit

Key words

Cleft lip and palate - orthodontic management - symmetry - deficit
 

  • Literatur

  • 1 Kuijpers MAR, Chiu YT, Nada RM. et al. Three-dimensional Imaging Methods for Quantitative Analysis of Facial Soft Tissues and Skeletal Morphology in Patients with Orofacial Clefts: A Systematic Review. PLoS ONE 2014; 9: e93442 . doi: 10.1371/journal.pone.0093442
    CrossrefPubMedSearch in Google Scholar
  • 2 Ras F, Habets LL, van Ginkel FC. et al. Three-Dimensional Evaluation of Facial Asymmetry in Cleft Lip and Palate. Cleft Palate Craniofac J 1994; Mar 31: 116-121
    CrossrefPubMedSearch in Google Scholar
  • 3 Choi YK, Park SB, Kim YI. et al. Three-dimensional evaluation of midfacial asymmetry in patients with nonsyndromic unilateral cleft lip and palate by cone-beam computed tomography. Korean J Orthod 2013; 43: 113-119 . doi: 10.4041/kjod.2013.43.3.113
    CrossrefPubMedSearch in Google Scholar
  • 4 Laspos CP, Kyrkanides S, Tallents RH. et al. Mandibular and maxillary asymmetry in individuals with unilateral cleft lip and palate. Cleft Palate Craniofacial J 1997; 34: 232-239
    CrossrefPubMedSearch in Google Scholar
  • 5 Molsted K, Dahl E. Asymmetry of the maxilla in children with complete unilateral cleft lip and palate. Cleft palate J 1990; 27: 184-190
    CrossrefPubMedSearch in Google Scholar
  • 6 Tannure PN, Oliveira CA, Maia LC. et al. Prevalence of dental anomalies in nonsyndromic individuals with cleft lip and palate: a systemic review and meta-analysis. Cleft palate craniofac J 2012; 49: 194-200
    CrossrefPubMedSearch in Google Scholar
  • 7 Ranta R. A review of tooth formation in childen with cleft lip/palate. AJODO 1986; 90: 11-18
    PubMedSearch in Google Scholar
  • 8 Antonarakis GS, Tsiouli K, Christou P. et al. Mesiodistal tooth size in non-syndromic unilateral cleft lip and palate patients: a meta-analysis. Clin Oral Invest 2013; 17: 365-377
    CrossrefPubMedSearch in Google Scholar
  • 9 Bartzela TN, Carels CEL. et al. Tooth agenesis patterns in unilateral cleft lip and palate in humans. Archives of oral biology 2013; 58: 596-602
    CrossrefPubMedSearch in Google Scholar
  • 10 Proff B, Bayerlein T. et al. Special features of planning and application of orthodontic miniscrews in cleft patients. Journal of Cranio-Maxillofacial Surgery 2006; 34: 73-76
    PubMedSearch in Google Scholar
  • 11 Guo J, Li C, Zhang Q. et al. Secondary bone grafting for alveolar cleft in children with cleft lip or cleft lip and palate. Cochrane Database of Systematic Reviews. 2011 Issue 6. Art. No. CD008050.
    CrossrefPubMedSearch in Google Scholar
  • 12 Holz S, Martinelli Carvalho R. et al. Permanent canine eruption into the alveolar cleft region after secondary alveolar bone grafting: are there prediction factors for impaction?. AJODO 2018; 154: 657-663
    PubMedSearch in Google Scholar
  • 13 Pichelmayer M, Mossböck R. et al. Maxillary Segmental Distraction in a Patient With Bilateral Cleft Lip and Alveolus With Subsequent Tooth Transplantation: A Preliminary Case Report. Cleft palate craniofac J 2008; 45: 446-451
    CrossrefPubMedSearch in Google Scholar
  • 14 Zemann W, Pichelmayer M. Maxillary segmental distraction in children with unilateral clefts of lip, palate, and alveolus. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2010; 111: 688-692
    PubMedSearch in Google Scholar
  • 15 Pichelmayer M, Zemann W. Bilateral Vertical Segmental Distraction In A Patient With Bilateral Cleft Of Lip, Alveolus And Palate. Cleft palate craniofacial J 2012; 49: 365-368
    CrossrefPubMedSearch in Google Scholar
  • 16 Hillerup S, Dahl E. et al. Tooth transplantation to bone graft in cleft alveolus. Cleft palate journal 1987; 24: 137-141
    PubMedSearch in Google Scholar
  • 17 Tanimoto K, Yanagida T. et al. Orthodontic treatment with tooth transplantation for patients with cleft lip and palate. Cleft palate craniofac J 2010; 47: 499-506
    CrossrefPubMedSearch in Google Scholar
  • 18 Takahashi T, Fukuda M. et al. Use of endosseous implants for dental reconstruction of patients with grafted alveolar clefts. J Oral Maxillofac Surg 1997; 576-583
    PubMedSearch in Google Scholar
  • 19 PHHH Sales, Oliveiro-Neto OB. et al. Effectiveness of dental implants placed in bone graft area of cleft patients. Int J Oral Maxillofac Surg 2019; 48: 1109-1114
    CrossrefPubMedSearch in Google Scholar
  • 20 Jansma J, Raghoerbar G. et al. Bone grafting of cleft lip and palate for placement of endosseous implants. Cleft palate craniofac J 1999; 36: 67-72
    CrossrefPubMedSearch in Google Scholar
  • 21 Wermker K, Jung S, Joos U. et al. Dental Implants in Cleft Lip, Alveolus, and Palate Patients: A Systematic Review. Int J Oral Maxillofac Implants 2014; 29: 384-390 . doi: 10.11607/jomi.3303
    PubMedSearch in Google Scholar
  • 22 Sarnäs KV, Rune B. Extraoral traction to the Maxilla with face mask: A follow-up of 17 consecutively treated patients with and without cleft lip and palate. Cleft palate J 1987; 24: 95-103
    PubMedSearch in Google Scholar
  • 23 Buschang PH, Porter E. et al. Face mask therapy of preadolescents with unilateral cleft lip and palate. Angle Orthod 1994; 64: 145-150
    PubMedSearch in Google Scholar
  • 24 Dogan S. The effects of face mask therapy in cleft lip and palate patients. Ann Maxillofac Surg 2012; 2: 116-120
    CrossrefPubMedSearch in Google Scholar
  • 25 Sade Hoefert C, Bacher M. et al. 3D soft tissue changes in facial morphology in patients with cleft lip and palate and class III mal occlusion under therapy with rapid maxillary expansion and delaire facemask. J Orofac Orthop 2010; 71: 136-151
    CrossrefPubMedSearch in Google Scholar
  • 26 Ren Y, Steegman R. et al. Bone-anchored maxillary protraciton in patients with unilateral complete cleft lip and palate abd class III malocclusion. Clinical Oral Investigations 2019; 23: 2429-2441
    CrossrefPubMedSearch in Google Scholar
  • 27 Ahn HW, Kim KW. et al. Comparison of the effects of maxillary protraction using facemask and miniplate anchorage between unilateral and bilateral cleft lip and palate patients. Angle Orthod 2012; 82: 935-941
    CrossrefPubMedSearch in Google Scholar