Improving the medical rehabilitation of children with the consequences of congenital unilateral clefts of the upper lip and palate at the stages of orthodontic treatment

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Abstract

The article presents an analysis of the results of the orthodontic stage of medical rehabilitation of patients with the consequences of congenital unilateral clefts in the upper lip and palate. The material for the study was the results of hardware orthodontic treatment of 74 patients (26 boys and 48 girls) with a diagnosis of congenital unilateral cleft of the upper lip and palate. We analyzed 294 diagnostic models, 224 orthopantomograms of patients of two groups. The first group included 51 patients who underwent instrument lengthening and (or) expansion of the dentition of the upper jaw according to a traditional technique. Patients of the second group (23 patients) were treated with new methods proposed by us. It was established that the developed methods of lengthening and expanding the dentition of the upper jaw significantly increase the effectiveness of orthodontic treatment of patients, which was manifested in a reduction in the duration of active hardware treatment and a decrease in the number of complications.

About the authors

Nadezhda A. Vorozheykina

Samara Regional Clinical Hospital named after V.D. Seredavin

Author for correspondence.
Email: dragontree8889@gmail.com

doctor, orthodontist

Russian Federation, Samara

Mikhail A. Postnikov

Samara State Medical University

Email: postnikovortho@yandex.ru

Doctor of Medical Sciences, Associate Professor, Associate Professor of the Department of Dentistry of IPE

Russian Federation, Samara

Alexander N. Karpov

Samara State Medical University

Email: newfamilyak@mail.ru

Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Pediatric Dentistry

Russian Federation, Samara

References

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Supplementary files

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2. Fig. 1. Change in the structure of congenital clefts of the face in the Samara Region

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3. Fig. 2. Apparatus for vestibular displacement of the maxillary incisors, used in the treatment of patients of the first group

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4. Fig. 3. Single-jaw plate-type mechanical devices with fixing clamps, sectoral cuts and screws for vestibular displacement of the teeth of the upper jaw, used in the treatment of patients of the second group

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5. Fig. 4. Single-jaw lamellar function-guiding apparatus with a continuous occlusal pad and a fixing arch for the lower jaw, used in the treatment of patients of the second group

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Copyright (c) 2020 Vorozheykina N.A., Postnikov M.A., Karpov A.N.

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