Orthodontic Treatment Protocol in Permanent Dentition for Cleft Lip and Palate Patients

Abstract

Because of previously cleft lip and palate repair, the maxilla of cleft patients usually has been restricted growth which cause dental and skeletal Class III malocclusion, crossbite and concave facial profile. In the case with mild skeletal Class III, the camouflage orthodontic treatment is the option to correct the malocclusion. While moderate to severe type, the treatment option should be orthodontic combined with orthognathic surgery or distraction osteogenesis which considered when the growth ceases considering from hand - wrist radiograph, lateral cephalogram to assess patient’s growth status.