Initial treatment of alveolar gaps in cases of labio-maxillary-palatal clefts

Arnaud Picard, Natacha Kadlub, Eva Galliani, Veronique Soupre, Sophie Cassier, Geoorgiana Constantinescu, Frederic Zazurca, Catherine Tomat, Brigitte Vi-Fane, Chantal Trichet-Zbinden, Cecile Chapuis-Vandenbogaerde, Patrick A. Diner (+1 others)
2012 Journal of Dentofacial Anomalies and Orthodontics  
Treatment teams use different approaches for correcting the alveolar cleft sector of labio-palatal clefts. Age of patient, whether or not bone grafts are used, and the type of bone grafted are some of the differences. Our team performs a gingivoperioplasty with a graft of iliac cancellous bone on patients 4 to 6 years old. This procedure is carried out within the framework of orthodontic treatment designed to restore transverse dimension pre-operatively with a quad helix and to retain the
more » ... to retain the expansion with 6 months of retention. The gingivoperioplasty is accomplished in a zone free of any scar tissue that might have resulted from a primary cheiloplasty followed by closure of the palatal cleft. In our view all teams must eventually utilize cone beam X-rays for their radiographic evaluations because they are the only tool that provides results of objective analysis that are of high quality and have demanded a very low level of radiation. KEY WORDS Labio-palatal cleft, Bone graft, Cone beam, Alveolar cleft, Gingivoperioplasty.
doi:10.1051/odfen/2012303 fatcat:ttmuhs6wlzefpox6erjd4eobfe