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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Fall 2006
Volume 7 , Issue 3

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CASE REPORT: SURGEON AND ORTHODONTIST WORK TOGETHER FROM PATIENTíS BIRTH

Sheldon W. Rosenstein, DDS, MSD

Pages: 293Ė298
PMID: 17009480

This case report presents one of the initial participants of a new treatment protocol started in 1965 for children born with complete clefts of the lip, alveolus, and palate at Childrenís Memorial Hospital, Chicago, USA. The surgeon and orthodontist worked together and in tandem from the time of the patientís birth. The protocol involves lip and palate closure, along with the placement of a passive maxillary prosthesis and minimal primary osteoplasty to the alveolus to help stabilize the maxillary segments. This case is noteworthy in that the patient had a number of congenitally missing teeth, and treatment required moving a tooth into and through an area originally cleft. The patient is now 40 years of age. Intra- and extraoral photographs, cephalometric radiographs, occlusal dental radiographs, and dental casts through the treatment stages are presented. World J Orthod 2006;7:293Ė298.

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