Abida Ijaz, Saeed Ashraf Cheema.
Presurgical orthodontic management and secondary bone graft in the cleft patients.
Pak Oral Dental J Jan ;27(1):9-16.

A male child age 6 ½ years was referred to the cleft centre of The Children’s Hospital. The presenting complaint was an unpleasant facial appearance and deranged dentition. He was born with right unilateral cleft of the lip and anterior palate. Initial lip repair was reported at 3 months and palatoplasty at one year of age. Intra oral examination revealed an apparent cleft in the right alveolus. The teeth were in early mixed dentition stage. Lower permanent central incisors were partially erupted and the rest of teeth in both of dental arches were deciduous. The primary teeth lying in line of the cleft i.e. the right upper central and lateral incisors were in gross palatal rotation with localized open bite because of the defect. The right upper quadrant was in crossbite up to first deciduous molar. The OPG revealed an inverted pear shaped radiolucent area which was 2.8 x 2cm in dimensions. On the occlusogram, the cleft extended backward to first deciduous molar region. Cephalometrically, the child was analyzed to have skeletal 1 pattern.

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