Early Orthodontic Intervention Prior To Surgery In An Infant With Complete Unilateral Clp

Abstract

This study aimed to evaluate the effectiveness of using fixed, intraosseous fixed appliances in early orthodontic treatment for children with unilateral cleft lip and palate, compared to removable appliances. The study included two groups of children: the first (n = 31) received treatment with fixed intraosseous appliances, while the second (n = 25) received conventional treatment with removable appliances. Treatment outcomes were analyzed in terms of treatment duration, surgical timing, and functional and cosmetic improvement of the face and jaws. The results demonstrated a clear superiority for the fixed appliance group, with approximately a 24-fold reduction in preparation time for initial surgery, in addition to improved timing and quality of cosmetic procedures. These results are attributed to the superior ability of fixed appliances to direct consistent and precise forces on the maxillary fragments, contributing to improved bone remodeling during the critical biogenesis period. The study concluded that early orthodontic treatment using fixed appliances is an effective option in improving the therapeutic and cosmetic outcomes of children with unilateral cleft lip and palate and is recommended as part of standardized treatment protocols in the early stages of development.