협소한 상악과 상악 전치부 선천 결손을 가진 양측성 불완전 구순구개열 환자에서 임플란트 보철 수복을 동반한 수술교정 치험례
Surgical Treatment and Implant Restoration of Bilateral Incomplete Cleft Lip and Palate Patient with Constricted Maxilla and Congenital Missing of Upper Anterior Teeth: Case Report
최은학, 박진이, 정영수, 정휘동, 황충주, 차정열,
소속 상세정보
최은학 ( Choi Eun-Hack ) - 연세대학교 치과대학 치과교정학교실
박진이 ( Park Jin-Yi ) - 연세대학교 치과대학 치과교정학교실
정영수 ( Jung Young-Soo ) - 연세대학교 치과대학 구강악안면외과학교실
정휘동 ( Jung Hwui-Dong ) - 연세대학교 치과대학 구강악안면외과학교실
황충주 ( Hwang Chung-Ju ) - 연세대학교 치과대학 치과교정학교실
차정열 ( Cha Jung-Yul ) - 연세대학교 치과대학 치과교정학교실
Abstract
Purpose: We report a case of a skeletal Class III patient with bilateral incomplete cleft lip and palate who successfully underwent orthodontic treatment with orthognathic surgery and dental implant restoration. Case Report: An 11-year-old girl with cleft lip and palate showed narrow maxilla and congenital missing of upper anterior teeth. To solve transverse deficiency of premaxilla and provide sufficient space for implant restoration, maxillary segmental osteotomy and transverse distraction osteogenensis with fan-type expander was operated. After growth, the patient took orthodontic treatment for orthognathic surgery. For implant restoration on the cleft site, tertiary alveolar bone graft with autogenous & alloplastic bone was performed. After revision surgery and filler injection on retruded upper lip, patient’s lateral facial profile was improved with balanced upper and lower lip profile. Conclusions: For successful implant restoration on alveolar cleft site, sufficient space needs to be regained and tertiary bone graft should be considered. Normal function and esthetic profile can be achieved by multidisciplinary treatment approach for the patient with cleft lip and palate.
키워드
Cleft lip an palate; Distraction osteogenesis; Implant; Bone graft
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