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SHORT COMMUNICATION
Year : 2019  |  Volume : 10  |  Issue : 4  |  Page : 185-187

Correction of bilaterally rotated premolars in bilateral cleft lip and palate patients: An innovative approach


Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC, Pune, Maharashtra, India

Correspondence Address:
Dr. Deepak Chauhan
Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC,Pune - 411 040, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijor.ijor_29_19

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Maxillary hypoplasia is a constant feature among patients with cleft lip and palate (CLP), more pronounced in sagittal and transverse dimensions. Transverse maxillary deficiency is first addressed using various expansion appliances. Due to the excessive scarring on the palatal tissue, there is a high chance of relapse of the expansion achieved, and the challenge is to hold the results achieved. Palatal arch holding appliance is commonly used to prevent relapse and to maintain the achieved expansion. Management of difficult cases like bilateral CLP (BCLP) demands speeding up the pace of treatment by innovations in the appliance structures or treatment procedures to shorten the treatment period. This article attempts to address the reduction in the total treatment time in BCLP patients with a clinical modification of conventional treatment modality.


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