Abstract
Cleft lip and palate cases require presurgical orthopaedics to achieve the normal alignment of the cleft maxillary segments prior to primary cheiloplasty. Management of the protruding/deviated premaxilla in patients with complete bilateral cleft lip and palate is a challenging problem. Various passive and active methods have been developed for the presurgical orthopaedic treatment. However, most of these treatments are complicated and laborious for the patients, parents and clinicians. This article aims to review the preferable options for the management of bilateral cleft lip and palate in children and to discuss a case report where an active intraoral appliance comprising of two components, that is the acrylic premaxillary and palatine process plates, connected with two elastic chains had been successfully employed and satisfactory results obtained.
Keywords: Cleft lip and palate; Presurgical orthopaedics; Nasoalveolar molding.
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Corresponding Author
Jaziya .Z
Junior Resident, Dept. of Pediatric and Preventive Dentistry, Government Dental College, Thiruvananthapuram, Kerala, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i9.18
