The cleft lip and palate is the most common congenital malformation between head and neck anomalies. It has an impact on the quality of life of the patient and his family, therefore a multidisciplinary and timely management of its sequels is fundamental for his development. The purpose of this clinical case was to show the integral dental management of a patient diagnosed with bilateral cleft lip and palate, female, 14 years old, who went with her mother to the Institute of Craniofacial Malformations of the University of Chile because they wanted a solution for her altered facial aesthetics and correction of dental malposition. Through the multidisciplinary management it was expected to achieve an adequate functioning of the stomatognathic system and to correct the esthetics for which it was subjected to an orthodontic, surgical and rehabilitating treatment. After this, positive results ...

The cleft lip and palate is a congenital craniofacial malformation that develops from embryological defects during the formation of the face. The anomalies occur mainly in the upper lip, premaxilla, palate and nasal floor. Here we introduce a case report of a patient who was admitted at 7 years old diagnosed with bilateral cleft lip and palate treated in the Craniofacial Malformations Unit of the Faculty of Dentistry of the University of Chile. The patient presented a Class III skeletal relationship, lack of development of the facial middle third, protruding position of the premaxilla, a bilateral Class III molar malocclusion with malposition and dental crowding. An orthopedic treatment of maxillary expansion was performed followed by an orthodontic treatment with fixed appliance. Following the extraction of supernumerary teeth, bone graft surgery and gingivoperiosteoplasty, she was refe...

The cleft lip and palate is the most common congenital malformation among craniofacial anomalies and causes a series of functional, physiological, aesthetic and social alterations. One commonly characteristic associated with these patients is a severe maxillary hypoplasia as a result of the great resistance opposed by scar lip and palate tissue from a primary surgery. Traditionally, the suggested treatment has been conventional orthognathic surgery at the end of skeletal maturity. However, this approach has revealed certain limitations. Distraction osteogenesis using a rigid external distractor has shown to be a good alternative for these patients’ treatment, since it allows the gradual distraction of the maxilla and the associated tissues, thereby improving the short and long term results. A review of the available literature was performed to describe the maxillary distraction osteoge...

The American Academy of Pediatric Dentistry defines Special Health Care Needs as “any physical, developmental, mental, sensory, behavioral, cognitive, or emotional impairment condition or limitation that requires medical management, health care intervention, and/or the use of specialized services or programs”. Currently, patients with special health needs present a higher survival rate and higher life expectancies. In addition, they present a higher prevalence and severity of malocclusion that negatively impact their general health and quality of life. The growing concern of parents and professionals for the aesthetic and functional aspect, has led to an increase in the demand for orthodontic treatment, however, the health care access still remains limited. A review of the available literature was performed aiming at describing the considerations in the orthodontic treatment of speci...

La fisura labiopalatina es la malformación congénita más común entre las anomalías de cabeza y cuello. Impacta directamente en la calidad de vida del paciente y su familia por lo que el manejo multidisciplinario y oportuno de sus secuelas resulta fundamental para el crecimiento y desarrollo del paciente. El objetivo de este caso clínico fue mostrar el manejo odontológico integral de una paciente con fisura labiopalatina bilateral, sexo femenino, 14 años de edad, que acudió junto a su madre al Instituto de Malformaciones Craneofaciales de la Universidad de Chile porque deseaban una solución a su estética facial alterada y corrección de la malposición dentaria. Mediante el manejo multidisciplinario se buscó alcanzar un adecuado funcionamiento del sistema estomatognático y corregir la estética para lo cual fue sometida a un tratamiento ortodóncico, quirúrgico y rehabilitad...

La fisura labiopalatina es una malformación congénita craneofacial que se desarrolla a partir de defectos embriológicos durante la formación de la cara. Las anomalías se presentan fundamentalmente en el labio superior, la premaxila, el paladar y en el piso nasal. A continuación se presenta un caso clínico de una paciente que ingresó a los 7 años de edad diagnosticada con fisura de labio y paladar bilateral tratada en la Unidad de Malformaciones Craneofaciales de la Facultad de Odontología de la Universidad de Chile. La paciente presentaba una relación clase III esqueletal, falta de desarrollo del tercio medio facial, posición protruida de la premaxila, una maloclusión molar Clase III bilateral acompañada de malposición y apiñamiento dentario. Se realizó tratamiento ortopédico de expansión maxilar y posteriormente ortodóncico con aparatología fija. Posterior a la extr...

La fisura labio-palatina es la malformación congénita más común entre las anomalías craneofaciales y causa una serie de alteraciones a nivel funcional, fisiológico, estético y social. Una de las características comúnmente asociada a estos pacientes, es la hipoplasia maxilar severa producto de la gran resistencia opuesta por los tejidos cicatrizales de labio y paladar, como consecuencia de la cirugía primaria. Tradicionalmente, el tratamiento ha sido la cirugía ortognática convencional al término del crecimiento, sin embargo, este enfoque ha demostrado tener ciertas limitaciones. La distracción osteogénica mediante un distractor rígido externo ha resultado ser una buena alternativa para el manejo de estos pacientes, ya que permite la distracción gradual del maxilar y de los tejidos asociados, mejorando los resultados a corto y largo plazo. Se realizó una revisión de la ...

The American Academy of Pediatric Dentistry defines Special Health Care Needs as “any physical, developmental, mental, sensory, behavioral, cognitive, or emotional impairment condition or limitation that requires medical management, health care intervention, and/or the use of specialized services or programs”. Currently, patients with special health needs present a higher survival rate and higher life expectancies. In addition, they present a higher prevalence and severity of malocclusion that negatively impact their general health and quality of life. The growing concern of parents and professionals for the aesthetic and functional aspect, has led to an increase in the demand for orthodontic treatment, however, the health care access still remains limited. A review of the available literature was performed aiming at describing the considerations in the orthodontic treatment of speci...