Midface Osteodistraction: Cleft Patients
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Adi Rachmiel, DMD, Dror Aizenbud, DMD, MSc, Micha Peled, DMD, MD, Dov Laufer, DMD

Materials & Methods

Twenty-two cleft lip and palate patients (14 unilateral, 8 bilateral) ranging in age from 7 to 13 years were included in the study. All patients underwent primary lip and palate repair in infancy or early childhood and had anteroposterior maxillary hypoplasia resulting in a concave profile with Class III malocclusion and negative overjet (Figs. 1, 2). Cephalometric measurements, dental relationship, and soft tissue analysis confirmed anteroposterior maxillary hypoplasia (Table 1).

Figs. 1, 2. Eleven-year-old boy with midface retrusion (left). Intraoral photograph (right) demonstrating Class III malocclusion.