Surgery-first orthognathic treatment of an adult patient with unilateral cleft lip-palate and multiple missing teeth: a case report

Baser Keklikci Hasibe; Gul Amuk Nisa; Alkan Alper

doi:10.5937/sejodr6-21667

Baser Keklikci Hasibe Erciyes University, Kayseri, Faculty of Dentistry, Department of Orthodontics
Gul Amuk Nisa Erciyes University, Kayseri, Faculty of Dentistry, Department of Orthodontics
Alkan Alper Bezmialem Vakif University, Istanbul, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery

DOI: https://doi.org/10.5937/sejodr6-21667

Abstract

Introduction: The comprehensive treatment approach and outcomes of a patient with cleft lip and palate was presented in this casereport.
Case presentation: A 31-year-old man with unilateral cleft lip and palate(UCLP) had a chief complaint of his mandibular prognathism andasymmetric smile. His clinical and radiographic evaluation showed a Class III skeletal relationship, multiple missing teeth, mandibularanterior occlusal canting, 6 mm of negative overjet and 16 mm overbite. "Surgery first orthognathic approach" was planned including,short-term orthodontic treatment, maxillary advancement and segmental mandibular subapical osteotomy.
Conclusion: At the end of the treatment, a functional occlusion, a harmonious profile, and patient satisfaction were achieved.

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