The Cleft Palate-Craniofacial Journal · 2006 · 18 citations · 16 references
DentistryMaxillofacial SurgeryOrthodonticsDistraction OsteogenesisPediatric Oral SurgerySurgical OrthodonticsAnterior Open Bite ManagementMaxillary Hypoplasia ManagementMaxillary Protraction TherapyOcclusal DevelopmentOcclusionOrthognathic SurgeryAnterior Open Bite TreatmentMaxillary Advancement SurgeryMaxillomandibular AdvancementMidface Hypoplasia CorrectionOcclusal Arch RelationshipOcclusal Relationship AssessmentOcclusal Relationship ImprovementRigid External Distraction
OBJECTIVE: To present orthodontic treatment combined with dual segmental distraction osteogenesis in a patient with Apert syndrome. PATIENT: A 15-year-old boy exhibited severe midfacial hypoplasia with retruded and hypoplastic maxilla and anterior open bite. The patient was treated with a rigid external distraction II system for distraction osteogenesis, a preadjusted edgewise appliance, and a modified maxillary protraction headgear. The concave profile with midfacial hypoplasia was improved. A tight occlusal relationship between maxillary and mandibular teeth was achieved. Postoperative treatment results have been stable for 1 year.
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