Cleft Lip and Palate
Conditions
Keywords
Alt-RAMEC, expansion, cleft lip and palate patient, cone beam computed tomography (CBCT), protraction, facemask, MAXILLARY EXPANDER WITH DIFFERENTIAL OPENING (EDO)
Brief summary
Evaluate the treatment outcome of Alternate Rapid Maxillary Expansion and Constriction Alt-RAMEC protocol on patients with cleft lip and palate, using a differential opening expander and face mask which will be measured and recorded by cone beam computed tomography (CBCT).
Detailed description
Cleft lip and palate are among the most common deformities in children.Clefts patient are usually having orofacial problems as missing or unerupted permanent teeth, alveolar bone defect, speech difficulty . Patients with cleft lip and palate (CLP) commonly have maxillary arch constriction (maxillary hypoplasia) and Class III malocclusions due to deficient of maxillary growth The upper jaw of patients with cleft palate will be expanded by Maxillary Expander with Differential Opening (EDO) with alternate rapid maxillary expansion and constriction (Alt-RAMEC) , which is opened by opening the expansion device by 1 mm per day for a week, then closing the device at a rate of 1 mm per day in the second week and so on alternately for 7 consecutive weeks after the completion of the expansion, the facemask device will be used to protraction of maxilla the measurement and difference before and after treatment will be assessment by cone beam computed tomography (CBCT). .
Interventions
The EDO is designed with two expansion screws positioned transversely. When more expansion is required between the canines, the anterior screw can be further activated. Both expansion screws can be activated to open in a parallel configuration. Pivoting corner screws allow for different amounts of expansion without significant risk of binding during activation.
DEVICEPetit Face Mask
The face mask is anatomical, multi-adjustable, lightweight and an ideal therapeutic alternative for the correction of Class III malocclusion. consist of forehead cap chin cap cross bar
Sponsors
Faculty of Dental Medicine for Girls
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
8 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients of both sexes. * Cleft lip and palate patients. * All patient age ranges from 8 to 12 years. * All the cases showed maxillary arch constriction and deficiently * All patients had maxillary permanent first molars. * Primary lip adhesion and palatal closure.
Exclusion criteria
* Patients had received any surgical assisted expansion or maxillary protraction or fixed orthodontics before. 2\. Maxillary dentition unsuitable to bond the expander (less than two dental unit bedside first permanent molar) . 3\. Absent maxillary permanent first molars. 4. Uncooperative patients/parents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in 3D dimension of skull after and before expansion | six month | Full skull Cone Beam Computerized Tomography |
Countries
Egypt
Contacts
Primary Contactsarah s. kahlil, master
Backup Contactmohamed m. elabd, master
Outcome results
None listed