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The article presents a modified headgear designed for maxillary protraction for cleft lip and palate patients. The headgear has a simple design at affordable cost. The detailed fabrication and clinical use of modified headgear are described. Combined with fixed orthodontic appliances, two patients with unilateral cleft lip and palate were treated by this modified headgear. The personalized headgear is delivered with the use of protraction force from the headgear to the upper archwire. Cephalometric analyses were measured at pre and post modified headgear therapy. Significant maxillary advancement was demonstrated with minimal skeletal vertical changes. However, labial tipping of maxillary incisors was observed. In summary, this modified headgear is proposed as treatment option for maxillary hypoplasia with similar treatment effects as conventional facemask.
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