A modified headgear for maxillary advancement in cleft lip and palate patients: Case reports

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Published: Aug 26, 2020
Keywords:
facemask protraction, maxillary advancement, maxillary protraction, modified headgear, Reverse headgear, unilateral cleft lip and palate

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Nuntinee Nanthavanich Saengfai
Department of Orthodontics, Faculty of dentistry, Mahidol University, Thailand
Nattapon Prengsukarn
Department of Dental Health, Somdet Phrasangharaja 19 Hospital, Thailand
Kitti Supanwanid
Department of Orthodontics, Faculty of dentistry, Mahidol University, Thailand

Abstract

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. 

Article Details

How to Cite
1.
Saengfai NN, Prengsukarn N, Supanwanid K. A modified headgear for maxillary advancement in cleft lip and palate patients: Case reports. M Dent J [Internet]. 2020 Aug. 26 [cited 2024 Dec. 21];40(2):87-94. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/240060
Issue
Vol. 40 No. 2 (2020): May-August
Section
Case report

References

Chuangsuwanich A, Aojanepong C, Muangsombut S, Tongpiew P. Epidemiology of cleft lip and palate in Thailand. Ann Plast Surg 1998; 41: 7-10.

Ittiwut R, Siriwan P, Suphapeetiporn K, Shotelersuk V. Epidemiology of cleft lip with or without cleft palate in Thais. Asian Biomedicine 2017; 10: 335-8.

Watkins SE, Meyer RE, Strauss RP, Aylsworth AS. Classification, epidemiology, and genetics of orofacial clefts. Clin Plast Surg 2014; 41: 149-63.

Joondeph DR. Early orthodontic treatment. Am J Orthod Dentofacial Orthop 1993; 104: 199-200.

Kambara T. Dentofacial changes produced by extraoral forward force in the Macaca irus. Am J Orthod 1977; 71: 249-77.

Nelson FO. A new extra-oral orthodontic appliance. Int J Orthod 1968; 6: 24-7.

GekKiow G, Kaan SK. Dentofacial orthopaedic correction of maxillary retrusion with the protraction facemask--a literature review. Aust Orthod J 1992; 12: 143-50.

Turley PK. Treatment of the Class III Malocclusion with Maxillary Expansion and Protraction. Semin Orthod 2007; 13: 143-57.

Alcan T, Keles A, Erverdi N. The effects of a modified protraction headgear on maxilla. Am J Orthod Dentofacial Orthop 2000; 117: 27-38.

Baccetti T, McGill JS, Franchi L, McNamara JA, Jr., Tollaro I. Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop 1998; 113: 333-43.

Merwin D, Ngan P, Hagg U, Yiu C, Wei SH. Timing for effective application of anteriorly directed orthopedic force to the maxilla. Am J Orthod Dentofacial Orthop 1997; 112: 292-9.

Ngan P, Hagg U, Yiu C, Merwin D, Wei SH. Soft tissue and dentoskeletal profile changes associated with maxillary expansion and protraction headgear treatment. Am J Orthod Dentofacial Orthop 1996; 109: 38-49.

Ngan P, Yiu C, Hu A, Hagg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod 1998; 20: 237-54.

Saadia M, Torres E. Sagittal changes after maxillary protraction with expansion in class III patients in the primary, mixed, and late mixed dentitions: a longitudinal retrospective study. Am J Orthod Dentofacial Orthop 2000; 117: 669-80.

Suchato W, Chaiwat J. Cephalometric evaluation of the dentofacial complex of Thai adults. The Journal of the Dental Association of Thailand 1984; 34: 233-43.

Dechnunakorn S, Chaiwat J, Sawaengkit P, Anuwongnukroh N, Taweesedt N. Thai Adult Norms in Various Lateral Cephalometric Analysis. J Dent Assoc Thai 1994; 44: 202-14.

Buschang PH, Porter C, Genecov E, Genecov D, Sayler KE. Face mask therapy of preadolescents with unilateral cleft lip and palate. Angle Orthod 1994; 64: 145-50.

Jia H, Li W, Lin J. Maxillary protraction effects on anterior crossbites. Repaired unilateral cleft versus noncleft prepubertal boys. Angle Orthod 2008; 78: 617-24.

McNamara JA, Jr. An orthopedic approach to the treatment of Class III malocclusion in young patients. J Clin Orthod 1987; 21: 598-608.

Turley PK. Orthopedic correction of Class III malocclusion with palatal expansion and custom protraction headgear. J Clin Orthod 1988; 22: 314-25.

Chong YH, Ive JC, Artun J. Changes following the use of protraction headgear for early correction of Class III malocclusion. Angle Orthod 1996; 66: 351-62.

Wisth PJ. Mandibular function and dysfunction in patients with mandibular prognathism. Am J Orthod Dentofacial Orthop 1984; 85: 193-8.

Kim JH, Viana MA, Graber TM, Omerza FF, BeGole EA. The effectiveness of protraction face mask therapy: a meta-analysis. Am J Orthod Dentofacial Orthop 1999; 115: 675-85.

Yepes E, Quintero P, Rueda ZV, Pedroza A. Optimal force for maxillary protraction facemask therapy in the early treatment of class III malocclusion. Eur J Orthod 2014; 36: 586-94.

Chimruang J, Soadmanee O, Srisilapanan P, Patjanasoontorn N, Nanthavanich N, Chuawanlee W. A qualitative study of health-related quality of life and psychosocial adjustments of Thai adolescents with repaired cleft lips and palates. J Med Assoc Thai 2011; 94: S45-50.