Orthodontic Treatment of Unilateral Cleft Lip and Palate Associated with Agenesis of Maxillary Lateral Incisors: A Case Report
https://doi.org/10.21315/aos2025.2001.CR01
- Author:
Dewi Ayu Karina
1
;
Sarah Fitria Romadhoni
1
;
Cendrawasih Andusyana Farmasyanti
1
;
Sri Suparwitri
1
;
Ananto Ali Alhasyimi
1
;
Yanuarti Retnaningrum
1
;
Anne Marie Kuijpers-Jagtman
1
;
Anne Marie Kuijpers-Jagtman
2
;
Anne Marie Kuijpers-Jagtman
3
Author Information
1. Department of Orthodontics, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
2. Department of Orthodontics, University Medical Centre Groningen, 9713 GZ Groningen, The Netherlands
3. Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland
- Publication Type:Case Reports
- Keywords:
Cleft lip and palate;
comprehensive orthodontic treatment;
dental agenesis;
orthodontics;
treatment outcome
- From:
Archives of Orofacial Sciences
2025;20(1):43-52
- CountryMalaysia
- Language:English
-
Abstract:
Orthodontic Treatment of Unilateral Cleft Lip and Palate Associated with Agenesis of Maxillary Lateral Incisors: A Case Report:Cleft lip and palate (CLP) is a common congenital condition presenting significant orthodontic
challenges due to maxillofacial growth disturbances, associated malocclusions, and dental anomalies.
Patients with CLP often have complex dental and skeletal issues, requiring a comprehensive,
interdisciplinary approach to address functional and aesthetic concerns. An 11-year-old female
presented with unilateral cleft lip, alveolus, and palate (UCLP) associated with dental anomalies, which
included a skeletal Class I relationship with Angle Class II malocclusion, bimaxillary retrognathia,
bidental retroclination, negative overjet, lower dental midline shifting, anterior crossbite, microdontia
#12, agenesis #22, and several malpositioned teeth. The patient was treated with fixed orthodontic
appliances, including the extraction of remaining deciduous teeth, mesialisation of the teeth on the upper left side to close the space resulting from agenesis, and space management in the mandible. Significant improvements were observed in overjet, dental alignment, occlusion, and aesthetics after a 17-month treatment period. Following orthodontic treatment, restorative procedures were performed on teeth #12 and #23. Adhering to the prescribed retainer schedule is essential to preserving dental esthetics and the stability of the treatment results. Comprehensive orthodontic treatment with fixed appliances effectively addressed the complex dental and skeletal issues of this patient with UCLP. The treatment led to improved dental function and aesthetics, highlighting the importance of a personalised approach in addressing cleft cases.
- Full text:2026060913192867245Orthodontic Treatment of Unilateral Cleft Lip.pdf
