**7.2. Patients with moderate to severe skeletal discrepancy**

Early determination of the eventual need for maxillary osteotomy is a very important decision for the orthodontist.

anteroposterior growth. In patients with BCLP, the unstable premaxilla with the small amount of maxillary bone attached to the vomer is usually incapable of being maintained with good

Orthodontics in Relation with Alveolar Bone Grafting in CLP Patients

http://dx.doi.org/10.5772/intechopen.80853

169

When the premaxilla has been effectively grafted, any need to forward the maxilla at a later date can be accomplished by Le Fort osteotomy with a much diminished possibility of

The success of the orthodontic treatment and SABG is strongly interrelated. Carefully coordinated orthodontic and surgical involvement is critical for the well-being of the patients with

Department of Orthodontics, Faculty of Dentistry, Cukurova University, Adana, Turkey

[1] WHO. Global strategies to reduce the health-care burden of craniofacial anomalies. In: Report of WHO Meetings on International Collaborative Research on Craniofacial

[2] IPDTOC Working Group. Prevalence at birth of cleft lip with or without cleft palate: Data from the international perinatal database of typical oral clefts. The Cleft Palate-

[3] ACH W, Sell DA, Grunwel P. Management of Cleft Lip and Palate. London, Philadelphia:

[4] Shaw WC, Semb G. Choosing the best treatment for the child with a cleft. In: ACH W, Sell DA, Grunwel P, editors. Management of Cleft Lip and Palate. London, Philadelphia:

[5] Semb G, Shaw WC. Orthodontics. In: Watson ACH, Sell DA, Grunwel P, editors. Management of Cleft Lip and Palate. London, Philadelphia: Whurr Publishers; 2004. p. 299

[6] Kreiborg S, Hermann NV, Darvann TA. Characteristics of facial morphology and growth in infants with clefts. In: Berkowitz S, editor. Cleft Lip and Palate. 2nd ed. Germany:

Anomalies. Geneva, Switzerland: Human genetics programme; 2002

stability without grafting.

relapse [19].

**8. Summary**

**Author details**

Address all correspondence to: aslihanuzel@gmail.com

Craniofacial Journal. 2011;**48**(1):66-81

Whurr Publishers; 2004

Whurr Publishers; 2004. p. 400

Springer-Verlag Berlin Heidelberg; 2006. pp. 25-235

Aslıhan Uzel

**References**

CLP.

Extracting lower premolar to correct anterior crossbite and trying to camouflage skeletal discrepancy are not appropriate in growing children. In that case, leveling only the upper arch, finishing with crossbite, and monitoring the growth are the best options. Early surgical options can be considered if needed [5].
