[Preprosthetic surgery: crown lengthening].
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The alveolar defect remaining after the repair of cleft lip and palate presents an aesthetic problem in the maxillary dental arch. Often the lateral incisor is missing or deformed. There are several prosthetic solutions to the problem. However, here a method is presented, of bone grafting and then orthodontically positioning the erupting maxillary canine into the defect, in selected cases.
Midfacial reconstruction in adolescent patients with cleft palates is becoming increasingly practiced through a multidisciplinary approach that includes surgical, orthodontic, and prosthetic treatment. Four general types of cleft palate deformities in adolescents are discussed in terms of treatment. These include bilateral midfacial hypoplasia, unilateral midfacial hypoplasia, alveolar incompetence, and soft tissue incompetencies. The surgical treatment and associated considerations are presented.
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