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Co-ordinated treatment of secondary cleft deformities
Authors:Andrew A. C. Heggie MDSc,LDS,FFDRCSI,FRACDS DOS,Roger A. West DMD,&dagger    R. William McNeill DDS,MS,&Dagger  
Affiliation:Former Fellow, Northwest Center for Corrective Jaw Surgery, Seattle, USA;Director, Northwest Center for Corrective Jaw Surgery, Seattle, USA;Affiliate Professor, Orthodontics, University of Washington, Northwest Center for Orthodontics and Facial Orthopedics, Seattle, USA
Abstract:Secondary cleft deformities result from the cumulative effects of functional and morphological abnormalities. Treatment choices should be based on a comprehensive plan which is designed to minimize treatment time and iatrogenic effects and which is based on sound physical and psychosocial objectives. Conventional orthodontic and orthognathic surgical principles can be modified and applied to a variety of facial cleft problems. Direct surgical correction of secondary deformities instead of prosthetic or orthodontic compensation expands treatment possibilities and optimizes treatment results.
Keywords:case reports    cleft palate    oral surgery    orthodontics    treatment planning
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