Ortodontická terapie pacientů s rozštěpem

Orthodontic Therapy of Patients with Cleft Palate

Summary:
The paper presents a brief survey of introducing orthodontia into the complextherapeutic protocol in interdisciplinary treatment of patients with cleft palate anomalies oforofacial system. It summarizes approaches and possibilities of orthodontic intervention indifferent periods of time including less frequent pre-surgical jaw-orthopedic preparation beforeprimary surgical correction of the lip defect. The authors also present the reasons leading toindication of early orthodontic therapy with active or passive orthopedic device in the period oftemporary dentition. Attention is drawn to the obstacles during pubertal growth spurt, whenan insufficient growth of the affected jaw may results in relapses and the disproportion ofsplanchnocranium is in full play.In the period of permanent teeth the basic problem is to decide about the final prosthetic,possibly the surgical-prosthetic reconstruction of dentition and adequate orthodontic preparationby means of fixed devices, which represent an almost absolute indication in this phase ofcomplex therapy. One of perspective solutions is also to fill in the alveolus defect witha osteoplasty and reconstruction of dentition by means of implants.

Key words:
cleft palate – early orthodontic therapy – osteoplasty – dental implant