Cleft lip and palate treatment is a long journey that begins at birth and continues until young adulthood. Its treatment requires established teams of specialists dedicated to treating this disorder. However, restricted access to such teams may result in poor outcomes. Many patients in such condition end up with inadequate results such as oronasal fistula or large gaps between the bony segments. Unfortunately, in many cases, secondary bone grafting at that stage may give sub-optimal results. Recently introduced alveolar distraction techniques became an important treatment alternative in such severe cases. In this lecture, archwise alveolar distraction appliance and technique, and the 3 Dimensional dentofacial changes it creates will be presented.
Identify the cases that may benefit from archwise alveolar distraction technique.
Compare advantages of alveolar distraction to secondary bone grafting in cleft lip and palate cases.
Determine whether alveolar distraction can be a good alternative to some surgical procedures.