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  • Title: Late management of cleft lip and palate problems: a joint orthodontic/surgical approach.
    Author: Jones ML, Sugar AW.
    Journal: J R Coll Surg Edinb; 1990 Dec; 35(6):376-86. PubMed ID: 2086799.
    Abstract:
    Three patients are presented from a larger case series of adolescent cleft lip and palate patients to illustrate a combined approach to the treatment of severe facial and dentoalveolar discrepancy. The following treatment regime was employed: orthopaedic expansion of the maxillary dentoalveolus; tertiary bone grafting of the alveolar cleft; upper and lower dental arch alignment and decompensation; and orthognathic surgery to correct the skeletal defect by means of a maxillary single unit advancement. The advantages of tertiary grafting (when secondary grafting has not been carried out) in the orthodontic and surgical management of these patients is discussed.
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