• Users Online: 379
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Partners Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 32-39

Maxillary protraction by reverse headgear treatment in patients with unilateral cleft lip and palate: A cephalometric evaluation


1 Department of Dentistry, Government Medical College and Hospital, Chandigarh, India
2 Oral Health Sciences Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3 Graduate Orthodontic Program, Faculty of Dentistry, University of Toronto; Burlington Growth Centre, Faculty of Dentistry; Department of Dentistry, The Hospital for Sick Children, Toronto, Ontario, Canada

Correspondence Address:
Dr. Sapna Singla
Department of Dentistry, Government Medical College and Hospital, Sector-32, Chandigarh - 160 033
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jclpca.jclpca_36_17

Rights and Permissions

Objective: This investigation was undertaken with the primary aim of evaluating the effects of reverse headgear therapy in patients with unilateral cleft lip and palate (UCLP) using lateral cephalograms and to compare the results of the reverse headgear treatment in these patients with other patients with UCLP who did not receive any orthopedic/orthodontic treatment. Materials and Methods: The treated group comprised 17 patients (13 male, 4 female; mean age 9.28 ± 2.78 years) with repaired complete UCLP and untreated group consisted of 5 subjects (4 male, 1 female; mean age 8.25 ± 2.25 years) with repaired complete UCLP. All patients in treated group received maxillary protraction with a Delaire type reverse headgear along with a customized intraoral splint worn for 16–18 h daily with force in the range of 420–480 g. Subjects in the untreated group did not receive any orthopedic/orthodontic treatment. Average treatment/observation period was 11.62 months for the treated and 12.40 months for the untreated group. Changes were evaluated at the end of the treatment and observation period by comparing pre- and post-lateral cephalograms. Results: Treatment effects of reverse headgear therapy were significant for anterior positioning of maxilla, clockwise rotation of mandible, proclination of upper incisors, and forward movement of upper molars as shown by cephalometric analysis. The untreated group did not show any significant changes, for the same measurements. Conclusions: Reverse headgear treatment is an effective method of improving the maxillomandibular relationship in patients with UCLP.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed795    
    Printed16    
    Emailed0    
    PDF Downloaded72    
    Comments [Add]    

Recommend this journal