72237

Transpalatal Distraction Osteogenesis versus Hyrax Appliance for Correction of Unilateral Maxillary Hypoplasia in Cleft Palate Patients

Article

Last updated: 01 Jan 2025

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Abstract

Background: Collapsed maxilla in unilateral cleft palate patients results in unilateral cross-bite, tapered maxilla and crowding of the maxillary teeth. Distraction osteogenesis (DO) of collapsed maxilla in cleft palate patients has become the contemporary surgical management of many secondary cleft deformities. Purpose: the aim was to compare between the efficiency of using Transpalatal Distraction Osteogenesis (TPDO) and Hyrax appliance for three dimension correction of maxillary hypoplasia in unilateral cleft palate patients both clinically, radiographicaly and study cast analysis. Patients and methods: This study was comprised eight patients group1 (TPDO); (3) males and (5) females and eight patients group2 (Hyrax); (2) males and (6) females with unilateral maxillary hypoplasia after repair of unilateral cleft lip and palate. The age ranged from 13 to 27 years with a mean of 16.88 years. Patients were assessed clinically regarding: photographic, healing of the soft tissue, pain, and device loosening. Radiographically regarding: PA cephalometric, lateral cephalometric views and C.T scan. Study cast regarding: inter canine, inter premolar, and inter molar distance, palatal depth and width. Finally, the data were collected, tabulated and statistically analyzed. Results: The result of this study shows significant difference in inter canine, inter premolar and inter molar distances, palatal width and depth between the pre and post distraction in group (1) than in group (2).

DOI

10.21608/edj.2019.72237

Keywords

Unilateral cleft palate patients, transverse maxillary hypoplasia, transpalatal distraction osteogenesis and hyrax appliance

Authors

First Name

Ibrahim

Last Name

Nowair

MiddleName

Mohamed

Affiliation

Associate Professor Oral and Maxillofacial Surgery, Faculty of Dentistry, Tanta University, Egypt

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City

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Orcid

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First Name

Mohamed

Last Name

Eid

MiddleName

Kamal

Affiliation

Lecturer Oral and Maxillofacial Surgery, Faculty of Dentistry, Tanta University, Egypt

Email

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City

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Orcid

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First Name

Ahamed

Last Name

Elsharif

MiddleName

Mostafa

Affiliation

Lecturer Oral and Maxillofacial Surgery, Faculty of Dentistry, Tanta University, Egypt

Email

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City

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Orcid

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Volume

65

Article Issue

Issue 3 - July (Oral Surgery)

Related Issue

10697

Issue Date

2019-07-01

Receive Date

2020-02-19

Publish Date

2019-07-01

Page Start

2,155

Page End

2,169

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_72237.html

Detail API

https://edj.journals.ekb.eg/service?article_code=72237

Order

12

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

Transpalatal Distraction Osteogenesis versus Hyrax Appliance for Correction of Unilateral Maxillary Hypoplasia in Cleft Palate Patients

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Article

Created At

22 Jan 2023