Maxillary Expansion in Cleft Lip and Palate Patients: A Review
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Abstract
Cleft lip and palate (CLP) are complex craniofacial conditions that involve the lip, alveolus, and palate, along with associated structures, and may involve systemic abnormalities. Post-surgery, these children experience a range of issues. Maxilla is small in transverse dimensions, and the severity and location of collapse vary depending on the cleft type and surgical outcomes. Cleft children require palatal expansion during comprehensive orthodontic treatment. Clinicians and researchers have debated the age, type of appliance, and schedule of expansion. Newer appliances and protocols have emerged with the evolution of material science and manufacturing technology. This narrative review explores the modes of palatal expansion, timing, and techniques utilized in managing CLP patients. Palatal expansion procedures effectively obtain adequate palatal width and maxillary arch alignment as a pre-surgical step to promote better oral functioning. Types, modes, timing, and protocols of maxillary expansion were discussed.
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