INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
L

C
P

www.indiandentalacademy.com
Introduction
 Very common congenital deformity of
orofacial structures
 Cleft lip – Cheiloschisis
 Cleft palate – Palat...
TREATMENT
 Prosthetic era (1565 -1764)
- Ambroise Pare
 Surgical era (1764 – 1940)
- Le Mornier
 Surgery – ortho – pros...
Aims of treatment
 Long mobile palate, which can
completely close the nasopharynx
and oropharynx.
 Achieve intact well-a...
www.indiandentalacademy.com
FISHMAN
protocol

e) Bone grafting
for alveolar
defects primary
grafting (< 2 yrs)
f) Orthopedics for
reapproximating
maxi...
Orthodontic treatment phases
 Presurgical orthopedics (0-3 months)
 Interceptive orthopedics (6-7yrs)
- Transverse expan...
Obturators

www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Thank you
For more details please visit
www.indiandentalacademy.com

www.indiandentalacademy.com
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Protocol new /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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Protocol new /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. L C P www.indiandentalacademy.com
  3. 3. Introduction  Very common congenital deformity of orofacial structures  Cleft lip – Cheiloschisis  Cleft palate – Palatoschisis  Incidence – 0.59 to 3.63 per 1000 live births India – 1.7 per 1000 live births  Boys : girls = 3:2  Isolated cleft palate more in girls  Left > right when unilateral www.indiandentalacademy.com
  4. 4. TREATMENT  Prosthetic era (1565 -1764) - Ambroise Pare  Surgical era (1764 – 1940) - Le Mornier  Surgery – ortho – prostho era (1940 – 1970)  Surgery – ortho – surgery era (1970 to present) www.indiandentalacademy.com
  5. 5. Aims of treatment  Long mobile palate, which can completely close the nasopharynx and oropharynx.  Achieve intact well-aligned dental arch. Ultimate goal Attain normal form and function with least possible damage to growth and development by surgery www.indiandentalacademy.com
  6. 6. www.indiandentalacademy.com
  7. 7. FISHMAN protocol e) Bone grafting for alveolar defects primary grafting (< 2 yrs) f) Orthopedics for reapproximating maxillary segments and normalizing oral function. Stage I Maxillary orthopedic stage Birth to 18 months Stage II Primary Dentition 18 months to 5yrs Stage III Late Primary or Mixed dentition 6 to 11 yrs Stage IV Permanent dentition 12 to 18 yrs a)Maxillary obturator to prevent feeding problems, increasing burpingand chocking. a) Establishing maintaining oral health. a) Orthodontic treatment 7 to 8 yrs. Started 12 months before grafting. *Arch expansion to correct posterior cross bite – Quad Helix. *Alignment of maxillary incisor. a) Final tooth alignment and interdigitation b)“Bulb” prosthesis to position premaxilla in midline c)“Bonnet & Strap” prosthesis for retraction of premaxilla d) Cheiloplasty “Rule of Tens”. b) Palatoplasty (12 to 14 months) for normal speech. Improves hearing and swallowing c) Early secondary bone grafting. (2 to 4 yrs) b) Secondary bone grafting (6 to 15 yrs) for eruption of permanent canine. www.indiandentalacademy.com b) Rapid palatal expansion. c) Cosmetic surgery for nasal bone, tip and symmetry.
  8. 8. Orthodontic treatment phases  Presurgical orthopedics (0-3 months)  Interceptive orthopedics (6-7yrs) - Transverse expansion, protraction  Alignment of maxillary incisors  Secondary alveolar bone grafting (8-11yrs)  Conventional orthodontics (permanent)  Dental adjustments (16-17yrs in female and 18-19yrs in male) www.indiandentalacademy.com
  9. 9. Obturators www.indiandentalacademy.com
  10. 10. www.indiandentalacademy.com
  11. 11. www.indiandentalacademy.com
  12. 12. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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