ABSTRACT

Objectives

To assess the effectiveness of bone-anchored maxillary protraction (BAMP) in patients with unilateral cleft lip and palate (UCLP) and whether it was enhanced when preceded by maxillary expansion.

Materials and Methods

The sample consisted of 28 growing children (9–13 years old) with UCLP and Class III malocclusion. They were divided into two equal groups. In group I, patients were treated with BAMP not preceded by maxillary expansion. In group II, patients were treated with BAMP preceded by maxillary expansion. To assess treatment changes in three dimensions, Cone-beam computed tomography images were taken 1 week after surgical placement of the miniplates (T1) and after 9 months of treatment (T2).

Results

BAMP produced forward movement of the maxilla in both groups (3.17 mm) and (3.37 mm) respectively, without significant differences between the two groups except for clockwise rotation of the palatal plane in group I (1.60).

Conclusions

BAMP is an effective treatment modality for correcting midface deficiency in patients with UCLP whether or not maxillary expansion was carried out.

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Author notes

a

Lecturer, Orthodontic Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

b

Professor, Orthodontic Department, and Vice Dean of Postgraduate Affairs, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

c

Professor and Head, Orthodontic Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

d

Associate Professor, Orthodontic Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

e

Professor and Head, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.