Abordarea chirurgicală și impactul ei în dezvoltarea armonioasă al aspectului dento-maxilar și craniofacial la copii cu despicături labio-maxilo-palatine

Abstract

Summary Introduction. The first information on primary closure of oromaxillofacial clefts was detected in 1921. Until now, surgical recovery protocols have been modified several times. Until now, there is no one that would ensure the harmonious development and growth of the craniofacial region and avoid laborious surgical reconstructions during adolescence. The aim of the present study is to evaluate the morphological development of the jaws in children with unilateral and bilateral remote total clefts, by comparing the results of remote surgical treatment protocols. Materials and methods. The growth and development of the jaw were analyzed according to the protocols existing in the Republic of Moldova. Linear measurements were performed on the study models of 10 children with unilateral and bilateral total clefts at the level of canines and molars, in the deciduous, permanent and newborn dentition. Results. During the period of growth and development of the child, the jaw narrows in the horizontal plane. In unilateral total clefts in 44%-50%, and 10%-15%, for bilateral clefts 40%-38% and 23%-47%. Conclusion. As the child grows, the jaw narrows at the level of the molars and canines, being more severe in children with bilateral clefts. Despite changes in treatment protocols, jaw narrowing occurs.