Review Article

Protocols in Cleft Lip and Palate Treatment: Systematic Review

Table 2

Treatment modalities in the management of unilateral cleft lip and palate which are often based on dentofacial development.

TimingProcedure

Prior to cleft lip repairPresurgical infant orthopedics [15]
Primary dentitionOrthodontic treatment for maxillary expansion [16]
Mixed dentitionOrthodontic treatment for maxillary expansion and maxillary protraction [16]
Before eruption of permanent dentitionSecondary alveolar bone graft with cancellous bone from iliac crest [10, 17]
Permanent dentitionOrthodontic treatment for dental arches alignment [18]
After fully eruption of permanent dentition, dental arches alignment, and end of the maxillofacial growthOrthognathic surgery for maxillary advancement [16]
After orthognathic surgeryPostsurgical orthodontics for closure of residual spaces and occlusion final adjustments [19]
Replacement of missing teeth by a prosthodontist [20]