Cluster approach in presurgical orth odontical preparati on for treatment of patients with the unilateral cleft lip and palate

One of the current problems of modern medicine is the development and improvement of methods of early rehabilitation of children with congenital pathology of the maxillofacial region, which is characterized by pronounced structural and functional disorders of the maxillofacial region, disfiguring the face and negatively affecting the social and psychological status of patients. Сarrying out primary operations at an early age during the first days of life contributes to restoration of anatomical and aesthetic integrity of structures of upper lip and nose wing to children with one-sided cleavage of lip and palate. Resently several years have been observed positive trend of using of orthodontic technics and systems in the treatment of patients with the toothpick anomaliesbirth defects , especially at an yearly age. However we have noted, incufficient
data, about this problem, which necessitated this work.
The study aimed to: increase the effectiveness of treatment of children with one-sided lip and palate slits by using ortho-implants.
Under our supervision there were 40 children with a one-sided full slotted lip and palate from 3 days to a year of life. Of these, 27 patients made up the main group of patients prepared for surgery according to the proposed method, where the first stage was fixation of ortho-implants with elastic traction on the upper jaw. The second stage was removal of orthoimplants and carrying out operation of primary ceiloplasty.
Application of a complex approach with the involving specialists of different profiles, and also with using high technological methods of diagnosis with the using of micro implants in pre-operation training helps to create favorable environment for carrying out primary halioplasty in 85-90% treatment significantly reduces the time of rehabilitation and disability of patients of this group.