Priti Shukla

Abstract

A borderline case is one for which, different skilled orthodontists when given the opportunity to examine the clinical records independently disagree for a single definitive treatment plan. The borderline problem must be broken down into its etiological components as Borderline orthopedic problem of skeletal disharmony, Orthodontic problem of arch length discrepancy, Malalignment due to localized migration of teeth, Combination of all the three. Keywords: Non extraction treatment extraction vs non extraction debate, Camouflage treatment, Borderline orthodontics, Proximal stripping.

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Abstract

This article presents the case of a patient with unilateral cleft lip and palate, treated by dento-facial orthopedics followed by orthodontic intervention. The patient reported in the mixed dentition stage with repaired unilateral cleft lip and palate. Extraorally, the patient had a concave profile, obtuse nasolabial angle and negative lip step. Intraorally, there was an evident anterior crossbite, rotated central incisors and missing lateral incisors. The maxillary deficiency was addressed using facemask followed by orthodontic treatment to correct the dentoalveolar retrusion. Keywords: Cleft palate, Facemask, Orthopaedics and Cleft.

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