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Orthodontic Treatment for Cleft Palate Associated Open-Bite Malocclusion Using Compensatory Extraction Protocol: A Case Report

Ezgi Atik, IIken Kocadereli

A female patient aged 18 years and 4 months referred to dental our clinic with a chief complaint of the unaesthetic appearance of the maxillary anterior teeth and open bite. The maxillary arch was constricted resulting from both the initial cleft and the previous surgical scarring which contributed to bilateral posterior cross bite. The first stage of the orthodontic treatment began with slow maxillary quad-helix expansion appliance. After 4 months of expansion period, asymmetric extractions including upper right and lower left first molar teeth were performed and full fixed 0.022-in Roth prescribed appliances were placed with anchorage appliances to begin aligning and closing the extraction spaces. Active orthodontic treatment was 23 months. At the end of the comprehensive orthodontic treatment of an adult patient with isolated cleft palate, normal function and better esthetics were achieved and the patient was satisfied with the results.