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Clinical case of a 28 year old patient with bilateral cleft lip palate, who was treated during a period of 5 years and 4 months, at the University of Valle postgraduate orthodontic’s clinic of lip and palate, is presented. The patient had undershot jaw, severe mandibular macrognatismo, molar malocclusionclass I and class II right and left, accompanied by severe recumbent and mild retrusión of upper incisors and lower and, multiple malposition and impaction tooth 12. A non - surgical orthodontic plan compensation was developed and accompanied by an initial mandibular treatment, orthopedic expansion and corrective orthodontic treatment, using fixed appliances such as standard braces slot 0.22x0.028 inches, extractions of lower first premolars, typing canines as lateral incisors as well as rehabilitation of the upper front teeth. Satisfactory results were obtained in terms of aesthetic and functional occlusion.


Key words: Cleft lip, cleft palate, orthodontic treatment of compensation, bilateral cleft lip and palate.

Otto Madrid, Universidad del Valle. Cali, Colombia.

Residente de Ortodoncia.

Isabel-Cristina Jaramillo, Universidad del Valle. Cali, Colombia.

Especialista en Ortodoncia.

Habib Barhoum, Universidad del Valle. Cali, Colombia.

Especialista en Ortodoncia, Profesor Escuela de Odontología.

Madrid, O., Jaramillo, I.-C., & Barhoum, H. (2017). Compensation orthodontic treatment of an adult patient with bilateral cleft lip and palate clip. Case Report. Revista Estomatología, 23(2). https://doi.org/10.25100/re.v23i2.5786
1. Bessell A HL, Shaw WC, Reilly S, Reid J, Glenny AM. Feeding interventions for growth and development in infants with cleft lip, cleft palate or cleft lip and palate. Cochrane Database Syst Rev 2011; 16:CD003315.

2. García J, Caro M, Vega P, Ospina J, Zarante I, Epidemiología y factores de riesgo en pacientes con hendiduras orales en poblaciones colombianas ubicadas a una altitud superior a los 2000 metros sobre el nivel del mar. Acta Otorrinolaringol CCC 2009; 37: p. 139-47.

3. Bedón M, VillotaL. Labio y Paladar hendido: tendencias Actuales en el manejo exitoso. Arch Med 2012;.12:107-119.

4. Santiago P, Greyson B. Role of the Craniofacial Orthodontist on craniofacial and cleft lip and palate team, Semin Orthod 2009;15: 225-43.

5. Menezes L, Rizzatto S, Allgayer S, Heitz C, Burnett L. The importance of interdisciplinary approach for managing cleft lip and palate: a case report. J World Fed Orthod 2012: 103-13.

6. Precious D. Cleft lip and palate: a review for dentist. J Can Dent Assoc; 2001; 67: 668-73.
7. Stainer P. Moore G E. Genetics of cleft lip and palate: syndromic genes contribute to the incidence of non-syndromic clefts. Hum Mol Genet. 2004;13:73-81.

8. Cobourne MT. The complex genetics of cleft lip and palate. Eur J Orthod. 2004; 26: 7-16.

9. Corbo M T. Labio y paladar fisurados: aspectos generales que se deben conocer en la atención primaria de salud. Rev Cubana Med Gen Integr 2001; 17: 379- 85.

10. Neiswanger K, Cooper ME, Liu YE, Hu DN, Melnick M, Weinberg SM, Marazita ML. Bilateral asymmetry in Chinese families with cleft lip with or without cleft palate. Cleft Palate Craniofac J. 2005; 42:192-6.