ORTHOPEDIC MAXILLARY PROTRACTION IN GROWING PATIENTSWITH BILATERAL CLEFT LIP AND PALATE: AN INTEGRATIVE REVIEWOF THE LITERATURE

El Honsali Yasmina; El haddaoui Rajae; Halimi Abdelali; Zaoui Fatima

doi:10.69909/

Autores

El Honsali Yasmina Departamento de Ortopedia Dentofacial, Mohammed V University, Rabat, Marrocos
El haddaoui Rajae Departamento de Ortopedia Dentofacial, Mohammed V University, Rabat, Marrocos
Halimi Abdelali Departamento de Ortopedia Dentofacial, Mohammed V University, Rabat, Marrocos
Zaoui Fatima Departamento de Ortopedia Dentofacial, Mohammed V University, Rabat, Marrocos

DOI:

https://doi.org/10.69909/

Palavras-chave:

Protração maxilar, Ortodontia, Fissura de lábio, Pacientes em crescimento

Resumo

O manejo terapêutico de pacientes com fissura labiopalatina é desafiador, e fissuras bilaterais completas são as mais difíceis de tratar. Esses pacientes apresentam déficit de crescimento relacionado a procedimentos reconstrutivos precoces. O objetivo deste estudo é revisar a literatura sobre protocolos de protração maxilar e seus efeitos em pacientes em crescimento com fissura labiopalatina bilateral. As bases de dados utilizadas foram PubMed, Science Direct, Cochrane Library e Virtual Health Library (VHL), Scopus, usando as seguintes palavras-chave “protração maxilar”, “fenda bilateral” e “ortodôntico” com o operador booleano “AND”. Três protocolos para protração em pacientes com fissura labiopalatina bilateral são relatados: protração com máscara facial com ancoragem dentária, protração com máscara facial com ancoragem esquelética e tração intermaxilar com ancoragem esquelética. Os resultados sugerem que tanto as terapias de protração de ancoragem dentária quanto esquelética são eficazes em pacientes com hipoplasia maxilar, embora os efeitos específicos variem de acordo com o protocolo de tratamento, o tipo de ancoragem e fatores relacionados à gravidade da fissura e histórico cirúrgico. A protração ortopédica da maxila tem efeitos estéticos, esqueléticos e funcionais positivos. O tratamento precoce e o uso de uma ancoragem esquelética aumentam esses efeitos. Grandes estudos são necessários para determinar o melhor protocolo para resultados ideais.

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