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• W2342132286 abstract "The primary objectives of periodontal therapy are to maintain and to obtain health and integrity of the insertion apparatus and to re-establish esthetics by means of the quantitative and qualitative restoration of the gingival margin. Esthetics can be considered essential to the success of any dental procedure. However, in cleft lip and palate patients gingival esthetics do not play a relevant role, since most patients present little gingiva exposure (Mikami, 1990). The treatment protocol for cleft palate patients is complex and often requires a myriad of surgical and rehabilitative procedures that last until adulthood. In order to rehabilitate these patients and provide them with adequate physical and psychological conditions for a good quality of life, plastic surgery has been taking place since the 19th century, with the development of new techniques. By the age of six months the patients have undergone lip repair procedures (Bill, 1956; Jolleys, 1954), followed by palatoplasty at the age of 1218 months. As a consequence of these surgical interventions, the formation of innumerous scars and fibrous tissue in the anterior region may cause some sequels, such as orofacial growth alterations (Quarta and Koch, 1989; Ozawa, 2001), a shallow vestibule with lack of attached gingiva and gingival margin mobility (Falcone, 1966). A shallow vestibule in the cleft lip and palate patient is associated with the contraction of the upper lip during healing (Iino et al, 2001), which causes deleterious effects on growth, facial expression, speech, orthodontic and prosthetic treatment problems, diminished keratinized gingiva, bone graft resorption and changes in the upper lip muscle pattern. The surgical protocol at the Hospital for Rehabilitation of Craniofacial Anomalies (HRCA) in Bauru consists of carrying out primary surgeries (cheiloplasty and palatoplasty) during the first months of Periodontal Health Re-Establishment in Cleft Lip and Palate Patients through Vestibuloplasty Associated with Free Gingival Graft" @default.
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• W2342132286 date "2005-01-01" @default.
• W2342132286 modified "2023-09-24" @default.
• W2342132286 title "Periodontal Health Re-Establishment in Cleft Lip and Palate Patients through Vestibuloplasty Associated with Free Gingival Graft" @default.
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