Case Report

Year : 2026 | Volume : 17 | Issue : 3 | Page : 79-94

From Severe Crowding to Sustained Stability: Orthodontic Management of Patient with Cleft Lip and Palate- A Case Report with Three Year Follow-up

 Swati Singh-1, S Kalaivani-2

1-Assistant Professor, Department of Orthodontics and Dentofacial Orthopedics, Kalinga institute of Dental Sciences, Bhubaneswar, 2-Associate Professor, Department of Anatomy, Vels Medical College and Hospital, Thiruvallur, 601102, Affiliated to Vels Institute of Science, Technology and Advanced Studies (VISTAS) , Chennai 600117,

Address for Correspondence:

Dr Swati Singh,

Assistant Professor,

Department of Orthodontics and Dentofacial Orthopedics,

Kalinga Institute of Dental Sciences, Bhubaneswar

E mail- swati.singh@kids.ac.in

ABSTRACT

The present report describes treatment and three year stability of a 13-year-old female who presented with a non-syndromic unilateral left-sided cleft lip and palate (CLP) with unesthetic facial appearance and irregular front teeth. The patient had undergone primary lip repair (cheiloplasty) at 6 months of age, and a secondary alveolar bone graft at 13 years of age. The patient had a straight profile, a symmetric face apart from lip changes attributable to the cleft and prior surgical scarring. On intraoral examination, she had severe bimaxillary crowding, multiple unerupted teeth, Angle’s Class I malocclusion, and an average growth pattern with a marked arch-length tooth size discrepancy in both arches. Treatment involved bonding full-arch fixed appliances with 0.22 MBT prescription metal brackets, followed by guided eruption, leveling and alignment, space closure, and settling. Treatment was completed with a Class I molar relationship, overbite and crowding resolution, competent lips, and a well-balanced facial profile. The patient was followed up for 3 years, and the attained correction was well retained with only minor relapse.

KEYWORDS:Cleft, Cleft lip and palate, Orthodontic treatment, adolescents.

SOURCE OF FUNDING

None.

CONFLICT OF INTEREST

None.

How to cite this article: Swati Singh, S Kalaivani. From Severe Crowding to Sustained Stability: Orthodontic Management of Patient with Cleft Lip and Palate- A Case Report with Three Year Follow-up.

Int J Orthod Rehabil 2026; 17 (3): 79-94.

Doi: 10.56501/Intjorthodrehabil.173.ijor0158