{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:35:24Z","timestamp":1777523724900,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T00:00:00Z","timestamp":1615161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>This case report demonstrates the successful use of intraoral distractor\/hygenic rapid expander (HYRAX) for rapid maxillary expansion in anteroposterior direction with an adjunctive use of face mask therapy for anterior orthopedic traction of maxillary complex in a cleft patient with concave profile. The patient was a 13-year-old girl who reported with a chief complaint of backwardly positioned upper jaw and a severely forward positioned lower jaw. Therefore, a treatment was chosen in which acrylic bonded rapid maxillary expansion was done with tooth tissue borne intraoral distractor\/HYRAX having a different activation schedule along with Dr Henri Petit facemask to treat maxillary retrognathism. As a result, crossbite got corrected and attained a positive jet with no bone loss in cleft area over a period of 5 months which was followed by fixed mechanotherapy achieving a well settled occlusion in 1 year. After completion of expansion and fixed mechanotherapy, ANB became +1 post-treatment which was \u22124 pretreatment. The prognathic profile was markedly improved by expansion and taking advantage of the remaining growth potential, thus minimizing the chances of surgery later in life. This provided a viable alternative to orthognathic surgery with good long-term stability.<\/jats:p>","DOI":"10.1177\/1055665621993366","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T04:01:00Z","timestamp":1615176060000},"page":"1569-1576","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Unilateral Cleft Lip and Palate Patient With Intraoral Tooth Tissue Borne Distractor and Facemask Therapy: A Case Report"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4225-1540","authenticated-orcid":false,"given":"Akansha Bansal","family":"Agrawal","sequence":"first","affiliation":[{"name":"SDM College of Dental Sciences and Hospital, Unit of Shri Dharmasthala Manjunatheswara University, Dharwad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harshavardhan","family":"Kidiyoor","sequence":"additional","affiliation":[{"name":"SDM College of Dental Sciences and Hospital, Unit of Shri Dharmasthala Manjunatheswara University, Dharwad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand K.","family":"Patil Morth","sequence":"additional","affiliation":[{"name":"SDM College of Dental Sciences and Hospital, Unit of Shri Dharmasthala Manjunatheswara University, Dharwad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"issue":"2","key":"bibr1-1055665621993366","first-page":"201","volume":"73","author":"Dolanmaz D","year":"2003","journal-title":"Angle Orthod"},{"issue":"2","key":"bibr2-1055665621993366","first-page":"184","volume":"74","author":"Doruk C","year":"2004","journal-title":"Angle orthod"},{"key":"bibr3-1055665621993366","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2014.04.013"},{"key":"bibr4-1055665621993366","doi-asserted-by":"publisher","DOI":"10.2319\/092913-707.1"},{"key":"bibr151-1055665621993366","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjp119"},{"key":"bibr5-1055665621993366","doi-asserted-by":"publisher","DOI":"10.2319\/042210-220.1"},{"key":"bibr6-1055665621993366","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejwf.2015.05.003"},{"issue":"2","key":"bibr7-1055665621993366","first-page":"322","volume":"85","author":"Yu J","year":"2014","journal-title":"Angle Orthod"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665621993366","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665621993366","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665621993366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:42Z","timestamp":1777393302000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665621993366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,8]]},"references-count":8,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/1055665621993366"],"URL":"https:\/\/doi.org\/10.1177\/1055665621993366","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,8]]}}}