{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:38:06Z","timestamp":1793504286921,"version":"4.5.0"},"reference-count":48,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This case report presents a 12-year-old boy with unilateral complete cleft lip and palate and severe maxillary retrusion treated with bone-anchored maxillary protraction (BAMP) therapy followed by fixed appliances. The follow-up period extended until the end of growth. Initially, the patient demonstrated a Goslon 4 interarch relationship with an overjet of \u22123.5 mm and a Wits appraisal of \u22127.9 mm. Six months after the secondary alveolar bone graft, Bollard miniplates were fixed bilaterally at the infrazygomatic region in the maxilla and between the canines and lateral incisors in the mandible. Class III elastics were used bilaterally full time for 12 months. After treatment, the overjet increased 5.9 mm. Significant maxillary advancement (SNA +3.2\u00b0) and skeletal convexity improvement (NA-APo +12.4\u00b0) were observed. Retrusion of the anteroposterior position of the mandible was observed (SNB \u20132.1\u00b0). Comprehensive orthodontic treatment was performed after BAMP therapy with nighttime bone-anchored Class III elastics as active retention until the end of growth. Occlusion and facial esthetics were satisfactory at the end of orthodontic treatment and growth. Le Fort I surgery for maxillary advancement was not required. BAMP therapy demonstrated an adequate orthopedic outcome, preventing the need for orthognathic surgery in unilateral complete cleft lip and palate.<\/jats:p>","DOI":"10.2319\/121219-795.1","type":"journal-article","created":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T14:36:40Z","timestamp":1593095800000},"page":"734-741","source":"Crossref","is-referenced-by-count":16,"title":["Bone-anchored maxillary protraction long-term outcomes in UCLP:"],"prefix":"10.2319","volume":"90","author":[{"given":"Daniela","family":"Garib","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Pugliese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Mayumi","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato","family":"Faco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilia","family":"Yatabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilde","family":"Timmerman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"De Clerck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-90-5-734-b01","series-title":"Cleft Palate Craniofac J","first-page":"1","article-title":"A study of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP Team","volume":"28","author":"Semb","year":"1991","unstructured":"Semb\n              G.\n            \n          \n          A 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Influence of lip repair on craniofacial morphology of patients with complete bilateral cleft lip and palate.\n\t\t\t\t\tCleft Palate Craniofac J.\n\t\t\t\t\t2003;\n\t\t\t\t\t40:\n\t\t\t\t\t144\u2013\n\t\t\t\t\t153."},{"key":"i0003-3219-90-5-734-b10","series-title":"Am J Orthod Dentofacial Orthop","first-page":"290","article-title":"Bone-anchored maxillary protraction in a patient with complete cleft lip and palate: a case report","volume":"153","author":"Garib","year":"2018","unstructured":"Garib\n              D,\n            \n            \n              Yatabe\n              M,\n            \n            \n              de Souza Faco\n              RA,\n            \n            et al.\n\t\t\t\t\t\n          Bone-anchored maxillary protraction in a patient with complete cleft lip and palate: a case report.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2018;\n\t\t\t\t\t153:\n\t\t\t\t\t290\u2013\n\t\t\t\t\t297."},{"key":"i0003-3219-90-5-734-b11","series-title":"Eur J Orthod","first-page":"537","article-title":"Bone-anchored maxillary protraction in unilateral cleft lip and palate: a cephalometric appraisal","volume":"41","author":"Faco","year":"2019","unstructured":"Faco\n              R,\n            \n            \n              Yatabe\n              M,\n            \n            \n              Cevidanes\n              LHS,\n            \n            \n              Timmerman\n              H,\n            \n            \n              De Clerck\n              HJ,\n            \n            \n              Garib\n              D.\n            \n          \n          Bone-anchored maxillary protraction in unilateral cleft lip and palate: a cephalometric appraisal.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2019;\n\t\t\t\t\t41:\n\t\t\t\t\t537\u2013\n\t\t\t\t\t543.\n\t\t\t\t\tdoi: 10.1093\/ejo\/cjz005."},{"key":"i0003-3219-90-5-734-b12","series-title":"Am J Orthod Dentofacial Orthop","first-page":"327","article-title":"Bone-anchored maxillary protraction therapy in patients with unilateral complete cleft lip and palate: 3-dimensional assessment of maxillary effects","volume":"152","author":"Yatabe","year":"2017","unstructured":"Yatabe\n              M,\n            \n            \n              Garib\n              DG,\n            \n            \n              Faco\n              RAS,\n            \n            et al.\n\t\t\t\t\t\n          Bone-anchored maxillary protraction therapy in patients with unilateral complete cleft lip and palate: 3-dimensional assessment of maxillary effects.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2017;\n\t\t\t\t\t152:\n\t\t\t\t\t327\u2013\n\t\t\t\t\t335."},{"key":"i0003-3219-90-5-734-b13","series-title":"Angle Orthod","first-page":"363","article-title":"Sagittal skeletal and dental changes of reverse headgear treatment in Chinese boys with complete unilateral cleft lip and palate","volume":"66","author":"Chen","year":"1996","unstructured":"Chen\n              KF,\n            \n            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Rev.","article-title":"Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients","author":"Kloukos","year":"2016","unstructured":"Kloukos\n              D,\n            \n            \n              Fudalej\n              P,\n            \n            \n              Sequeira-Byron\n              P,\n            \n            \n              Katsaros\n              C.\n            \n          \n          Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients.\n\t\t\t\t\tCochrane Database Syst Rev.2016;\n\t\t\t\t\t9:CD010403.doi: 10.1002\/14651858.CD010403.pub3."},{"key":"i0003-3219-90-5-734-b17","series-title":"J Oral Maxillofac Surg","first-page":"2123","article-title":"Orthopedic traction of the maxilla with miniplates: a new perspective for treatment of midface deficiency","volume":"67","author":"De Clerck","year":"2009","unstructured":"De Clerck\n              HJ,\n            \n            \n         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Orthod.\n\t\t\t\t\t2014;\n\t\t\t\t\t84:\n\t\t\t\t\t329\u2013\n\t\t\t\t\t336."},{"key":"i0003-3219-90-5-734-b21","series-title":"Cleft Palate J","first-page":"314","article-title":"The Goslon Yardstick: a new system of assessing dental arch relationships in children with unilateral clefts of the lip and palate","volume":"24","author":"Mars","year":"1987","unstructured":"Mars\n              M,\n            \n            \n              Plint\n              DA,\n            \n            \n              Houston\n              WJ,\n            \n            \n              Bergland\n              O,\n            \n            \n              Semb\n              G.\n            \n          \n          The Goslon Yardstick: a new system of assessing dental arch relationships in children with unilateral clefts of the lip and palate.\n\t\t\t\t\tCleft Palate J.\n\t\t\t\t\t1987;\n\t\t\t\t\t24:\n\t\t\t\t\t314\u2013\n\t\t\t\t\t322."},{"key":"i0003-3219-90-5-734-b22","series-title":"Am J Orthod 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of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP Team.\n\t\t\t\t\tCleft Palate Craniofac J.\n\t\t\t\t\t1991;\n\t\t\t\t\t28:\n\t\t\t\t\t1\u2013\n\t\t\t\t\t21."},{"key":"i0003-3219-90-5-734-b02","series-title":"J Appl Oral Sci","first-page":"673","article-title":"Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies\/USP (HRAC\/USP) part 3: Oral and Maxillofacial Surgery","volume":"20","author":"Freitas","year":"2012","unstructured":"Freitas\n              JA,\n            \n            \n              das Neves\n              LT,\n            \n            \n              de Almeida\n              AL,\n            \n            et al.\n\t\t\t\t\t\n          Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies\/USP (HRAC\/USP) part 3: Oral and Maxillofacial Surgery.\n\t\t\t\t\tJ Appl Oral 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mixed and permanent dentitions.\n\t\t\t\t\tJ Craniomaxillofac Surg.\n\t\t\t\t\t1989;\n\t\t\t\t\t17(suppl 1):\n\t\t\t\t\t20\u2013\n\t\t\t\t\t22."},{"key":"i0003-3219-90-5-734-b05","series-title":"Angle Orthod","first-page":"145","article-title":"Face mask therapy of preadolescents with unilateral cleft lip and palate","volume":"64","author":"Buschang","year":"1994","unstructured":"Buschang\n              PH,\n            \n            \n              Porter\n              C,\n            \n            \n              Genecov\n              E,\n            \n            \n              Genecov\n              D,\n            \n            \n              Sayler\n              KE.\n            \n          \n          Face mask therapy of preadolescents with unilateral cleft lip and palate.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t1994;\n\t\t\t\t\t64:\n\t\t\t\t\t145\u2013\n\t\t\t\t\t150."},{"key":"i0003-3219-90-5-734-b06","series-title":"Cleft Palate Craniofac J","first-page":"208","article-title":"Maxillary protraction: different effects on facial morphology in unilateral and bilateral cleft lip and palate patients","volume":"30","author":"Tindlund","year":"1993","unstructured":"Tindlund\n              RS,\n            \n            \n              Rygh\n              P.\n            \n          \n          Maxillary protraction: different effects on facial morphology in unilateral and bilateral cleft lip and palate patients.\n\t\t\t\t\tCleft Palate Craniofac J.\n\t\t\t\t\t1993;\n\t\t\t\t\t30:\n\t\t\t\t\t208\u2013\n\t\t\t\t\t221."},{"key":"i0003-3219-90-5-734-b07","series-title":"Eur J Orthod","first-page":"211","article-title":"Face mask therapy in children with cleft lip and palate","volume":"9","author":"M\u00f8lsted","year":"1987","unstructured":"M\u00f8lsted\n              K,\n            \n            \n              Dahl\n              E.\n            \n          \n          Face mask therapy in children with cleft lip and 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moved into the grafted alveolar cleft?","volume":"147","author":"Yatabe","year":"2015","unstructured":"Yatabe\n              MS,\n            \n            \n              Ozawa\n              TO,\n            \n            \n              Janson\n              G,\n            \n            \n              Faco\n              RA,\n            \n            \n              Garib\n              DG.\n            \n          \n          Are there bone dehiscences in maxillary canines orthodontically moved into the grafted alveolar cleft?\n          \n            Am J Orthod Dentofacial Orthop\n          .\n\t\t\t\t\t2015;\n\t\t\t\t\t147:\n\t\t\t\t\t205\u2013\n\t\t\t\t\t213."},{"key":"i0003-3219-90-5-734-b24","series-title":"Am J Orthod Dentofacial Orthop","first-page":"869","article-title":"Mesial and distal alveolar bone morphology in maxillary canines moved into the grafted alveolar cleft: computed tomography evaluation","volume":"151","author":"Garib","year":"2017","unstructured":"Garib\n              D,\n            \n            \n              Massaro\n              C,\n            \n            \n              Yatabe\n              M,\n            \n            \n              Janson\n              G,\n            \n            \n              Lauris\n              JRP.\n            \n          \n          Mesial and distal alveolar bone morphology in maxillary canines moved into the grafted alveolar cleft: computed tomography evaluation.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2017;\n\t\t\t\t\t151:\n\t\t\t\t\t869\u2013\n\t\t\t\t\t877."}],"container-title":["The Angle 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case report"],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":48,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.2319\/121219-795.1","relation":{},"ISSN":["0003-3219"],"issn-type":[{"value":"0003-3219","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}