{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T03:51:48Z","timestamp":1776743508460,"version":"3.51.2"},"reference-count":23,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ohu University President\u2019s Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Objectives: Cleft lip and palate is a multifactorial disease that causes various problems, such as maxillary and facial morphological abnormalities, oral dysfunction, and postoperative scarring due to lip and palate formation after birth. This condition can easily cause obstruction and may require surgical orthodontic treatment in the future. Methods: In this study, we performed multi-segment Le Fort type 1 osteotomy on a patient with a cleft lip and palate who presented with a crossbite, horizontal inclination of the occlusal plane due to dental arch stenosis on the left side of the maxilla, and deviation of the mandible. Results: In this case, close occlusion was achieved by improving the patient\u2019s facial appearance and occlusal relationship by combining sagittal division of the mandibular ramus, and the stability of the occlusion was measured without relapse 1 year after the surgery. Conclusions: This case is considered of great medical significance, as there have been few reports of cases showing a stable course.<\/jats:p>","DOI":"10.3390\/dj13030131","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T07:02:16Z","timestamp":1741935736000},"page":"131","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Successful Correction of Crossbite with Multi-Segment Le Fort I Osteotomy in a Patient with Cleft Lip and Palate"],"prefix":"10.3390","volume":"13","author":[{"given":"Naoko","family":"Nemoto","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Ohu University, Fukushima 963-8611, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Kawanabe","sequence":"additional","affiliation":[{"name":"Division of Orthodontics and Dentofacial Orthopedics, Department of Oral Growth and Development, School of Dentistry, Ohu University, Fukushima 963-8611, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiko","family":"Oyama","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Fukushima Medical University Hospital, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Paradowska-Stolarz, A., Mikulewicz, M., and Du\u015b-Ilnicka, I. (2022). Current concepts and challenges in the treatment of cleft lip and palate patients\u2014A comprehensive review. J. Pers. Med., 12.","DOI":"10.3390\/jpm12122089"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5927\/jjjd.33.1","article-title":"Segmental Le Fort I osteotomy combined with horseshoe osteotomy for maxillary expansion","volume":"33","author":"Ko","year":"2023","journal-title":"Jpn. J. Jaw Deform."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"21","DOI":"10.5927\/jjjd1991.11.21","article-title":"Study on disharmony of maxillary basal bone width and diameter and molar tooth axis in patients with jaw deformity","volume":"11","author":"Yoshiaki","year":"2001","journal-title":"J. Jpn. Jaw Deform. Soc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1067\/mod.2003.41","article-title":"Relationship between trans- verse dental anormalies and skeletal asymmetry","volume":"123","author":"Kusayama","year":"2003","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/S0022-3476(50)80162-2","article-title":"Changing philosophies in cleft palate management","volume":"37","author":"Graber","year":"1950","journal-title":"J. Pediatr."},{"key":"ref_6","first-page":"452","article-title":"Long-Term Management Case of Left-Sided Cleft Lip and Palate with Undergrowth of the Maxilla","volume":"84","author":"Yudai","year":"2024","journal-title":"J. Showa Acad. Societ\u00e0"},{"key":"ref_7","first-page":"1046","article-title":"Long-term skeletal changes with rapid maxillary expansion: A systematic review","volume":"75","author":"Lagravere","year":"2005","journal-title":"Angle Orthod."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.ijom.2005.04.025","article-title":"Surgically assisted rapid maxillary expansion (SARME): A review of the literature","volume":"34","author":"Koudstaal","year":"2005","journal-title":"Int. J. Oral. Maxillofac. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.joms.2014.08.024","article-title":"Cone-beam computed tomographic comparison of surgically assisted rapid palatal expansion and multipiece Le Fort 1 osteotomy","volume":"73","author":"Yao","year":"2015","journal-title":"J. Oral. Maxillofac. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1016\/j.jcms.2015.05.012","article-title":"Surgical management of crossbites in orthognathic surgery: Surgically assisted rapid maxillary expansion (SARPE) versus two-piece maxilla","volume":"43","author":"Seeberger","year":"2015","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jcms.2008.08.006","article-title":"Surgically assisted rapid palatal expansion vs. segmental Le FortIosteotomy: Transverse stability over a 2-year period","volume":"37","author":"Marchetti","year":"2009","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"41","DOI":"10.5927\/jjjd.33.41","article-title":"A case of skeletal class II open bite with narrow maxillary arch and CO-CR discrepancy treated by segmental Le. Fort, I osteotomy and sagittal split ramus osteotomy","volume":"33","author":"Yuka","year":"2023","journal-title":"J. Jpn. Jaw Deform. Soc."},{"key":"ref_13","first-page":"221","article-title":"Comprehensive dental treatment of adult cleft lip and palate cases using SARPE","volume":"117","author":"Arisa","year":"2017","journal-title":"Dent. Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/j.ijom.2005.04.016","article-title":"Complications associated with segmentation of the maxilla: A retrospective radiographic follow up of 82 patients","volume":"34","author":"Kahnberg","year":"2005","journal-title":"Int. J. Oral. Maxillofac. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.oooo.2011.09.032","article-title":"Endoscopic-assisted resection of peripheral osteoma using piezosurgery","volume":"115","author":"Ochiai","year":"2012","journal-title":"Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.ijom.2006.08.013","article-title":"Ultrasonic bone cutting for surgically assisted rapid maxillary expansion (SARPE) under local anaesthesia","volume":"36","author":"Robiony","year":"2007","journal-title":"Int. J. Oral. Maxillofac. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1097\/SCS.0000000000006248","article-title":"Resorbable versus titanium fixation of le Fort I osteotomy","volume":"31","author":"Passeri","year":"2020","journal-title":"J. Craniofac. Surg."},{"key":"ref_18","first-page":"66","article-title":"Absorbable plastic from infection after reduction of tibial fracture.1 case requiring removal of wound","volume":"12","author":"Yuko","year":"2021","journal-title":"J. Jpn. Jaw Deform. Soc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1097\/00006534-199908000-00009","article-title":"Multiple-segment osteotomy in maxillofacial surgery","volume":"104","author":"Chen","year":"1999","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_20","first-page":"67","article-title":"Lips, jaws, dentition of cleft palate patients, research on palate morphology, dentition after palatal flap posterior movement surgery. Characteristics of palate morphology","volume":"8","author":"Ryoichi","year":"1983","journal-title":"Jpn. J. Palate"},{"key":"ref_21","first-page":"35","article-title":"Regression after expansion of the maxillary dental arch in patients with unilateral cleft lip and palate","volume":"18","author":"Hiroto","year":"1990","journal-title":"Res. Hokkai Orthod."},{"key":"ref_22","first-page":"109","article-title":"After maxillary lengthening for patients with cleft lip and palate with marked maxillary undergrowth. A case of two-jaw surgery","volume":"51","author":"Hiroyasu","year":"2022","journal-title":"J. Meikai Dent. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1597\/1545-1569_1998_035_0313_stdopa_2.3.co_2","article-title":"Scar tissue distribution on palates and its relation to maxillary dental arch form","volume":"35","author":"Ishikawa","year":"1998","journal-title":"Cleft Palate Craniofac. J."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/3\/131\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:53:46Z","timestamp":1760028826000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/3\/131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,14]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["dj13030131"],"URL":"https:\/\/doi.org\/10.3390\/dj13030131","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,14]]}}}