{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T09:58:25Z","timestamp":1781690305588,"version":"3.54.5"},"reference-count":28,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Objectives: A comprehensive diagnosis and treatment were carried out in 104 newborns, including 48 children diagnosed with unilateral cleft lip and palate (UCLP) and 56 patients diagnosed with bilateral cleft lip and palate (BCLP). The control group consisted of 116 medical records and diagnostic models of jaws from newborns with UCLP\/BCLP, which were analysed before and after orthodontic correction using a removable facebow with headgear attachment. Methods: All newborns (n = 104) underwent orthodontic correction to reposition of the alveolar process fragments in UCLP and intermaxillary bone in BCLP using mini-implants and elastic traction devices\/springs, followed by primary cheiloplasty. Cheiloplasty was performed one month after fragment alignment had been achieved. Results: Statistical analysis showed that orthodontic correction using mini-implants and elastic traction was highly effective. In the UCLP group, normalised alignment of alveolar fragments was achieved in 97.9% of cases (p = 0.0000000016); in the BCLP group, normalised positioning of the intermaxillary bone was observed in 96.42% (p = 0.00000000007). A direct comparison between the treatment and control groups revealed consistent significance across all diastasis measurements, supporting the clinical advantage of fixed orthodontic approaches. Conclusions: The clinical data and statistical analysis indicate that the fixed orthodontic appliance combined with mini-implants and elastic traction is effective. This approach normalises alveolar and intermaxillary positioning and provides optimal preoperative conditions for primary cheiloplasty and subsequent uranoplasty. It also shortens rehabilitation duration and leads to stable aesthetic and functional results.<\/jats:p>","DOI":"10.3390\/dj14060375","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T08:22:56Z","timestamp":1781684576000},"page":"375","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Collaboration Between a Maxillofacial Surgeon and an Orthodontist in Implementing Comprehensive Rehabilitation Strategies for Newborns with Cleft Lip and Palate"],"prefix":"10.3390","volume":"14","author":[{"given":"Olesya Viktorovna","family":"Dudnik","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dental Disease Prevention, Sechenov First Moscow State Medical University, 121059 Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adil Askerovich","family":"Mamedov","sequence":"additional","affiliation":[{"name":"State Budgetary Healthcare Institution \u00abChildren\u2019s City Clinical Hospital No. 9 Named After G. N. Speransky\u00bb, 129329 Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrey Mikhailovich","family":"Dybov","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dental Disease Prevention, Sechenov First Moscow State Medical University, 121059 Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco Guido","family":"Mangano","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dental Disease Prevention, Sechenov First Moscow State Medical University, 121059 Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1091-1530","authenticated-orcid":false,"given":"Daria Konstantinovna","family":"Yudina","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dental Disease Prevention, Sechenov First Moscow State Medical University, 121059 Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Tobgyel, K., Rai, P., Choden, K., and Gyeltshen, T. (2024). Epidemiology of cleft lip and palate in Bhutan, 2015\u20132022. BMC Oral Health, 24.","DOI":"10.1186\/s12903-024-05177-7"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e4122","DOI":"10.1097\/GOX.0000000000004122","article-title":"Cleft Lip and Palate Research in Low- and Middle-income Countries: A Scientometric Analysis","volume":"10","author":"Kanmounye","year":"2022","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1080\/2000656X.2022.2164292","article-title":"Additional diagnoses in children with cleft lip and palate up to five years of age","volume":"57","author":"Aspelin","year":"2023","journal-title":"J. Plast. Surg. Hand Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"101280","DOI":"10.1016\/j.siny.2021.101280","article-title":"Feeding considerations for infants with craniofacial malformations","volume":"26","author":"Green","year":"2021","journal-title":"Semin. Fetal Neonatal Med."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Luzzi, V., Zumbo, G., Guaragna, M., Di Carlo, G., Ierardo, G., Sfasciotti, G.L., Boss\u00f9, M., Vozza, I., and Polimeni, A. (2021). The Role of the Pediatric Dentist in the Multidisciplinary Management of the Cleft Lip Palate Patient. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18189487"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.1097\/JS9.0000000000000406","article-title":"Long-term treatment outcome of patients with complete bilateral cleft lip and palate: A retrospective cohort study","volume":"109","author":"Hattori","year":"2023","journal-title":"Int. J. Surg."},{"key":"ref_7","first-page":"23","article-title":"A Qualitative Study on the Feeding Methods of Filipino Mothers of Children with Cleft Lip and Palate Aged 0 to 24 Months: A Pilot Study","volume":"58","author":"Ligot","year":"2024","journal-title":"Acta Med. Philipp."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e70112","DOI":"10.1002\/pon.70112","article-title":"Psycho-Oncological Issues in a Pediatric Sample: Two Years Follow-Up Data of Consultation Liaison Psychiatry","volume":"34","author":"Efe","year":"2025","journal-title":"Psychooncology"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1177\/10556656221119684","article-title":"Prevalence and Factors Associated with Behavioral Problems in 5-Year-Old Children Born with Cleft Lip and\/or Palate from the Cleft Collective","volume":"61","author":"Berman","year":"2024","journal-title":"Cleft Palate Craniofac J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"716","DOI":"10.5005\/jp-journals-10005-2667","article-title":"Early Orthodontic Intervention in Cleft Lip-Palate and Noncleft Children with Developing Class III Malocclusion: A Clinical Study","volume":"16","author":"Sahoo","year":"2023","journal-title":"Int. J. Clin. Pediatr. Dent."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1007\/s12663-023-01980-x","article-title":"Dynamic Molding of Cleft Nasal Cartilage in Unilateral Complete Cleft Lip and Palate Using Simple Segmented NAM","volume":"22","author":"Shivanna","year":"2023","journal-title":"J. Maxillofac. Oral Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1642111","DOI":"10.1155\/ijod\/1642111","article-title":"Impact of Multidisciplinary Cleft Team Care on Oral Health Quality of Life in Children with Unilateral Cleft Lip and Palate: A Focus on Early Intervention vs. Sporadic Treatment","volume":"2025","author":"Ajami","year":"2025","journal-title":"Int. J. Dent."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/02699206.2021.1912187","article-title":"Early speech and language intervention in Brazilian-Portuguese toddlers with cleft lip and\/or palate","volume":"36","author":"Scherer","year":"2022","journal-title":"Clin. Linguist. Phon."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-Verd\u00edn, S., Solorzano-L\u00f3pez, J.A., Bologna-Molina, R., Molina-Frechero, N., Tremillo-Maldonado, O., Toral-Rizo, V.H., and Gonz\u00e1lez-Gonz\u00e1lez, R. (2024). The Frequency of Risk Factors for Cleft Lip and Palate in Mexico: A Systematic Review. Diagnostics, 14.","DOI":"10.3390\/diagnostics14161753"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1177\/10556656251331329","article-title":"Cleft Lip and\/or Palate Is Associated with an Increased Prevalence of Mental Health and Behavioral Disorders","volume":"63","author":"Lorenz","year":"2026","journal-title":"Cleft Palate Craniofac. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"461","DOI":"10.15386\/mpr-2472","article-title":"The quality of life after cleft lip and palate surgery","volume":"95","author":"Bran","year":"2022","journal-title":"Med. Pharm. Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1177\/10556656251343393","article-title":"The Psychosocial Impact of Cleft Lip and\/or Palate on Caregivers and Individuals in Low- and Middle-Income Countries: A Narrative Review","volume":"63","author":"Stock","year":"2026","journal-title":"Cleft Palate Craniofac. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"364","DOI":"10.14639\/0392-100X-N1277","article-title":"Nasal autoinflation devices for middle ear disease in cleft palate children: Are they effective?","volume":"41","author":"Rosso","year":"2021","journal-title":"Acta Otorhinolaryngol. Ital."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"257","DOI":"10.5125\/jkaoms.2021.47.4.257","article-title":"Comparative evaluation of nasal and alveolar changes in complete unilateral cleft lip and palate patients using intraoral and extraoral nasoalveolar molding techniques: Randomized controlled trial","volume":"47","author":"Kalaskar","year":"2021","journal-title":"J. Korean Assoc. Oral. Maxillofac. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Thiruvenkatachari, B., Vaidhyalingam, T., Chakkaravarthi, S., Prathap, M., and Nambiar, K. (2025). A survey on nasoalveolar moulding treatment practices at cleft centres across India. Front. Surg., 5.","DOI":"10.3389\/fsurg.2025.1526364"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Pa\u0142ka, M.J., Gawda, J., By\u015b, A., Zawadka, M., and Gawda, P. (2022). Assessment of Growth Changes in the Width of Dental Arches Caused by Removable Appliances over a Period of 10 Months in Children. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19063442"},{"key":"ref_22","first-page":"e33755","article-title":"Maxillary Expansion and Its Effects on Circummaxillary Structures: A Review","volume":"15","author":"Patil","year":"2023","journal-title":"Cureus"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"9350","DOI":"10.1080\/14767058.2022.2032635","article-title":"Trends in cleft palate incidence in the era of obstetric sonography and early detection","volume":"35","author":"Emodi","year":"2022","journal-title":"J. Matern. Fetal Neonatal Med."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Douglas, P.S., Perrella, S.L., and Geddes, D.T. (2022). A brief gestalt intervention changes ultrasound measures of tongue movement during breastfeeding: Case series. BMC Pregnancy Childbirth, 22.","DOI":"10.1186\/s12884-021-04363-7"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Nishiura, M., Watanabe, H., Nakanishi-Kimura, A., Hoshi-Numahata, M., Nishimoto, S., Ueno, F., Koguchi, R., Takemoto, R., Kurakane, Y., and Bao, L. (2025). Bone Metabolic Changes and Osteoporosis During Pregnancy and Lactation: A View from Dental Medicine. IJMS, 26.","DOI":"10.3390\/ijms262110476"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"4","DOI":"10.22514\/jocpd.2024.029","article-title":"Effects of non-nutritive sucking habits on malocclusions: A systematic review","volume":"48","author":"Sadoun","year":"2024","journal-title":"J. Clin. Pediatr. Dent."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"46","DOI":"10.4103\/jisppd.jisppd_559_23","article-title":"Associations between nonnutritive sucking habits, developing malocclusion, and various feeding practices in 3-6-year-old Indian urban children: A case-control study","volume":"42","author":"Singh","year":"2024","journal-title":"J. Indian Soc. Pedod. Prev. Dent."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1097\/SCS.0000000000008972","article-title":"Efficacy of Different Methods of Bone-Anchored Maxillary Protraction in Cleft Lip and Palate Children: A Systematic Review and Meta-Analysis","volume":"34","author":"Jahanbin","year":"2023","journal-title":"J. Craniofac. Surg."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/6\/375\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T09:43:49Z","timestamp":1781689429000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/6\/375"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,17]]},"references-count":28,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["dj14060375"],"URL":"https:\/\/doi.org\/10.3390\/dj14060375","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,17]]}}}