Craniofacial Anomalies and Their Management in Pediatric Orthodontics
DOI:
https://doi.org/10.64950/ijchmd.33Keywords:
Cleft lip and palate, Craniofacial anomalies, Craniosynostosis, Developmental orthodontics, Hemifacial microsomia, Interdisciplinary care, Multidisciplinary collaboration, Orthodontic management, Pediatric orthodontics, Virtual surgical planning, 3D imagingAbstract
Craniofacial anomalies represent a diverse group of developmental disorders with profound implications for a child’s functional, aesthetic, and psychological well-being. Effective management of these conditions requires a multidisciplinary approach, with orthodontists playing a pivotal role in guiding craniofacial growth and development. This literature review explores current diagnostic techniques, orthodontic management strategies, and interdisciplinary care frameworks for addressing common craniofacial anomalies, such as cleft lip and palate, craniosynostosis syndromes, and hemifacial microsomia. Advances in 3D imaging, virtual surgical planning, and custom appliance fabrication are highlighted as transformative tools that enhance diagnostic accuracy and treatment precision. The review also underscores the importance of long-term monitoring and adaptive care to maintain favorable outcomes as patients grow and develop. Key research gaps and future directions are identified, emphasizing the need for further exploration into genetic mechanisms, advanced technologies, and evidence-based treatment protocols to optimize outcomes for pediatric patients with craniofacial anomalies.
References
Abbott, M. M., & Meara, J. G. (2023). Nasoalveolar Molding in Cleft Care: Is It Efficacious?
https://journals.lww.com/00006534-201209000-00030
Albert, A., Payne, A., Brady, S., & Wright, C. (2019). Craniofacial Changes in Children-Birth to
Late Adolescence. In ARC Journal of Forensic Science.
https://doi.org/10.20431/2456-0049.0401001
AO, B. J. M. H., MB, Bc. M. O., MBBS, F. A. A. W., & MBChB, S. W. B. (2008). Cleft Lip,
Palate and Craniofacial Anomalies (p. 97). https://doi.org/10.1002/9781444300109.ch15
Baxi, S., Shadani, K., Kesri, R., Ukey, A., Joshi, C., & Hardiya, H. (2022). Recent Advanced
Diagnostic Aids in Orthodontics [Review of Recent Advanced Diagnostic Aids in Orthodontics].
Cureus. Cureus, Inc. https://doi.org/10.7759/cureus.31921
Birgfeld, C. B., & Heike, C. L. (2012). Craniofacial Microsomia. In Seminars in Plastic Surgery
(Vol. 26, Issue 2, p. 91). Thieme Medical Publishers (Germany).
https://doi.org/10.1055/s-0032-1320067
Buchanan, E. P., Xue, A. S., & Hollier, L. H. (2014). Craniofacial Syndromes [Review of
Craniofacial Syndromes]. Plastic & Reconstructive Surgery, 134(1), 128. Lippincott Williams &
Wilkins. https://doi.org/10.1097/prs.0000000000000308
Colvenkar, S., Ameer, S., Shaikh, A., Begum, A., & Latha, S. (2023). Prosthodontic
Rehabilitation of a Residual Post-surgical Cleft Defect. In Cureus. Cureus, Inc.
https://doi.org/10.7759/cureus.38364
Cottrell, D. A., Edwards, S. P., & Gotcher, J. E. (2012). Surgical Correction of Maxillofacial
Skeletal Deformities [Review of Surgical Correction of Maxillofacial Skeletal Deformities].
Journal of Oral and Maxillofacial Surgery, 70(11). Elsevier BV.
https://doi.org/10.1016/j.joms.2012.07.033
Dupas, P. H., Dupas, G., Desmons, S., & Graux, F. (2008). An approach to craniomandibular
dysfunction in dento-facial orthopedics. In Journal of Dentofacial Anomalies and Orthodontics
(Vol. 11, Issue 4, p. 251). EDP Sciences. https://doi.org/10.1051/odfen/2008040
Faasse, M., & Mathijssen, I. M. J. (2022). Guideline on Treatment and Management of
Craniosynostosis: Patient and Family Version. In Journal of Craniofacial Surgery (Vol. 34, Issue
, p. 418). Lippincott Williams & Wilkins. https://doi.org/10.1097/scs.0000000000009143
Farrell, B. B., Franco, P., & Tucker, M. R. (2014). Virtual Surgical Planning in Orthognathic
Surgery [Review of Virtual Surgical Planning in Orthognathic Surgery]. Oral and Maxillofacial
Surgery Clinics of North America, 26(4), 459. Elsevier BV.
https://doi.org/10.1016/j.coms.2014.08.011
Ghizoni, E., Denadai, R., Raposo‐Amaral, C. A., Joaquim, A. F., Tedeschi, H., &
Raposo-Amaral, C. E. (2016). Diagnosis of infant synostotic and nonsynostotic cranial
deformities: a review for pediatricians [Review of Diagnosis of infant synostotic and
nonsynostotic cranial deformities: a review for pediatricians]. Revista Paulista de Pediatria
(English Edition), 34(4), 495. Elsevier BV. https://doi.org/10.1016/j.rppede.2016.02.005
Gibson, T. L., & Shetye, P. R. (2017). Collaborative care and the modern craniofacial treatment
team [Review of Collaborative care and the modern craniofacial treatment team]. Seminars in
Orthodontics, 23(3), 255. Elsevier BV. https://doi.org/10.1053/j.sodo.2017.05.001
Hc, S. (2014). The future of research in craniofacial biology and what this will mean for oral
health professional education and clinical practice. In Australian Dental Journal (Vol. 59, p. 186).
Wiley. https://doi.org/10.1111/adj.12105
Hopkins, B., Dean, K. M., Appachi, S., & Drake, A. F. (2019). Craniofacial Interventions in
Children [Review of Craniofacial Interventions in Children]. Otolaryngologic Clinics of North
America, 52(5), 903. Elsevier BV. https://doi.org/10.1016/j.otc.2019.06.002
Luo, S., Sun, H., Bian, Q., Liu, Z., & Wang, X. (2023). The etiology, clinical features, and
treatment options of hemifacial microsomia. In Oral Diseases (Vol. 29, Issue 6, p. 2449). Wiley.
https://doi.org/10.1111/odi.14508
Manlove, A. E., Romeo, G., & Venugopalan, S. R. (2020). Craniofacial Growth: Current
Theories and Influence on Management [Review of Craniofacial Growth: Current Theories and
Influence on Management]. Oral and Maxillofacial Surgery Clinics of North America, 32(2),
Elsevier BV. https://doi.org/10.1016/j.coms.2020.01.007
Nguyen, T., & Jackson, T. H. (2018). 3D technologies for precision in orthodontics [Review of
D technologies for precision in orthodontics]. Seminars in Orthodontics, 24(4), 386. Elsevier
BV. https://doi.org/10.1053/j.sodo.2018.10.003
Oberoi, S., Sinha, M., Devgon, D., & Vargervik, K. (2018). Team Care Protocols for Individuals
with Cleft Lip and Palate and Modified Protocols for Developing Countries. In The Journal of
Indian Orthodontic Society (Vol. 52, Issue 4, p. 14). SAGE Publishing.
https://doi.org/10.4103/jios.jios_56_18
Safran, T., Viezel-Mathieu, A., Béland, B., Azzi, A. J., Galli, R., & Gilardino, M. S. (2018). The
State of Technology in Craniosynostosis [Review of The State of Technology in
Craniosynostosis]. Journal of Craniofacial Surgery, 29(4), 904. Lippincott Williams & Wilkins.
https://doi.org/10.1097/scs.0000000000004399
Santiago, P. E., & Grayson, B. H. (2009). Role of the Craniofacial Orthodontist on the
Craniofacial and Cleft Lip and Palate Team [Review of Role of the Craniofacial Orthodontist on
the Craniofacial and Cleft Lip and Palate Team]. Seminars in Orthodontics, 15(4), 225. Elsevier
BV. https://doi.org/10.1053/j.sodo.2009.07.004
Shah, A. (2017). Implications of CBCT in Dentistry: A Review [Review of Implications of
CBCT in Dentistry: A Review]. Medical & Clinical Reviews, 3(3).
https://doi.org/10.21767/2471-299x.1000057
Sommerlad, B. (2023). The management of cleft lip and palate.
https://paediatricsandchildhealthjournal.co.uk/retrieve/pii/S0957583901902465
Tavares, A. L. P., & Moody, S. A. (2022). Advances in Understanding the Pathogenesis of
Craniofacial Birth Defects. In Journal of Developmental Biology (Vol. 10, Issue 3, p. 27).
Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/jdb10030027
Vishwanath, M., Janakiraman, N., Steinbacher, D. M., & Uribe, F. (2020). Orthodontic and
surgical management of a patient with severe mandibular deficiency and asymmetry with
condylar hypoplasia using 3-dimensional surgical planning in combination with a modified
surgery-first approach. In American Journal of Orthodontics and Dentofacial Orthopedics (Vol.
, Issue 3, p. 426). Elsevier BV. https://doi.org/10.1016/j.ajodo.2019.03.034
Wright, J. T. (2015). Craniofacial and Dental Developmental Defects. In Springer eBooks.
Springer Nature. https://doi.org/10.1007/978-3-319-13057-6
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