FIELD: dentistry.
SUBSTANCE: invention is intended for use in treating children of the first year of life with congenital double-sided cleft of upper lip and palate. Performing clinical examination, diagnosing, removing upper jaw imprints with alginate mass, casting of gypsum diagnostic model, measurement of the length of the palate from the back edge of the alveolar process of the upper jaw on the right and left to the middle portion of the intermandibular bone and the distance from the middle part of the intermandibular bone to the anterior portion of the maxillary upper jaw bone on the right and on the left, manufacturing of a plastic obturator for early orthodontic treatment of children with congenital bilateral cleft lip and palate, made of chemically inert materials and biocompatible with human body tissues materials from an individual plaster model of the upper jaw of a child, comprising a base plate, overlapping alveolar processes of upper jaw and retainer connected with palatine plate by means of wire springs, and between palatine and nasal parts of palatine plate has a hole, correction of an obturator if necessary, installation of an obturator to a child on the upper jaw, wearing of the obturator to six months depending on the severity of the disease, internal surface correction every 30 days by means of diamond boride pitting 0.1–0.2 mm in the presence of hyperaemia, then an impression is taken and a new diagnostic plaster model of the upper jaw is made, on which the above measurements are taken, comparing them with previous dimensions, and if the protrusion does not increase, the child is prepared for surgical treatment.
EFFECT: method allows normalizing the positions of the intermaxillary bone and the shoe, bringing together the premaxillary bone, the upper jaw fragments, reducing the upper lip tissue tension after the bilateral upper lip surgery, as well as prevention of secondary deformation of wings and nose tip from first birthday of child.
1 cl, 6 dwg, 1 ex
