Interceptive Orthodontic Strategy for Children with Cleft Lip and Palate: A Scoping Review of Appliances and Intervention Timing
Downloads
Cleft lip and/or palate (CLP) is a craniofacial congenital disorder causing upper jaw growth disorders, malocclusion, and functional/aesthetic impairments during childhood. Interceptive orthodontic strategies in children with cleft lip and palate: a scoping review of the tool and the timing of the intervention guide early dentofacial growth, yet tool types and timing vary widely, necessitating evidence mapping for clinical practice. This scoping review followed the PRISMA-ScR framework, searching PubMed and Scopus (2015–2025) for primary studies on interventional orthodontics in children with CLP. From 452 articles identified, 10 were included after screening and synthesis. Tools included presurgical nasoalveolar molding (PNAM), rapid maxillary expansion (RME), facemasks, and bone-anchored maxillary protraction (BAMP). Interventions ranged from neonatal to adolescent phases. BAMP yielded superior sagittal skeletal and facial profile corrections, especially pre-pubertal peak. Passive devices like NAM enhanced soft tissue repair and preoperative nasolabial symmetry. Interceptive orthodontics in CLP depends on device selection and timing; anchorage-based options like BAMP excel in active growth, while NAM suits presurgical aesthetics. These findings inform clinical decisions and future research in CLP orthodontic management.
Copyright (c) 2026 Suci Oktavani Ritonga, Iwan Ahmad Musnamirwan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International (CC-BY-SA). that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
