ORTHODONTIC TREATMENT FOR CHILDREN WITH CLEFT LIP AND PALATE DURING THE PERIOD OF PERMANENT BITE
Congenital pathology of the maxillofacial region is one ofthe most severe malformations of the face andjaws, requiring a comprehensive approach in the rehabilitation of such patients, including the participation of doctors of various specialties, one of which is an orthodontist. One of the features of orthodontic treatment for this pathology in the period of permanent bite is the complexity of fixing the bracket systems. This is due to the inaccessibility of the working field due to pronounced deformation and displacement of fragments of the maxillofacial region. The aim of the study was to improve the effectiveness of orthodontic treatment in patients with cleft lip and palate during a permanent bite by improving the technique of indirect method of fixing braces. The study evaluated the effectiveness offix- ing braces using direct and indirect bonding techniques. Also, the facets of the bracket systems were compared after the standard indirect bonding technique and using caramelized sugar. The results of the study showed the advantage of using indirect bonding techniques in patients with cleft lip and palate. In patients who had braces fixed using the direct method, the need for refixation was 83.3%, while refixation in groups with indirect bonding did not exceed the values of 41.7%. The effectiveness of using an indirect method of fixing braces using caramelized sugar, which reduces the positioning errors of braces in patients with cleft lip and palate, has been proved. The use of indirect bonding using caramelized sugar allows you to eliminate errors when controlling the adaptation of the base of the bracket, which eliminates inaccuracies in positioning, thereby reducing the time of orthodontic treatment and achieving a stable functional and aesthetic result.