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53

OBTURATORS

PALATAL

BEFORE

WERE

ROGERS

NOTED IN

WAS FOUND

AT

BC

2500

GIZEH

EL

WAS MADE

IT

EVIDENCE

EARLIEST

THE

INTERESTINGLY

OF

SIMPLE

FIOM

DATING

OF GOLD WIRE

BEEN

END

THE
LINKED

1971
DENTAL

RETENTIVE

MANS EARLY

INLE

SUCH AN IMPORTANT

TOGETHER

THE INVENTOR

AS

EARH

MANS

TIMES

IN

THE

IN

1560

TO

LUSITANUS

WHAT

DESCRIBE

IS

AS

1537

TO 15

39

SIN

PREVIOULY

OF

KNOWN TODAY

PRESENTED

LUSITANUS

WHO DESIGNED
LEIBOWITZ

PROSTHESIS

OF

AMATUS

LUSITANUS

THEIR

THE

WAS PROBABLY

USE

OF THE

IN

PALATE

TO

WORDS TRANS

ARE HIS

OF HEBREW UNIVERSITY

FIRST

GREEK

OBTURATOR

FISRULA

THESE

WITH

ALPS

THE

PALATAL

LUETIC

PERMANENT

OF CLEFT

EVOLUTION

HE HAD OHSER EL

ANCONA

AS

THAT PLAYED

PARE WAS FAMILIAR

WCINHUIGER

HARTLES FOUGHT HEYOND

NOBLEMAN

LATED BY JOSHUA

THE SUPPORTERS

DESPITE

OF THE OHTURAROR

PALARAL CHRURATORS

THE

THUS

MARGINS

PROSTHESES

IN

SUHSEQUENR CENTURIES

AND SURGERY

PALATE THERAPY
AS

IN

CIRCA

THE LOWER LEFT SECOND

THE INTRAOIAL

TO CONSTIUCT

ATTEMPTS

PROSTHESIS

OLD EMPIRE

THE

OF

AND THIRD MOLARS AND HAD HEEN WOVEN AROUND THEIR GINGIVAL
HEGAN

DEVELOPED

SCHOLAR BLAIR

TO HISTORICAL

AND PALATE

LIP

CLEFT

HAD

PALATE

USE ACCORDING

IN

OBTURATORS
AS

OF THE

SURGERY

WHILE

ISRAEL

AT

YALE
PAY ATTENTION

TO THE

WA

WHICH MADE POSSIHLE

INVENTED

THE FOLLOWING

CORRECT AND DISTINCT

SPEECH

AS IF

EXTRAORDINATY

AITIFICE

HE HAD NEVER HAD ANY

ILLNESS
ORDERED
NAIL

SMALL

WHEREAS THE
SPONGE WAS

FORAMEN WHERE

871

TO PREPARE

GOLDENHEADED

NAIL

THE

HEAD OF THE

WAS ROUND AND HROAD ENOUGH TO CLOSE THE TOTAL CIRCUMFERENCE

FORAMEN
RIP

GOLDSMITH

IT

TIP

OF THE NAIL

FITTED

AS

NARROW AND ROUND

HIS THE PATIENT

OF THE

AND TO THIS

HAD TO INTRODUCE

INTO

THE

MOISTURE AND SO REMAINED FIXED IN POSITION
EXPANDED WITH

THIS WAS REMOVED TWICE OBTURATOR WAS IN THE HOULLIERS JACQUES PLUG PALATE IN 1561 WHO HAVE PALATES NOSE IF IN ARE RETAINED CONJECTURED WAS PROBABLY THE PALATAL EXPLAINED OF THE PALAT WITH THE CAVITIE THE CAVITIE SELF IT BUT IS IT HIS AND IF OR LEAD OBTURATORS AND FIRM FAST SINCE CULTIES OF THE WHICH ROGERS TO OBTURATEUR IN MEDICAL HIS TECHNIQUE OF PLATE OF GOLD OR SILVER SURGICAL AS IF AND MIDDLE AGES AVOIDED BE AS THICK FAUCHARD FIXATION LITTLE WINGS THE FATHER OF MODERN 878 YEARS OPERATED THEIR BY FILL IN SHALL IT BE WILL FILL PALAT CANNOT FALL HARD PALATE DEFECT OFFERED DIFFI DOWN BUT SELF IT AS PRINCIPLE WHICH COULD FAUCHARDS OF THE OBTURATORS IRREGULAR OF BIGGER CROWN AND AS ROGERS HAS NOTED SURGEONS OF THE OF THE PALATE LIKE THE SURGERY PLAGUE THE OF THE OBTURATOR DIFFERENT ARTIFICIAL OF THE RENAISSANCE DESERVED AIDS FOR ABOUT 200 STOOD CORRECTION FOR CENTURIES PROSTHETIC IT THE THAT HISTORY REFERRING ONLY TO TRAUMATIC AND MUST THAT PALAR CAN BE COUVERCIES LIKE CONCAVIRIE ALWAYS CAN HE IT OR PERHAPS EVEN AS OF SILVER SMALL TIME FIRST PAR DEFECTS AND THEY CLEFT MORE CLEARLY PALATE NAME CHANGED THE WORD OHIURATOR WAS USED STAND WERE PERFORATIONS UNTO DISH IN AND ON THE FIGURE WHICH UPPER SIDE TOWARDS THE BRAIN WILL HECOM MORE SWOLN AND PUFFED UP SO THAT THE WHEN THERE CALLED 1575 MADE ONLY SLIGHTLY IS WILL SPEAK AND ONLY IN THAN OBTURATORS CENTULY TO CURE DIFFICULT WERE NO CLEFT OR BETTER AMBROISE PAR 1564 LUETIC AND PALATAL MORE THE PALATE BY SOME MEANS AND APPLIED SUCH PRIMITIVE TO HUGUENOT SURGEON OF PARIS WROTE COTTON THE PATIENT THERE IF AS FRANCO CLEFT THROUGH THE FILLING WAS OUT IT OF WAX OR SPONGE USE OF THE SIXTEENTH ULCERS SYPHILITIC PIERRE PLUGGED WITH THE IT AND RECOGNIZABLE PREVALENT THOSE THE THAT SUGGESTS USE BY THE MIDDLE BUCCOPHARYNGEAL IN MENTION OF PERFORATIONS WERE ALREADY WELL WHEN ELEGANT WHILE DEFICIENT TOTALLY SPEAK SPEECH WAS PATIENTS FOR CLEANING DAILY OF TO DENTISTRY DESIGN HE PERFORATIONS WERE LE CARU RGIEN DENTSTE ON ILLUSTRATED TRAT BY PIERRE INAUGURATED DESCRIBED FIVE SOME WITH MOVABLE EACH COVERED WITH PALATAL THESE WHEN HE PROSTHESIS SOPHISTICATED MOST MARGINS WAS IMPROVED IN 1728 DENTAL SCREWS AND AND WERE USED PRAISE AES SOFT SPONGES NO MATTER HOW IN PLATE DENTS 38 1746 OF .

J6 L26 IN BOURDET IRNPRUVCD 1757 MOVE THE VELAR SECTION TO THE PALATE ATTACHED OF ELASTIC GUM MOHAMED ARAMANY THE THAT SNELL JAMES YEARS AFTER CLEFTS TO SNELLS AND PALATE STOPPED SHORT OF OCCUPYING STEAM WHO HAD FEW UNSUCCESSFUL OF HIS OWN OF PITTSBUIGH CLEFT THE FIRST IN DESCRIBING LUETIC CLEFTS CONGENITAL CLEFT ATTEMPT THE FIRST MADE TO STUDYING REPORTED PALATE TO ATTEMPT 1828 THE ABOUT 300 AN OBTURATOR FOR RESTORE THE PHARYNGEAL SPACE IN SOFT 1841 HIMSELF WHICH HAD UNDERGONE OPERATIONS ATTEMPTED TO CONSTRUCT AND WAS THE PART VELUM AND UVULA THE WITH OBTURATORS PARE WROTE HIS TRAUMATIC BE WERE TEETH MOVABLE MANAGEMENT OF WAS BELIEVED TREATMENT OF CONGENITAL RESTORE OF THE UNIVERSITY OF PROSTHETIC HISTORY MINERAL BY MEANS OF SPRINGS TO MUSCLES THE PALATAL OF THE PROSTHESIS LATERAL RUBBER CONSTRUCTED DELABARRE WAS ATTACHED THEM BY FIXING NOSE BUT BY MEANS OF THE 1820 IN OBTURATORS WITH BANDS AND CLASPS THAT UTILIZED PROSTHESIS TO TEETH THE TO CLASPS OR INSIDE ITSELF NOT TO THE PALATE PALATAL TO EXTEND THE SPEECH AN APPLIANCE AID INTO THE PHARYNGEAL AREA IN NOTEN 879 1845 SIMON HULLIHEN OF VHEELING WEST VIRGINIA .

WHERE THE OSSEOUS GRANULATIONS OR BY CAN THE MUST 1860 VELAR GOLD OBTURATOR INTO THE WORKED WITH BILATERAL SEVERE AND WILHELM 1867 THE IN PHARYNX THE THAT VELUM IN 1385 TO WALL IN SCHITISKY PHIRYN CASES IN OBTUSATOIS FOR THE MATERIAL 1912 PALATOPLASRY IN THE 1894 AFTER NEW RATHER THE ALSO DENTIST IMPROVED OF THE ACTIVITY MPHA AND PROSTHESIS PHARYNX OF THE WAS THE FIRST TO OF AN OBTU COLLARBUTTON OBTURATOR SIMILAR POSTERIOR AFTER DISPLACEMENT SUCCESSFUL VELUM WAS WOLFF WAS CONSTRUCTED OF BY 1863 IN OF THE ADVOCATED THE USE OF SCHLITSKX COMBINED PICKERILL AT FOR INCISION WHICH PROSTHESIS DESIGN GOLD MEDAL CLEFT DISCARDED LIKE USE THE OPERA THE OBTURATOR FOR THIS WHICH SCHLITSKY EXCEPT ONE OF SURGERY ZEALAND COMBINED PROSTHESIS UNUSUAL AND UNPHYSIOLOGICAL OBTURATIR PALATE SOFT TOO SHORT TO REACH HOLLOW HARD RUBBER PHARYNGEAL OBTURATOR EARLY IN SPEECH APPLIANCE KINGSLEY MAINTAIN OF BEILIN OF THE PHARYNX IN HAHNS OLFI ALL NORMAN 1860 FOLLOWING THE CONSTRUCTION RUBBER PHARYNGEAL OBTURATOR RIONS BENEFIT MUSCULATURE TO OCCLUDE THE NASO 1880 TRANSVERSE WOLFF IN OF THE PHARYNGEAL SECTION EMPLOYED OF GARIEL AFTER MUSCLE HARYNGEAL PASSAVANT ALSO SARATOGA FIXED CONTACT ADVOCATE SPEECH THERAPY OBTUR OF AND EXTENDED PROSTHESIS GERMAN OF THE TEMPORARILY 1878 AT CONSTRUCTING SECURING WITH PROSTHESIS SCBLITSK MUCH IMPROVED STEAMS LATER SUERSEN IMPORTANCE RTICULARLY FIXED ADVANCE HE RECEIVED THIS STEAMS APPLIANCE IN OF AN APERTURE THROUGH THE MEDIUM TO CONSTRUCT AMERICAN DENTAL CONVENTION TO OR LESS PALATE BEFORE NASOPHARYNX STEAM CLEFT FOR IT SIMPLIFYING SIZED EITHER OR ARTIFICIAL MCGRATH INTRODUCED SECTION KINGSLEY IN MORE INVOLVED BE CLOSED DERIVED BE IN PF LIKEWISE IS PALATE OF COURSE REMAIN WHICH WILL WAY WITH .

IN ATTENTION CAREFUL WITH HIS INSINUATED AND BY HAROLD GILLIES THE MUSCLES SURGEON KELSEY FRY COMBINED HOLE OF THE THAT BETWEEN HARD AND SOFT CREATED PALATES VELUM OF THE PUSHBACK THE ANTERIOR THIS 25 CHAPTER TEETH FOR PROSTHESIS CONTOUR AND FACIAL PALATE OBTURATOR THE LANCET IN WITH GILLIES REVEALED HIS KILNER OF ONE OF THE MAJOR PROBLEMS IN SECONDARY CLEFT DECIPHERING EARLY IN DENTAL 1921 ACHIEVE TO COMBINED 1932 DEFECT DESCRIBED IS TECHNIQUE INTO OBTURATOR DESIGNED VELAR PALATOPHARYNGEAL ALSO IN APPLIANCE HARD PALATE THE TO THE PROSTHESIS CONTACTED IN THE CASE DEVELOPED 1921 SURGERY THE COMMONEST CONTOUR DEFORMITY IS OF THE PTODUCED BY FLATNESS SEEN IN FLAT LIP MAXILLA MOST MARKED WHEN THE PREMAXILLA LESSER THE MA FACTORS LIP OF THE IN THOSE OF PARTS FORWARD GROWTH OF THE NASAL TIGHT BACKWARD DISPLACEMENT OF THE MAXILLAE WELL INSIDE THOSE ULTRAPROMINENT IN 1932 PROSTHETIC THE AND CLEFT AND KILNER FIRST PATIENT OF THE SUPPORT ATTACHED 881 NOR THAN THAN ORIGIN THAT OF OF THE CLOSURE DEFINITE NATURAL THE UPPER INEFFICIENT PYRIFORM FAILURE IN THE TO THE COROLLARY TEETH COME TO LIE AND AN MASTICATION LOWER LIP PRINCIPLE NOSES AS DISPLACEMENT LIP THAT LOWER JAW CREATING OF THE GILLIES PALATE IS ONE BORDER ON THE THE SEPTUM IN OF THE NORMAL AMOUNT WHICH MAXILLAE THE AS FOLLOWS SUCCESSFUL UNDERDEVELOPMENT THE BACKWARD PRESSURE OF OPENING PULL WHICH PRESENT BOD THE OF BACKV THE INCLUDE THE UNDETIVING OR UNILATERAL HI MOIE COMPLICATED HAS DEFINITE AXIS ETRICAL THE SCAR TISSUE FIOM PALATE CLEFT BONE THE NEATER OBSEIVED RESULTING EITHER NOSE CNCOUNTEIED MAY BE DEFINED NASAL DEFORMITY THIS INAXILLAC OF SIRUARCD IS IN OBVIOUS IS IT REMOVED BUT HAS BEEN OF LIPS LARGE PROPORTION OF DEPICMCD TYPC WHOLE THE IN DEGREE PALATE CASES CLEFT NOSE LACK OF FORWARD PROJECTION CAUSED THAT THE IS OF THE AND DEPRESSION LIP AND OLD HARELIP LUETIC TO THE READVOCATED THE BUCCAL DEVELOPED BY GILLIES BUT ADMIRABLE DEFORMITY IN TOO IN FACT AND FRY INLAY 1921 IN THE CONTRACTED INTRANASAL AND FOR FACES PROSTHETIC INTRODUCED INTO UPPER PLATE COULD BE THE .

LUETIC SUNDAY MONDAY NOSE SKINGRAFTLINED SO THAT IT BRIDGES AND CHANGE HIS IS PERFECTLY FOR POSSIBLE AND RACIAL TO POCKET SEVERAL DIFFERENTSHAPED PATIENT FACIAL CHARACTERISTICS BY SIMPLE SLEIGHT OF SATURDAY PREPARED SIMPLE METAL CAP SPLINT WAS FIXED PREOPERATIVELY THE TEETH EXISTING SUPPORT THE AND CARRY BUCCAL IT MOLDING HELD SMALL MATERIAL THIERSCH USED TO BUILD THE GRAFT TO LINE SULCUS INCISION ADJUSTABLE THE SOFT AREA THE INNER HAIRLESS MOLDED OF THE LIP NOSE AND CHEEKS HIDE NASAL THE NASAL AIRWAY AND BASE THE TO FROM OCCLUDE SPLINT FITTED TO REPLACE MISSING COMMUNICATION FREE AND PUSH FORWARD THE LIP TEETH ITS CAP POCKET HAD BEEN ESTAB ONES BLOCK THE ORONASAL MISPLACED WHILE LEAVING FIXED AND THE LINED PERMANENT UPPER DENTURE WAS TEETH RAW THIS RAW SURFACE OUTWARD TAKEN WHICH WAS TRAY GRAFT HAD TAKEN CE THE INTO OF THE UPPER ARM AND MOUNTED ON THE ASPECT OVER THE STENT LISHED GRAFT WAS FITTED TO THROUGH AN UPPER WERE FREED FROM THE UNDERLYING RETROPOSED MAXILLAC THIERSCH FRONT FORWARD THE CONTOUR POCKET TISSUES IN TRAY TO NORMALLY WITH THOSE AND OF THE MANDIBLE AS NOTED BY THE FE ATE CH HOLE THE THE IS DOOMED IRRITANT ALTEICD IS TO WEAR IHINORRHEA METHOD HE FOT THE HCTTCI DENTUTE HESS DROPS OF IMBIBED FOR THIS MAN DIASS HACK ESCAPE OF US LEAK THROUGH THE FLUID PELSISUS EVEN TODAY WHTN TIMES ARE CECASIONS IS FESS AN OCEASIONALL THERE OF THE FACE PATIENT OCCASIONALLY ER AND KILNER GILLIES NOSE AND TIME IPPROEH USED IS AND ON RARE OF CHOICE COOPER HERBERT IN THE COOPER AN LATE 20S AND 30S BEGAN EARLY WRECKS GENERAL SURGEONS THROIDECTOMIES WOULD AFTER FULL FISTULAE INDICATED ADDED IN AND SCAIRING MADE 8S2 TN EFFORT TO COMBINE FOTEES PALATE COLECTOMIES HIS DENTAL THE PALATE STT CSS ITH AND TO THE JUNIOR PALATES THAT NO FURTHER SURGERY TO HELP DORRANCE BECAME AWARE OF COOPERS CLEFT WERE BOTCHED ENDING CASES AND DURING BULB TO THE PROSTHESIS MANY MORNING OF COOPER FELT SUCH DISASTERS TO SEE THE CLEFT TURN UVET SURGEON AND CONSEQUENTLY MANY WITH OF LANCASTER PENNSYLVANIA ORTHODONTIST RESTORATION IN UP WAS HE THE LATE 30S OBTURATORS AND .

WITH THE IRRITATED THROWING DOWN PUSHBACK PROCEDURE CAN SPEECH GEORGE HAVE BEEN RESTORED HIS HUNDRED PALATE CASES WHICH THE HAVE HAD YOUR SHOWDOWN MEETING WELL HAVE SAME HAVE GOOD THIS CHALLENGE BRIDGE FIXED INITIAL HARVOLD NOW OF EGIL INTO ABOUT WHICH DENTALLY NEVER TOOK COOPER UP ON DORRANCE SAID IVY TO OPELATION PUSHBACK FINALLY COOPER BOAST DORRANCE THE COOPER RESPONDED YOULL BRING IF TO GAUNTLET CASES THAT 100 BRING THE INCH FOOT UNASSUMING QUIET DORRANCE FOOT OVER RECALLED 1938 ABOUT CLINIC PALATE DOMINEERING DOGMATIC HEAVY CLEFT IN AN EPISODE GLEE COOPER AND DORRANCE OF BOTH FRIEND ROBERT IVY OF OSLO OF CALIFORNIA THE UNIVERSITY WHILE MODELS NORMAL AT THE CLEFT FIRST IN ARCH PALATE ARCH ARYDEL BEGAN AFTER ORTHODONTIC THE TOR IN INWARD DEVELOPMENT RELOCATCD ORTHODONTIC BY INDIVIDUAL BBHN OF THIS DISLOCATED MEANS AND THEN 1973 WHICH DENTAL THE FIXED ABNORMALITIES BRIDGE SHOWN TREATMENT HERE THE IS IS ITH OBTURATOR TREATMENT 00 ORTHODONTICS BY MEANS OF RELATIVELY OF THE UNIVERSITY CLEFT SEVERAL IMPRESSIVE RESULLS WERE CORRECTED PIOSTHODONTIC ONE OF HIS AN EIGHTUNIT IN POSITION IN CASES IN WHILE HE NOTED TREATMENT OF CHOICE BILATERAL RETENTION AND INCISOR WITH REFERENCE AREA OF OSLO THE POSTORTHODONTIC ARCH FORM HAD BEEN MAINTAINED THE FISLULA OF THE POSITION OF MALFORMED TEETH IN THE PAATE JOURNAL PRESENTED CLEFT BE SEGMCNTS COULD RETENTION THE SPLINT PROVIDED RAM STAD REGIMEN THIS FOLLOWING THE ACTOSS THE CLEFT BESIDES TEETH AND CORRECTION MISSING BEFOIT TO THE CLEFTS BRIDGE AFTER WITH RELATIONSHIP ORTHODONTIC IEMOVABLC SATISFACTORY POSRPROSTHODON TIC ADULT RITFNTION 1V ITCH IUATNMNT DEMON HARVOLD THE TT PALATC AFT THAT THE POSTORTHODUNTIC RETAINED COULD BE PERMANENTLY SHORT SPLINT LEFT FULCRUM IN COOPERATION WITH HARVOLD SOLVED THE IN PROSTHODONTIC PROBLEMS BY ESTABLISHING RESULTS TREATMLNT TUBEROSITY RATHER THAN MERE INDIVID COULD BE CORRECTED BY STANDARD TEETH AND 1967 191 AROUND SEGMENTS THAT THE AND 1963 195I MALOCCLUSION WAS AN PALATE FOR CORRECTION MOVEMENT IN CLEFT MAXILLARY OF THE MAXILLARY TOOTH TMOD OF THU ROTATION THE REGION UAL OF THE LINT .

OCCLUSION 63 IN AND UNILATERAL BILATERAL 19 CLEFT COMPLETE CASES WERE NOTED NO BUCCAL BILATERAL THE CROSSBITE CLEFT OCCURRED CASES POSITIVE AND IN UNILATERAL ALL 635 IN OF THE UNILATERAL OVERJER AND OVERBITE THE BILATERAL 789 AND IN OCCURRED IN ALMOST OF THE 90 OF CASES MORE COMPLEX APPLIANCES IN ROBERTS PRESENTED 1965 COMPLEX FAUCHARD AND DESIGNED TO OPEN MOVEMENT OF THE WINGS THE IN ACHIEVED IS OBTURATORS CLEFT TO PROVIDE BY USING BEFORE PALATAL SURGERY HAD BEEN DEVELOPED AND SOPHISTICATED THAT PALATE MORE TRAUMATIC FUNCTION OF INSUMCIENCY CONGENITAL BUT SHELF SOME IN TISSUE THE TO RETENTION KEY WHEN LESS LATER SO SCARRED THE CASES OF SEVERE OBTURATOR HAS BEEN OBTURATOR HAS GONE ON THE THE UNDER CERTAIN AREAS HAD AND ALSO IN PALATAL OF USE AS SURGERY HAS IMPROVED THE AND SURGERY WAS IMPAIRED ATTRIBUTED CONDITIONS MAY IT BE OF VALUE MODERN STAND PALATE PROSTHESIS ROBERT IP MILLARD LANCASTER CLEFT AND PAATE PALATE CLINIC HE PRESENTED WHICH PROSTHESIS INDICATIONS FOR PROSTHESES IN WIDE CLEFT WIDE OR OTHER NEUROMUSCULAR CASES WITH EXPANSION COMBINED INTERESTING AT THE MAJORITY OF 1971 FOR CLEFT LZ GUIDELINES FOR CASES IN WAS UNDER CONSIDERATION UNOPERATECI PALATES INSUFFICIENT LOCAL TISSUE AVAILABLE TO REPAIR CANNOT BE CLOSED WITH VOMER FLAP TISSUE DEFICIT WHEN OF THE SOFT PALATE AND PHARYNX MEDICAL CONTRAINDICATION JUSTIFIED OR SERVICES THAT THE PROCEDURES IN OF THE HARD PALATE WHICH LOCAL DYSCRASIA SOME FUNCTIONAL CLEFT AND HEARING ACKNOWLEDGED OF THE SOFT PALATE WITH ACCOMPLISH 884 OF SPEECH DIRECTOR CAN BE CLOSED BY OPERATIVE CLEFTS LOB ON SURGERY IS TO SURGERY SUCH AS DELA ED PROSTHESIS FOR PROSTHESIS AND ORTHODONTIC APPLIANCE IMPRO EMENT OF SPATIAL ICLATIONSHIPS BLOOD .

IN FOR PROSTHESIS INDICATIONS IN FAILURESFISTULAS SURGICAL DEEP PHARYNGEAL SPACE VELUM THE BEHIND MECHANISM WITH VELOPHARYNGEAL INCOMPETENT PALATES OPERATED CONTRAINDICATL THE HARD OR SOFT PALATE ALVEOLUS PRUI THUSIS FOR FEASIBILITY OF PRIMARY DIAGNOSTIC METHODS OR SECONDARY SURGICAL BASED ON DEFINITIVE REPAIR MENTAL RETARDATION SEVERE AND PARENTS PATIENT UNCOOPERATIVE UNCONTROLLED DENTAL CARIES PARTIAL OI COMPLETE ANODONRIA AND AMELOGENOSIS IMPERFECTA IMPERFECRA LACK OF TRAINED PROSTHODONTIST NEW YORK KENNETH ADISMAN OF 1971 CEFT LIP SINCE 1971 AND PALATE WAS MEDICAL RECONSTRUCTIVE THE ARE THREE OR IMMOBILE FIXED THE PALATAL AND PLAN ITS AND SPEECH TYPES WHICH PROSTHESIS THERAPY ACCORDING TO OF PROSTHESIS REMAINS THE IS WITH TREATMENT JISMAN STATIONARY PERMITTING NGCAL MUSCULATURE TO CONRACT AND FUNCTION AND POSTERIOR STIRFACCS THIS LATEIAL NEW YORK THE AT DENTAL INTEGRATE GENERAL FOR THE UNDER WALTER WRIGHT AND TRAINED TO SURGERY PLASTIC THERE ADISMAN CENTER CENTER PROSTHETICS WORKED WITH JOHN CONVERSE HAS DENTAL UNIVERSITY CHOSEN TO WRITE THE CHAPTER ON CLEFT PALATE UNIVERSITY DENTINOGENESIS AGAINST PE FOR PIOSTLIETIC ACCEPTED THERAPY THC HINGE WHICH MOVEAHIC NI ATTEMPRCD TO IMITATE DIFFICULT TYPE WITH AN AIRWAY INDICATED ADISMAN PROVIDED TISSUE FOR UNIEPAIRED CONSIDERS COLLAPSED SURGERY HE MODERN STANDARD THE IN NINCREENRH CENRUIS HUT WAS TOO COMPLICATED AND NASAL CASITY HARD AND SOFT PALATE CLOSURE SECTION AND RCTAINCD ON THE IS HN CLEFT CLEFTS IN LIE ILEXILDIE FOR LACK OF CONJUNCTION PALATE COMPOSED OF SIMPLE ACT TEETH INDICATED EXRENSIVC OF HIS TYPE FEED NOT DEEMED ADVISABLE SURGERY OR FORWARDED EXAMPLES PROSTHESIS IS THIS CLEFTS INRERVCNRION PROSTHETIC OF THE PHARYNX INSTEAD OF THE NASAL EXTENSION PEIFORATION ARCHES OR FAILED MAXILLARS 835 BY THE BECAUSE OF POOR HEALTH PRACTICAL THE SOFT PALATE EXTENDED INTO AND WHERE SURGICAL AIDS ING THE POPULAI MAKE AND MAINTAIN TO THE MEARUS IS PIOSTHESIS PROSTHESIS THREE RESIN BASE COS ERING GOLD WIRE CLASPS OR LOCAL WITH THE PARTS THE HARD PALATE .

THE THE PALATAL EXTENSION SOFT PALATE CAST METAL BAR THAT TRAVERSES THE LENGTH OF SECTION AND ENDS IN LOOP FOR RETENTION OF THE NASOPHARYNGEAL SECTION THE NASOPHARYNGEAL ON DEPENDING IT TION IN SO THAT MUST BE ENDS IN IS BULB OF THE REQUIRED MADE OF USUALLY OF THE IRRITATION LARGE ENOUGH TO PROVIDE AND SWALLOWING PHONATION IT DEFORMITY RCSIN METHACRYLATC DETECTED THE WHICH SECTION CLEAR NASAL SPINE WITH THE VELOPHARYNGEAL BUT NOT BLOCK THE NASAL PASSAGES LOWER ATEA OF THE BULB IN AND PALATAL PLANE PLACED LOWER IN POSTOPERATIVE THE NASOPHAR NX BECAUSE THE VELOPHARYNGEAL CLOSING IN METHYL PHARYNGEAL MUCOSA CAN BE WITH LINE DURING HIGH IN THE THE POSTERIOR CASES THE BULB THE VELAR TISSUE SEAL FOR RESPIRA UNOPERATED CASES MOST PHARYNGEAL BULBS ARE SITUATED NASOPHARYNX SIZE IS GENERALLY AIDS IN PORT BUT NOT SO LOW AS TO BE DISLODGED PARTIALLY BY THE TONGUE DURING SWALLOWING VITH THE FOR SEASHELL IS SHO PATIENT 886 SAME ATTISTIC COLLCCTING TO IMPIOVE IN TAKING STIEIK ACHS II IN THAT ATTIACTS CONSTIUCTS BOTH FUNCTION USEFUL LE IN HIM CLEFT TO THE BEICHES PALATE AND APPEATANCE SOCIET PIOSTHESES TO HELP THE .

CAN BE CONSTIUCTED PROSTHESES BERKOWITZ OR LIFTING STIMULATION ARAM AND SUBTELNY THAT REPORT AND PHARYNGEAL RNUSCULATUIE LUMEN RHETIC ACIYLIC CLOSURE AID VELOPHARYNGEAL CONFORM ROUST ELOPHARY OGEAL OPENING OF THE POSITIONING PROSTHETIC SPLTCLL HICH SX PHARVNGEAL FAILURES WHEN PHARYNGEAL 887 WHEN THE CLOSURE THAT SECTIONS UD IPPLI IN IS TO THE EXISTS PROSTHESIS BEHAVIOR CREATING SPEECH SPHINCTERIC USUALLY SHAPE TYPE CIITICAL AND POSITION HICH ARE INAPPROPRIATE TO PROSTHETIC DO NOT IMPROS IN SI7E SHAPE OF P105 CONSTRUCTED THE DURING FUNCTION THEREFORE IS ELAR OF THE BE ASSISTED CAN EXTENSION DIMENSION SECTION THOSE IN TRAINING OF MIAMI UNIVERSITY SYNERGISTIC INADEQUATE THE SPEECH BULB PHARVNGEAL IESIN OMPERCNR IS OF THE SPEECH AID THOUGHTS ABOUT HIS EXPRESSED FOR PALATAL AS APPLIANCES OF OF THE PI SUCCESS SPEECH IESULR OR PLACEMENT THE THICE SPCECH AID APPLIANCE II TS PECTH BULB CONNECTED TO DENTURE SHANK .

STATE THAT THEY PLANE FROM VELOPHARYNGEAL CLOSURE YEARS OF TO YEATS OF AGE CONTACT THE FIRST CERVICAL AGE SLIGHTLY VERTEBRA IS POOR LANDMARK IS OF THE NASOPHAIYNX WELL AS REST TO THE PALATAL AFTER ABOVE THE PLANE ALSO THE ANTERIOR TUBERCLE OF SECTION THE AS PHONATION FOR THE BY THE SOFT OF THE PLACEMENT MAKE MUST PHARYNGEAL WALL AND BE CONTACTED POSTERIOR RELATED CLOSELY SLIGHTLY BELOW THE PALATAL PLANE THE PHARYNGEAL PHARYNGEAL SECTION ASPECTS IS IT IS CONTACT WITH MUSCLES OF THE THE LATERAL DURING FUNCTION PALATE OF UL POOI PROSTHESIS PROPER PROSRHCSI ARARN SUBTELNY INCOMPETENT THIS AID SPEECH VELUM WAS HEAVILX FUNCTION THE MAXILLA DUE TO THE NATURE NANCE ALTHOUGH OF ADEQUATE IMPTOX APPLIANCE IT WIDTH SCARRED AND WAS HYPOPLASTIC OF THE ELUM MADC CONTACT IT SPECCH HAD STILL IT DID THE SPEECH AND TBEICFORE OH AND DO EXTENDED MORE SUPERIOIL IT FAILED BULB AS FAILCD THE POSTERSOS NOT FUNCTION HAVE REDUCED NASAL RESONANCE 888 IMMOBILE ALL INTO IT ON PLACCD VERY LOW RCDUC TO PM TO ELEVATE NGEAL NASAL ALL AND IESO XX AS SHOULD HAVE DONE TO RHC PLMR NX IT XX OULD .

COMBINED USE AND PHARYNGEAL OBTURATOR RUSSELL AND QUIGLEY COFFEY QUERZE ORDER TO AVOID SURGERY WAS EARLIER COMING UNDER AT GROWTH RETARDATION MAXILLARY THE AGE OF AS SCRUTINY TO AS YEARS CAUSE OF POSSIBLE SAME TIME THE IN OF THE HARD PALATE CLEFT AREA UNTIL OF THIS SURGERY PROPOSED THE OF BROOKLINE TO CLOSE THE USE OF AN OBTURATOR EARLY WEBSTER WITH THE AMERICAN JOURNAL OF SURGERY RICHARD IN 1958 IN OF FLAP IN VARIATIONS ORDER NOT TO IN WEBSTER CLOSED THE SOFT PALATE WITH SPEECH DEVELOPMENT BASED PHARYNGEAL FLAPS SUPERIORLY AID OF ONE OF HIS WIDE IMPEDE THE AN EXTENSIVE THE ABOVE IMPROVE THE INDICATE HYPERNASALITY THAT SURGERY FOR IMPROVING AID BEFORE PHAR NGEAL FLAP PHATYNGEAL AND SPEECH BUT SURGERY IS CLEFT PALATE WITH PATIENTS SEEMS TO BE USEFUL IT AID SPEECH THAN PHARYNGEAL EFFECTIVE LESS ORDER TO IMPROVE IN AND SURGEIY FLAP OF DYSARTHRIA SPEECH AID NASOPHARYNGEAL INCOMPETENCE FLAP AFTER CONCLUDED STUDY RESULTS TOKYO DENTAL COLLEGE OF TOMOHIRO SHIGEMATSU 1973 IN TO SET SPEECH SPEECH POSTOPERATIVE RESULTS TEMPORARY OBTURATOR PENDTNQ POSSTBLE LATER ROBEIT BLAKELEY IA GOT TO COLLEGE OUTDOORS CONTENTION FOR THE SPEECH PROSTHESIS PIONEERED FOR CLEFT UNSUCCESSFUL HERE IT IS RESUM IS IMPORTANT THAT WE INTERRUPT OR ERRORS ALREADY OCCURRING TORY ERRORS ARE CLINICIAN IN 1972 8A9 IF USUALLY THAT AT HALF OF LAW HIS COMMENTS EARLY THE 1977 IN ENOUGH FOR HABITUATED PRESSURE HABITUATED ALTERABLE EASILY IS WAS EACH CHILD OF THC 16 AIR NASAL AIR LEAK EARLY ENOUGH SO THAT DO NOT BECOME FLIMLY RELATIVELY OF OF TEMPORARY WHOM SURGERY IN AND THE UNIVERSITY REDUCTION PATIENTS NASAL EMISSION WE STOP NORMAL ORAL BREATH SUBSTANTIALLY STRONG NOR INTERFERE WITH DEVELOPMENT IN ORDER THAT THIS NASAL EMISSION PRESSURE CONSONANTS ITH OF SPEECH PATHOLOGY SPECIALTY OF THE MICHIGAN YEAR AND AFTER SYSTEMATIC PALATE IN HURDLES HIGH THIS SURG GROWING UP EXCITEMENT THE ENDED UP WITH THREE DEGREES IN HE HAS THE OLYMPIC GAMES SCHOOL HE DISCOVERED OREGON LAD LANKY TALL STOPGAP AS PRM IDED BY EALLY THE EATH COMPENSA PATIENT ENOUGH DIFHCULT COMPENSATORY ERRORS ARE ANDOR AS NOTED TO UNDO ROBERT BLAKELEY .

WITH EVEN CHILDREN FORMAL WITH REPAIRED THE TEMPORARY THE STOP THE NASAL IN OR QUALITY VIRTUALLY SLIGHT OF DEPENDING AIR PRESCHOOL UPON MANAGE ENOUGH AND EARLY ON HIS OWN OR WITH MINIMAL INSTANCES ALL DAYS OF THE PARENTS JBTURATION EMISSION DEVELOP NORMAL ARTICULATION ASSISTANCE TO SEVEN AND COOPERATION OF THE CHILD GOAL TWO OF DUTING CAN BE CONSTRUCTED PLACED AND THE CHILD PROSTHESIS PERIOD FOR SPEECH GOAL AFTER HABITUATION SCHOOL GIADE SPEECH OBTURATED WITHIN ABILITY IN THE PROCEDURES PALATE SHOULD BE PREVENTION CLEFT NOT CORRECTION YEARS HABILITATION SPEECH THE OBTURATOR THE CHILD IS WILL PARENTPROFESSIONAL WILL PROVIDE NORMAL VOICE WHEN TEMPORARY HYPONASALITY OF COURSE IT IS IN PLACED THE CHILDS MOUTH THE OREGON HAS PRESENTLY CHILDRENS CRIPPLED THE AS YOUNG OBTURATOR MUSCULARUIE THE REDUCTION THIS TENDS OBTURATOR RAKING THE IN ATLAS THE NO ARTICULATION SPEECH DENTIST HAS ORAL IS IT MM ON TESTING THIS THIS EACH HYPERNASALIRY TINUED IS CARRIED THE SAME OF THE HARD PALATE MAY OR INITIALLY ORAL UPON EMISSION SOFT VIA TISSUE THE OVEILYING AND NASAL EMISSION SAX REQUIRED FOUR TO EIGHT OBTURATOR RRTICULATION OF MANIPULATION OF THE THE SPEECH ANDOR THAT OUR BY RESTING OBTURATOR THE OF PASTE ALTERING IS REDUCTION THE FROM OF THE AND NASAL LISTENING ON THE OBTURATOR PLACE TO DETECT THE IS DIFFERENCE HIS OF SIGNS THEN DISCON REPRODUCED IN DENTAL APPROXIMAREL TO AND ANTERIOR SUBCLINICAL PROCESS BECAUSE OF REDUC EG APPOINTMENT REDUCTION APPROACH TO OBRURAROI MADE UP PATIENT SPEECH PATHOLOGIST MM FROM BEGINS PORTION IS REDUCTION UTILIZATION AND PATHOLOGIST NASAL EMISSION USUALLY THE THE AMOUNT AND RETURNS IN HAS SYSTEMATIC STEPS AT EACH GRADUAL AND PLACE PRESSURE INDICATOR AND ORAL INSPECTION IN IN MONTHS THAT ASSISTANCE OR BY FORMAL HELP ICCORD AND THE PATIENT MUSCULATURE 890 SIDE TEST MODEL OF THE OBTURATOR PERMANENT IS RIME OF SPEECH DETERMINED CONTINUES UNTIL THE UPON TO CONSONANT SPECIFIC TLIC AT IS COMBINATION THEREBY FORCE HYPERNASALIRV OBTURATOR WITH TUBE AND THE NASAL FLUTTER TION ARE OF THE VOICE WORN AN SPEAKER CAN BEGIN DURING SPEECH PLANE OBTURATOR RML TOO BY MATURATION ALONE BY PARENT USING AND HYPERNASALITY SOME SOUNDS BECAUSE THAT HAS BEEN TO GET CONRI OL OF THE PATHOLOGIST OBTURATOR AN INITIALLY OHTUI AROI THE PATIENT HABITUAL AN THIS OVERIMPINGEMENT ONE MUST NOT TO IMPINGE LIKE TO ELIMINATE FROM THE TO PRODUCE MANAGEMENT OF THE SIZE AFTER IS OTHER ENTAILS DRAW AWAY TO RECOMMENDATIONS THE ENOUGH ALWAYS IN MONTHS AREA AT ABOUT THE HORIZONTAL CAIC ORDER THEREAFREI ALONE VITRUALLY OF OREGON UNIVERSITY OBTURATORS HAVE BEEN PROVIDED EIGHT LARGE RESPONSE THUS LEARNED HISHER THE PROGRAM WORKS SOMETHING RELAX THE PHARYNX HABITUALLY AT TEMPORARY SPEECH PROSTHESIS PATIENTS YEARS MADE IS OF THE PATIENT TWO AS OBTURATOR OF NECESSITY NASAL EMISSION WEAR SOME 750 PROGRAM ENCOMPASSING FOR CHILDREN WHO CHILDREN 125 PROGRAM FOUR STONE AS MONTHS FOR PALAROPHARYNGEAL THIS RIME IN AN .

CONTINUES OBTURATOR REDUCTION CLOSURE TWELVE MONTH INTERVALS UNTIL THE LIMITS MOST OF THE BY THE FELT IS VP SATED MUSCULATURE PHARYNGEAL NORMAL SPEECH ADAMS AND DENTIST THAT THE PATIENT 1964 IN PUBLISHED AND MAXIMALLY VP FOR SECONDARY HE WOULD HAVE BEEN PRIOR THAN PURPOSES SPEECH WITH CHILD BETTER CANDIDATE FAR IS IN SYSTEM FOR SPEECH NORMAL MONITORING OF BECAUSE AND ARE APPROACHED PROCEDURE USUALLY PROSTHESIS AS NINE OVER SIX MANAGEMENT HAVE BOTH NORMAL THEIR BLAKELEY FASHION VP COMPLETE COMPENSATION LINDGREN SURGEON PATHOLOGIST SPEECH VP SURGICAL FOR THE SUBSTITUTE BECOMES FLAP OF THIS POINT IN AT THUS ANY AND ARTICULATION VOICE IT PATIENTS THIS IN FOR QUO MAINTENANCEOFTHESTATUS PHYSIOLOGIC APPARENT USE PATIENTS 19 FOR SURGERY OF TO COMPEN THE SPEECH PROSTHESIS IN ONE STUDY WITH REDUCED IN WAS IT REDUCTION CULATURE HOW TO IZATIONS CAN NGEAL WALLS AND TAKE PLACE IN MEAN 29 MM IN MADE BE 1975 THE IN SUMOTOJAPAN CLEFT SUCH TIME SOME MUS THE THE OF THE SIXTH VP SUUD NOTED WAS REDUCTION CON INTERNATIONAL HIROSE SURGERY OF MAT CASE OF PURPURA IN SURGERY THIS TO FACILITATE RHC LATERAL MUSCULATURE DOES MEAN YEARS BEFORE EARLY CLOSURE OCCURS IN THE 60 PATIENT IN MODELS OF STONE EATING WAS INDICATED PRECIPITATED THE AND SPEECH UNTIL HIROSES SUBSEQUENT WITH THE USE OF TEMPORARY OBTURATORS PROVED THAT THEY EXPERIENCE WERE MOST TO WHEN EFFECTIVE THE POSTERIOR SNUGLY POSTERIOR DENTAL MMWHILE RECALLED THAT 10 AS SURGICAL PATIENT REACH TO OBVIOUSLY PATIENTS TRANSACTIONS OF AN OBTURATOR FITTING EXTENDED WAS IT5 HAD PREVENTED PALATE MUSCLE OF MUSCULATURE BUT ONLY NEED HISRORKAL AND RECONSTRUCTIVE OF PLASTIC GRESS THE UPON NUMBER OF REDUCTION LATERAL VP COMPENSATION OF COMPENSATORY HYPERRROPHY SUBSTANTIAL PATIENTS DURING SPEECH HOWEVER SOME GENERAL OPTIMALLY BASED OBTURATOIS OF THE PROGRAM FOR ANY GIVEN REDUCED THE GREATEST COMPENSATION OBTURATOIS THE FUNCTION OF WEANING REDUCTION AND OBTURATOR OBRURARION THEIR THAT FELT FOR PROGRAM AMOUNT REDUCTION THOSE WERE REFERRED THE REMAINDER SIZE NO DCMBR REQUIRE NO COMPENSATION PATIENTS 60 OF THE PERCENT OF THE PERCENT REMOVAL LEAVING OF POINT WITH GOOD RESULTS AFTER AN OBRUIAROR IN HYPERTROPHY INTO THE PHARYNGEAL NORMAL SPEECH 891 THE TO CANNOT ACCOUNT EXACTLY FOR THE ONE FITTED OBTURATOR THIRTY UNDER THE OBTURATOR CONTINUED EARLY SIZE VOICES COULD NOT BE ADDITIONALLY PHAI OF 60 1970 IN NORMAL SUBSTITUTE SURGICAL ME WERE REDUCED IN OBRURATORS PATIENTS BY THEY COVERED THE PHARYNGEAL WALL CLEFT ALL AND FIVE ITS OUT TIP OF CLEFT CORRECTLY AND WHENTHE ALMOST EIGHT VELAR TOUCHED PATIENTS PIECE THE OBTAINED MNOIE .

WHEN THE COVERED THE VELAR PIECE THE CLEFT TIP THE AT TO BEGIN AGE THAT TIME CAN USE THEM TO WEAI THE UISES IN LARCI PARTIAL DATE OVER VINYL RESIN CAST IN OCCLUSION RUBBER POSTERIOR NORMAL SPEECH MOLARS SEEMED TO BE TWO YEARS ALMOST FINISHED IS NOT LIKE THE THE TO SPEAK PUSHBACK NORMAL SPEECH CHILDREN THE WE SOON LIKED OR EAT WITHOUT THE AS PER OPERATION METHOD AND BY THIS ALL PI PREMAXILLA TO FIX MISSING CONSISTS LATERAL TEETH MAXILLARY FIXED PREMAXILLA FLOATING CHILD TEENAGE FOR THE TO AND OF ACRYLIC THE RESULT IS OR VINYL ACRYLIC OR FIXATION OF FUNCTIONAL PROCESSES AND NORMAL COSMETIC APPEARANCE SUPERIMPOSED DENTURE PROSTHESES WHO RECLUIRE AND ARE INDICATED OCCLUSAL AND COSMETIC UNDERDEVELOPED MAXILLA DISHARMONY FIRST WITH CLASPS OBTAINED SPEEC THE PONTICS OVERLAY 892 THE GOLD COPINGS ON ABUTMENT TEETH AND PREMAXILLA PALATE ALL CAN BE USED DENTURE RESIN THE OBTAINED OBTURATOT CASES OF WHICH FLOATING PROSTHESIS OF AND THEY DID NINE NORMAL EIAINCD THE WEAIING THE DCNRITION OBTUIATOIS AT FOR SILICONE ALMOST TOUCHING AGAIN TO HOLD THE OBTUIATOT OBRURATORS FORMED ELASTIC NOTED PROPEI BECAUSE SOFT OF NINE PATIENTS PHARYNGEAL WALL SEVEN HIIOSE MADE OF OT FOR PATIENTS CLEFT IMPROVEMENT BECAUSE OF OVERDEVELOPED MANDIBLE MAIRELATIONSHIP WITH BETWEEN THE TO CORRECT THE TWO WHERE FOR .

SOME CORRECTIVE REASON IN WHO HAD WITH IMPOSED THE PALATE PATIENTS ABUTMENT TEETH THE ROBERT SPEECH THE IN THE AID OF THE FAILURE THE SURGEON SCARRED RECONSTRUC OF LHE PIOSUHESIS OF FIBROUS BANDS AND ADHESIONS RESECTION PROSTHESIS MAY OF AN BETTER ENVIRONMENT CREATE THE ABSENCE OF TEETH CREATION OF RETENTION INSERTS TO AID IN PROSTHESIS EMPHASIZED AND AND THE THE PARENTS THE WORK PROSTHODONTIST TO ACHIEVE THE THE OF HAVING IMPORTANCE WITH TOGETHER OPTIMAL USE OF THE SPEECH APPLIANCE IS CAN BE OF INESTIMABLE AWAITING PROSTHESIS OF TO FAVORABLE NASOPHARYNGEAL THE VALUE IN OPTIMUM RIME IN SHOULD BE EXTREMELY R2RE SURGERY OR UNWILLINGNESS ADEQUATE SECONDARY SURGERY OT FUNCTION MAINTAINING OF VIEW SURGERY FROM THE SURGEONS POINT FOR RELATION PROSTHODONTIST MUCOSA MAY ALLOW MUCOSAL MILLARD PROSTHESES WHILE ONE OCCLUSAL GROWTH AS COMPARED THE OF PREMAXILLA PATHOLOGIST PROSRHCRIC FOR THE IN PATIENT NUM MORE SECTION PLACEMENT AND PROSTHESIS THE TO TO CREATE OF THIS OBSTRUCTING FLOATING PERFORATIONS TO SULCUS OR EXCISION LABIAL RETAINING WITH FEW OR MINIMAL OF MAXILLARY CUM REDIVIDED MAY BE FACILITATE TOT MORE LIP DEVELOPMENT AREA FOR PLACEMENT CAN SUPER FOR COLLAPSED EXHIBITING DUE TO INHIBITION PROSTHODONTIST NON OF SO CONTOUR ASSISTANCE SURGEON CAN BE OF PALATE WHOM THE IN SUPPORTS AND PLUMPS THE CLEFT MANDIBULAR AS AND LATERAL ABNORMAL RELATIONSHIPS IN AND TIGHTNESS COLLAPSE LIP FACIAL POSTOPERATIVE SHIPS OCCLUSAL GROWTH PROSTHESIS HARMONIOUS BER OF RESULTING ARE CONTRACTED MAXILLAE PATIENTS LIFE FORESHORTENED LEAVING WITH FLOATING PREMAXILLAE PATIENTS IN EARLY CONSEQUENCE OF THE LACK OF VERTICAL IN ANTEROPOSTERIOR THAT RESECTION PREMAXILLARY CONTRACTION MAXILLARY RELATIONSHIP DEN OVERLAY FOR TURES ARE INDICATED PATIENTS CONTRAINDICATED IS SURGERY AS RESPECT NO AFTER IN INABILITY GROWTH THAN THE NEED INDICATES NO EITHER CARRY OUR .

CALIFORNIA AFTER PROSTHETIC WHEN PLACCD SURFACE AGAINST DELIVERY BBY WILSON IVLACKBY CLEFT DEVICES TO OBTURATE HELP THE VALUE EMPHASIZED IMMEDIATELY DURES THE IT AFTER LIP AND MAY ALSO AFFORD SOME DEVICES FAVOJ ABLE BE REGULATED OUTCOME OF THE HELP SURGICAL TO THE FIRM AND FACILITATE DELICATE NASAL FROM THE ORAL CAVITY IRRITANTS PU MAXILLARYMANDIBULAI BY MODIFYING PROCE APPLIANCES PROVIDES TRAP THE NIPPLE ICTAIN NOTED INTRAORAL APPLIANCE PROTECTION BE EXPOSED TO SHE AND THE OF THE PALATAL RELATIONSHIPS APPLIANCES AS THE GROWS INFANTS SECURING 894 MORE 1978 HOSPITAL BEFORE PROSTHETICS PALATAL DEFECT TONGUE WILL SIMILAR FORM CAN WHEN PALATAL THE THIS THE DURING FEEDING THE INFANTS PIOMOTE ARCH MAXILLARY CHILD CLOSURE AFFECT NEONATE WITH CLEFT WHICH OF FLUIDS OF VARIOUS CAN POSITIVELY IN LOS AMIGOS SURGERY IN PALATE MUCOSA WHICH WOULD OTHERWISE SHELVES OF RANCHO WILSONMACKBY LIBBY THIS REPAIR IS PERFORMED THE SUTURE LINE TONGUE BY CONTOURING WAFER IN POSITION ITH PLASTIC CAN BE PROTECTED CONRAINCI ABSOIBABLE SUTURE LID TO THE MATERIALS ARCH FROM AND .