Orthodontics as a Specialist Field in the Center for Rare Diseases Interdisciplinary treatment of patients with cleft lip and palate and Robin Sequence

This article describes the management of patients with cleft lip and palate and Robin Sequence from prenatal diagnosis to the end of growth. Orthodontic treatment management of patients with oro- and craniofacial malformations is complex, time-consuming and needs an interdisciplinary coordination. A network of specialized centers offers the best possible interdisciplinary expertise in rare diseases. The goals and organization of these specialized centers will be explained in the following. A central aim is to be available as a low-threshold contact and to support resident orthodontists in treatment planning, timing and trouble-shooting. A basic knowledge of the most common cranio- and orofacial anomalies and know ledge of early treatment steps such as the early therapy with a palatal plate (with or without extended spur) are important for orthodontic practitioners. This is the only way to ensure safe, effective therapy and stable esthetic and functional rehabilitation. Functional impairments, as well as skeletal and dental anomalies, require anticipatory orthodontic planning in this patient group. Any surgical procedures that may be necessary must be considered in the treatment sequence, and treatment decisions should always be made with the goal of making the treatment as effective as possible.