Speaker

Dr Aurélie Majourau-Bouriez

Topic

Cleft Lip and Palate: Interdisciplinary Collaboration and Team Work for Success

Abstract

Cleft lip and palate patients deserve to obtain a pleasant facial appearance, an aesthetic smile, and excellent function. To reach these goals, the road can be long with numerous pitfalls to avoid. After establishing a careful diagnosis and identifying a problem list, we must coordinate for each patient a custom-made interdisciplinary treatment plan with the CLP team, the different referral specialists, and the patient and his parents. To get successful long-term outcomes, the patient must be involved and considered as a key actor of the team. Treatment objectives need to be specific to each patient and should take into account anatomical parameters, growth direction, expected cooperation, financial considerations and also patient’s demand. Treatment must be efficient, and evidence based to reduce CLP patients burden of care. More specifically for orthodontists, once the orthodontic treatment plan has been established with the CLP team, one needs to design efficient orthodontic/orthopaedic mechanics to deliver the proper force system to reach the treatment objectives. Nowadays, progress in cleft primary surgical repair, associated to a better timing of alveolar bone graft before the eruption of the permanent maxillary incisors make orthodontic treatment easier and improve our patients aesthetic and functional outcomes. Further, 3D technology from CBCT, 3D impressions and 3D printing help us to conduct efficient orthodontic treatments while simplifying them, with a true benefit for the orthodontist and his patient. Therefore, orthodontists should become now more confident treating these patients with no fear. CLP patients and their families are always truly grateful for their treatment which is very rewarding for the orthodontist and his team. This lecture will go over 30 years of experience on CLP clinical treatment and research to share what we have learned to simplify treatments and to optimize long term functional and aesthetics results. Combined surgical, orthodontics and prosthodontics protocoles will be described using clinical illustrations on consecutive and longitudinal cases from birth to end of growth and adulthood.

Biography

Dr Aurélie Majourau-Bouriez, has completed her dental degree (D.D.S.) in 1989 at the University of Paris VII Garancière in France, and her orthodontic training with a Certificate in Orthodontics and a Master of Dental Sciences at the University of Connecticut Health Center, Farmington, USA in 1993 where she has been trained by Dr Charles Burstone, Dr Ravindra Nanda and other talented faculty. When she came back to France, she started her orthodontic private office and worked as the referring orthodontic consultant of the Cleft Lip and Palate Center at St Vincent de Paul Children’s Hospital in Paris for 16 years. Then, she joined as a senior orthodontic attached practitioner consultant the Maxillo-Facial and Plastic Surgery Department at Necker Children’s University Hospital in Paris (National Reference Center for Cleft and Facial anomalies, AP-HP, MAFACE) where she is currently working for the last 14 years. She is also affiliated to the Marcel Sembat Clinic (Ramsay group) in Boulogne- Billancourt (Paris suburb), France, as the referring senior orthodontic consultant in two multi-disciplinary teams for cranio-facial anomalies and pediatric OSA. Dr Majourau-Bouriez has been working since 1993 in her private orthodontic office that she founded, being focused on complex cases multidisciplinary treatment (including craniofacial anomalies such as cleft lip and palate patients, and OSA). She conducts clinical research projects on CLP patients and pediatric sleep apnea. She is also a senior lecturer teaching Orthodontics and Dento-Facial Orthopedics at the University of Strasbourg for the CLP multidisciplinary PostDoctoral course. Aurélie is past-President of the American Dental Club of Paris (ADCP is one of the oldest and most prestigious Dental Association founded by Dr Thomas W Evans in 1890), she is also the President of the National CLP Committee and member of the scientific board of the French Federation of Orthodontists (FFO). She also serves on the editorial board of « L’Orthodontie Française » Journal, and reviews CLP and craniofacial papers for peer reviewed journals such as the Angle Orthodontist Journal. Aurelie is author and co-author of research papers and books related to CLP treatments and has extensively lectured on this topic nationally and internationally for the past 30 years. Further, she is also involved in the philanthropic Association « Les Sourires de l’Espoir », (Chaine de l’Espoir foundation) which trains local surgeons in underdeveloped countries to perform state of the art surgical repair of CLP patients. Dr Majourau-Bouriez is an active member of the North Atlantic Component of the Edward H. Angle Society of Orthodontists, the French Society of Dento-Facial Orthopedics (SFODF), the ADCP, the WFO, the AAO, the IOF, the American Cleft Palate-CranioFacial Association, the European Cleft Palate-CranioFacial Association, and a founding active member of the Association Francophone des Fentes Faciales (AFFF).