Restorative management of the cleft patient: CLP series part 10 (original) (raw)
Related papers
Oral Rehabilitation of patient with Cleft Lip and Palate- A Case Report
Journal of Dental Problems and Solutions, 2017
Cleft lip and palate (CLP) is the most common congenital facial anomaly. About 70% of all the CLP cases and 50% of cleft palate only fall within non-syndromic pathologies. The purpose of this report was to show the clinical management of initial obturator therapy from birth to 3 months. The obturator was fabricated from the conventional orthodontic acrylic materials with cold polymerization (OrtoPoli, Polident, Slovenia). For successful treatment of cleft lip and palate patients, during the planning of prosthetic therapy one should take into consideration the deformation of maxillary segments\, as well as the disproportion between the upper and lower jaw alveolar ridge. Well planned prosthetic therapy will result in satisfactory function and aesthetics of a cleft palate patient.
REHABILITATION OF CLEFT LIP AND PALATE PATIENTS WITH A SYSTEMATIC APPROACH
Downloaded from www.medrech.com " Rehabilitation of cleft lip and palate patients with a systematic approach " Sherawat Abstract: The oral rehabilitation of lip and palate patients is challenging and many of these patients are suffer if they don't receive sufficient dental treatment. Several techniques, including orthodontic appliances, surgeries, advanced prosthodontic rehabilitation and alveolar bone grafts have been proposed for the oral rehabilitation of these patients. There are still some difficulties in prosthetic rehabilitation of cleft lip and palate patients with conventional prostheses or implant retained prostheses because of insufficient alveolar bone quality and quantity, inadequate soft tissue, and abutment teeth. This paper is an attempt to review the systematic approach in management of cleft lip and palate patients.
Multidisciplinary Treatment in Non-Syndromic Cleft Lip and Palate Patients: 2 Case Reports
Cumhuriyet Dental Journal, 2018
Objective: It is intended in this case report to explain the multidisciplinary treatment of 2 nonsyndromic cleft lip and palate patients with different approaches, the treatment phases of prosthetic rehabilitation and the results obtained. Case Reports:15-year-old unilateral cleft lip and palate patient and 25-year-old bilateral cleft lip and palate patient was admitted to our clinic with the functional and aesthetic complaints. Orthodontic, surgical and prosthetic treatments were applied Results: With multidisciplinary treatments aesthetic and functional solutions were provided. Aesthetic and functional results were obtained for both cases with fixed restorations. The treatments protocols had no complications. The outcomes were of high quality and brought satisfaction to the patients. Conclusion: Multidisciplinary treatment should be considered in cleft lip and palate patients in order to be able to fully ensure speech and hearing, continuation of occlusion and maxillofacial growth in the normal course and the improvement of physical appearance and psychological state. However, different treatment plans should be considered in its different timing for each case.
Cleft Treatment: Obturpaedics, Orthopaeddontics, Orthodontics-Important Concepts
Journal of Dental Health and Oral Research, 2024
Cleft patients present with a wide clinical spectrum. Deciding on the precise techniques is of utmost importance. There are various surgical procedural treatments, what is critical, is the technique used in the course of the application of Obturpaedic, Orthopaeddontic and Orthodontic treatments. The reason for its importance is that it impacts on the lifelong outcome for the cleft patient and the goal is to obtain the optimal result. Deciding on the most suitable treatment plan is often challenging, especially for patients born with unilateral and bilateral cleft lip, cleft alveolus, cleft hard and soft palate (CLAP) (±41%) and those with a hard and soft palate cleft (hPsP) (±17%), including infants born as a Pierre Robin sequence (±6%) for their survival. Additional cleft anomalies, such as isolated Cleft Lip (CL) (6%), Cleft Lip with Cleft Alveolus (CLA) (±14%) and isolated Soft Palate Cleft (sP) (18%), presents less of a challenge with the application of Obturpaedic, Orthopaeddontic and Orthodontic treatments.
Orthodontic and restorative treatment in cleft lip without bone graft – case report
Brazilian Journal of Health Review, 2019
Introduction: Cleft lips and palates are among the most common congenital orofacial anomalies of the head and neck. Treatment of orofacial clefts is challenging, prolonged and delivered by multidisciplinary teams. The patient is typically treated from birth until adulthood. Dentist performance is indispensable for the treatment. This pathology affects several speech, swallowing and dentition implications. Case Report: Patient M.A.D. with complete right unilateral incisive pre-foramen cleft sought dental care. During clinical and radiographic examination, a good facial profile, passive lip sealing, Angle class I malocclusion and absence of the lateral incisor on the same side of the cleft were observed, but there was the presence of the pre-canine. The treatment without bone graft was planned through dental compensation with interceptive and corrective orthodontics and aesthetic reanatomization of the canine. After orthodontic treatment, there was a 3.24 mm diastema between the canine and distal pre-canine mesial. To maintain the proportionality between the teeth, composite resin veneers were made in the upper anterior teeth with increased incisal third. Conclusion: The dental compensation through orthodontics and the confection of the direct veneers in composite resin by operative dentistry were essential in order to obtain the final result extremely satisfactory through conservative treatments.
Journal of Indian Orthodontic Society, 2018
irregularly and backwardly placed upper front teeth and difficulty in chewing from the left side. Relevant medical history revealed the surgery for lip repair at the age of 6 months and surgery for palate repair at the age of 2 years along with speech therapy for the correction of speech disorder. Further, she presented with a concave profile, competent lips, Class III skeletal base with midfacial deficiency, constricted maxillary arch, oronasal communication on the left side, and growth pattern toward the vertical side with Class I molar relation on both sides along with crowding in the upper arch. She had multiple carious teeth present due to poor oral hygiene. Clinical examination and orthopantomogram (OPG) revealed that dentition was mixed. The patient was treated with chin cup therapy along with expansion of maxillary arch with the help of quad helix Indian Board of Orthodontics Case Report
Esthetic and functional rehabilitation in patients with cleft lip and palate
Annals of Maxillofacial Surgery, 2015
Oral rehabilitation of missing teeth in cleft patients has acceptable success rates. A two-stage approach is indicated; however, timing of implant placement in the grafted maxilla varies within existing protocols. This case highlights successful implant osseointegration and esthetic oral rehabilitation following placement of two implants at 5 months after maxillary grafting (alveolar bone grafting) with a corticocancellous block obtained from the iliac crest. A 31-year-old male patient had already undergone repair of his bilateral cleft lip and soft palate according to established guidelines for cleft patients. Initial closure of his alveolar clefts and further correction of the maxillary hypoplasia with a bi-maxillary osteotomy were completed in 2002. However, bone resorption due to infection in 2003 necessitated removal of all maxillary incisors. The patient was not satisfied with the removable partial denture provided. In 2007, he did undergo anterior maxillary augmentation under general anesthesia, and 5 months later two implants were placed. A 3-unit bridge did replace functional and esthetic demands. Postoperative recovery was uneventful, and overall bone loss, and oral health remain within standards 28 months following implant placement. Optimal outcome is achievable when replacing missing teeth in cleft patients when timing does not exceed approximately a 6-month interval from bone grafting to implant placement. This article demonstrates that overall esthetic and functional rehabilitation is feasible in cleft lip and palate patients. In this patient, overall oral treatment was achieved with an implant prosthesis.
The role of general dentists in the management of cleft lip and palate patients
Faculty Dental Journal, 2013
The management of children with cleft lip and palate (CLP) presents many challenges, and effective management involves a multidisciplinary treatment approach, which is now considered the standard of care for these patients. Patients with CLP generally require extensive and prolonged orthodontic treatment and this can be at any stage from birth to young adult age.