Fixed prosthetic treatment in patients with cleft lip and palate
Abstract
Introduction. The prosthetic treatment of patients with cleft palate includes various treatment options such as fixed partial dentures, removable partial prosthesis, etc. The type of prosthetic appliance is determined by the oral health of each individual and the circumstances. We presented three adult patients with the cleft lip and palate subjected to prosthetic treatment. Case report. From the possible prosthetic solutions according to the conditions in the oral cavity and the circumstances, fixed partial dentures veneered with composite or ceramic were chosen. A proper relationship between the teeth was reached with the fixed partial dentures, and function established, the phonetics improved and satisfying aesthetics effect accomplished improving the profile appearance of the patient’s face. Plastic surgery of the nose was performed after that. Conclusion. Multidisclipinary treatment is necessary for favourable long-term outcome in cleft lip and palate patients.
References
Meštrovic MM, Bagatin M, Poje Z. The incidence of orofacial clepts in Croatia in 1988−1998. Acta Stomatol Croat 2005; 39(1): 53−60. (Croatian)
Lopes JF, Pinto JH, de Almeida AL, Lopes MM, da Silva Dalben G. Cleft palate obturation with Brånemark protocol implant-supported fixed denture and removable obturator. Cleft Palate Craniofac J 2010; 47(2): 211−5.
Vukić-Čulafić B, Vučinić P, Ivić S, Petrović Đ. The relationship of the parameters of jaw and cranial bases in cheilognathopalatoschisis. Proceedings of the XLVI International Congress of Anthropological Society of Yugoslavia; 2007 May 29 − June 2; Apatin, Serbia. Novi Sad: Glasnik Antropološkog društva Srbije 2008; 43: 140−7. (Serbian)
Suvin M, Kosovel Z. Fixed prosthodontics. Zagreb: Školska knjiga; 1975. (Croatian)
Vojvodić D, Jerolimov V, Jokić DV, Lončar A. Oral Rehabilitation of the Patient with Cheilognathopalatoschisis. Acta Stomatol Croat 2000; 34(3): 329−30. (Croatian)
Ayna E, Başaran EG, Beydemir K. Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP): Two Cases Report. Int J Dent 2009; 2009: 515790.
Watanabe I, Kurtz KS, Watanabe E, Yamada M, Yoshida N, Miller AW. Multi-unit fixed partial denture for a bilateral cleft palate patient: a clinical report. J Oral Rehabil 2005; 32(8): 620−2.
Freitas JA, Almeida AL, Soares S, Neves LT, Garib DG, Trindade-Suedam IK, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 4: oral rehabilitation. J Appl Oral Sci 2013; 21(3): 284−92.
Kranjčić J, Žabarović D, Čelebić A, Mehulić K, Komar D, Vojvodić D. Prosthetic Modalities Used to Treat Cleft Palate Patients in a University Clinic. Year Review. Coll Antropol 2013; 37(2): 423−9.
Acharya V, Brecht LE. Conventional prosthodontic management of partial edentulism with a resilient attachment-retained overdenture in a patient with a cleft lip and palate: a clinical report. J Prosthet Dent 2014; 112(2): 117−21.
Bidra AS. Esthetic and functional rehabilitation of a bilateral cleft palate patient with fixed prosthodontic therapy. J Esthet Restor Dent 2012; 24(4): 236−44.
Moore D, McCord JF. Prosthetic dentistry and the unilateral cleft lip and palate patient. The last 30 years. A review of the prosthodontic literature in respect of treatment options. Eur J Prosthodont Restor Dent 2004; 12(2): 70−4.