Multidisciplinary Approach for Reestablishing Function and Aesthetic of Unilateral Cleft Lip Defect: A Case Report

2020 ◽  
pp. 105566562094656
Author(s):  
Catarina Borges da Fonseca Cumerlato ◽  
Cinthia Studzinski dos Santos ◽  
Mateus Bertolini Fernandes dos Santos ◽  
César Dalmolin Bergoli ◽  
Noéli Boscato

Cleft lip and/or cleft palate defects often result in a functional deficiency in the patient’s chewing, speech ability, and aesthetic appearance, usually demanding multidisciplinary effort for addressing the aesthetic and functional patient’s requirements. This clinical report describes the planned oral rehabilitation of a 46-year-old woman with unilateral cleft lip defect based on the patient’s peculiarities and age. Due to limitations concerning bone grafts and implant procedures, as well as orthodontic treatment, the prosthodontic rehabilitation using the metal-ceramic fixed partial denture was chosen. The treatment adequately reestablished the aesthetic and functional activities, positively impacting the patient’s quality of life.

2007 ◽  
Vol 44 (6) ◽  
pp. 673-677 ◽  
Author(s):  
Amara Abreu ◽  
Daniel Levy ◽  
Enrique Rodriguez ◽  
Irma Rivera

Objective: To report the oral rehabilitation of velopharyngeal insufficiency due to a congenital anatomic defect using an implant-retained speech-aid prosthesis. Case Report: A 65-year-old man with a diagnosis of complete unilateral cleft lip and palate on the left side with an unrepaired palate was examined. A removable partial denture with a speech bulb had been used for approximately 40 years. After primary care for gross caries and tooth mobility, an implant-retained obturator with a speech bulb was fabricated. Results and Conclusion: Improvement in mastication, speech, and velopharyngeal function was achieved with a satisfactory esthetic result.


Author(s):  
Vasilios Alevizakos ◽  
Gergo Mitov ◽  
Constantin von See

The aim of this case report is to describe the combining of a surgical guide with a temporary restoration to streamline the implant process. A 54-year-old male patient presenting partial edentulism underwent computer-aided template-guided implant placement for the replacement of the missing upper second right incisor. The presented technique was used during the surgical procedures; it introduced the integration of a surgical guide into the temporary fixed partial denture. Using computer-aided design, computer-aided manufacturing technology and virtual implant planning, a temporary-implantation fixed partial denture was constructed, and a guidance sleeve was implemented into it. The implant bed preparation was then performed using the bridge as a surgical guide. After osteotomy, the guidance sleeve within the bridge was sealed, and the bridge was temporarily incorporated for submerged healing of the implant. The usage of a temporary restoration as a surgical guide seems to make the digital workflow of guided implant placement more efficient, by achieving a representative clinical outcome.


Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.


2014 ◽  
Vol 24 (3) ◽  
pp. 250-253 ◽  
Author(s):  
Marina Rechden Lobato Palmeiro ◽  
Caroline Scheeren Piffer ◽  
Vivian Martins Brunetto ◽  
Paulo César Maccari ◽  
Rosemary Sadami Arai Shinkai

2014 ◽  
Vol 02 (01) ◽  
pp. 030-035
Author(s):  
Ambika Shrivastav ◽  
Siddarth Gupta

AbstractRehabilitation of patients with deficient Seibert's Class-III ridge mandibular ridge is always a challenge for a dentist. This article discusses the problems faced while rehabilitating such cases and also discusses the surgical and prosthetic management of one such case. A ridge augmentation procedure called as “Roll on Technique” was used to correct the contour of the ride. Fixed partial denture with altered framework design and tissue colored porcelain was used to complete the case. These simple but effective changes helped to give predictable esthetics with illusion of natural teeth.


2004 ◽  
Vol 92 (3) ◽  
pp. 220-223 ◽  
Author(s):  
Roberto Pellecchia ◽  
Ki-Ho Kang ◽  
Hiroshi Hirayama

Sign in / Sign up

Export Citation Format

Share Document