Rehabilitation of a Patient with Cleft Lip and Palate with an Extremely Edentulous Atrophied Posterior Maxilla Using Zygomatic Implants: Case Report

2004 ◽  
Vol 41 (5) ◽  
pp. 571-574 ◽  
Author(s):  
Anh Viet Pham ◽  
Marcelo Abarca ◽  
Albert De Mey ◽  
Chantal Malevez
Keyword(s):  
Case Report ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Oral Implants ◽  
Alveolar Cleft ◽  
Dental Prostheses ◽  
Posterior Maxilla ◽  
Zygomatic Implants ◽  
Dental Rehabilitation

Objective This case report describes the clinical and surgical management of a patient with a unilateral alveolar cleft and associated extremely atrophied totally edentulous maxilla. Method Two zygomatic implants and four endosseous oral implants were placed under general anesthesia in a compromised maxilla to rehabilitate a 33-year-old patient with cleft lip and palate. The two specially designed zygomatic implants were utilized to avoid the need for bone grafting in the patient. The final prosthetic rehabilitation was an esthetic and functional maxillary overdenture prosthesis supported by implants. Results Preliminary results have shown how dental prostheses supported by endosseous implants in grafted alveolar cleft are a reliable possibility in the dental rehabilitation of this malformation. Conclusion The use of zygomatic implants may be considered a reliable alternative to more resource-demanding techniques such as bone grafting in patients with cleft palate.

scholarly journals A case report of elimination of alveolar cleft defects by secondary bone grafting

2020 ◽  
Vol 7 (10) ◽  
pp. 1591
Author(s):  
Charan Teja Vemagiri ◽  
Srikanth Damera ◽  
V. R. Chandrababu Pamidi ◽  
Siva Ganesh Pampana
Keyword(s):  
Case Report ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Alveolar Cleft ◽  
Iliac Bone Graft ◽  
Alveolar Bone Grafting ◽  
Successful Rehabilitation ◽  
Secondary Alveolar Bone Grafting

The secondary alveolar bone grafting is an integral component of contemporary rehabilitation of the patients with cleft lip and palate with alveolar defects. Iliac bone graft is frequent secondary graft used in the correction of alveolar defects. There is successful rehabilitation of osseous component post operatively.

Primary Alveolar Cleft Bone Grafting in Unilateral Cleft Lip and Palate

1999 ◽  
Vol 10 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Ronald R. Hathaway ◽  
Barry L. Eppley ◽  
Charles L. Nelson ◽  
A. Michael Sadove
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Cleft

Primary Alveolar Cleft Bone Grafting in Unilateral Cleft Lip and Palate

1999 ◽  
Vol 10 (1) ◽  
pp. 58-67 ◽  
Author(s):  
Ronald R. Hathaway ◽  
Barry L. Eppley ◽  
David K. Hennon ◽  
Charles L. Nelson ◽  
A. Michael Sadove
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Cleft

A Case Report of Multidisciplinary Treatment of an Adult Patient with Bilateral Cleft Lip and Palate

2014 ◽  
Vol 51 (6) ◽  
pp. 711-721 ◽  
Author(s):  
Tomohiro Fukunaga ◽  
Tadashi Honjo ◽  
Yuichi Sakai ◽  
Kiyo Sasaki ◽  
Teruko Takano-Yamamoto ◽  
...  
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Bone Grafting ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Treatment ◽  
Retention Period ◽  
Bilateral Cleft Lip ◽  
Palate Patient

This is a case report about the successful orthodontic treatment of a bilateral cleft lip and palate patient by using a combination of bone grafting and subsequent prosthodontic rehabilitation. An adult patient with a bilateral cleft lip and palate presented with a concave profile, anterior and lateral crossbite, a markedly deep overbite, and residual bilateral alveolar clefts. His jaw movement patterns were unstable and irregular due to his collapsed bite. Orthodontic treatment with bilateral bone grafting improved his concave profile by downward and backward rotation of the mandible within the freeway space, and optimum occlusion and functionally stable and smooth jaw movements were obtained. After a 6-year retention period, no skeletal relapse could be detected, and his occlusal stability was satisfactory.

scholarly journals A Case Report of Adult Unilateral Cleft Lip and Palate Treated with Closure of Wide Alveolar Cleft by le Fort I Osteotomy

2010 ◽  
Vol 20 (3) ◽  
pp. 258-265
Author(s):  
AYA HONDA ◽  
YOSHIYUKI BABA ◽  
KEIICHI KATAOKA ◽  
SHOICHI SUZUKI ◽  
KEIICHI MORITA ◽  
...  
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Alveolar Cleft ◽  
Le Fort I

Anterior Esthetic Rehabilitation of an Alveolar Cleft Using Novel Minimally Invasive Prosthodontic Techniques: A Case Report

2020 ◽  
pp. 105566562096470
Author(s):  
Tine Malgaj ◽  
Alja Plut ◽  
Andreja Eberlinc ◽  
Martina Drevenšek ◽  
Peter Jevnikar
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Clinical Report ◽  
Modified Technique ◽  
Alveolar Cleft ◽  
Clinical Procedures ◽  
Dental Prostheses ◽  
Fixed Dental Prostheses ◽  
Efficient Alternative ◽  
The Right

Missing lateral incisors are the most frequent dental disorder associated with cleft alveolus. When orthodontic closure of the edentulous space is not possible, more aggressive prosthodontic treatments are required. Contemporary resin-bonded fixed dental prostheses (RBFDPs) represent a promising, time-efficient alternative treatment with fewer biological complications. This clinical report proposes a modified approach to the esthetic rehabilitation of a patient with a complete unilateral cleft lip and palate on the left side and an incomplete cleft lip and alveolar cleft on the right side. Digital diagnostics, treatment planning, and clinical procedures involved in the fabrication of facially bonded RBFDPs are presented. This modified technique enables the concurrent replacement of lateral incisors and correction of the malformed central incisors as well as increasing the retention of the restorations.

scholarly journals A CASE REPORT OF ELIMINATION OF ALVEOLAR DEFECTS BY SECONDARY BONE GRAFTING.

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Charan Teja Vemagiri ◽  
Damera Srikanth ◽  
Chandrababu V ◽  
Siva Ganesh
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Iliac Bone Graft ◽  
Alveolar Bone Grafting ◽  
Successful Rehabilitation ◽  
Secondary Alveolar Bone Grafting

The secondary alveolar bone grafting is an integral component of contemporary rehabilitation of the patients with cleft lip and palate with alveolar defects. Iliac bone graft is frequent secondary graft used in the correction of alveolar defects. There is successful rehabilitation of osseous component post operatively.

A New Technique in Alveolar Cleft Bone Grafting for Dental Implant Placement in Patients With Cleft Lip and Palate

2017 ◽  
Vol 55 (2) ◽  
pp. 180-188 ◽  
Author(s):  
Vo Van Nhan ◽  
Le Van Son ◽  
Ta Anh Tuan ◽  
Nguyen Tai Son ◽  
Trinh Dinh Hai ◽  
...  
Keyword(s):  
Dental Implant ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Cleft ◽  
Implant Placement ◽  
The Mean ◽  
Width Measurements ◽  
A New Technique

Objective: To evaluate 2 iliac corticocancellous-block grafting techniques for dental implant placement in residual alveolar clefts. Design: Nonrandomized prospective clinical trial between March 2010 and December 2014. Setting: National Hospital of Odonto-Stomatology, Hanoi, Vietnam. Participants: Thirty-two patients (23 female, 9 male; mean age, 21.28 years; range, 16-31 years) with unilateral complete alveolar cleft after reconstructive surgery for cleft lip and palate (CLP). Interventions: Harvested iliac crest bone was cut into 2 corticocancellous blocks. The smaller block was adapted against the sutured nasal mucoperiosteum and overlaid with cancellous bone; the larger one overlapped the labial cleft margin and was fixed with screws. Endosteal dental implants were placed after 4 to 6 months, and final restorations were delivered 6 months later. Main Outcome Measures: Flap statuses were assessed clinically. Bone formation was assessed using the Enemark scale. Cone-beam computed tomography was used for graft height and width measurements. Implant health was assessed by the Misch criteria. Results: The mean postgrafting follow-up period was 36.7 ± 10.4 (range, 18-53) months. Three patients (9.4%) showed flap dehiscence but no infection 7 days after bone grafting. Twenty-nine patients (90.6%) had 75% to 100% bone fill (Enemark score of 1). The mean graft height and width were 11.4 ± 2.4 and 6.1 ± 1.0 mm, respectively. Sufficient bone for implant placement was noted in 29 patients (90.6%); the others required partially fixed prostheses. All implants functioned for at least 18 months. Conclusion: The proposed technique is reliable to reconstruct the alveolar cleft for implant placement in CLP patients.

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