scholarly journals Prosthetic Rehabilitation of Cleft Lip Palate with Andrews Bridge Modified as Obturator Prosthesis: Case Report

2020 ◽  
Vol 24 (1) ◽  
pp. 57-61
Author(s):  
Almina Murić ◽  
Demet Cagil Ayvalioglu ◽  
Bilge Gokcen Rohlig
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Radiographic Evaluation ◽  
Congenital Defects ◽  
Prosthetic Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Cleft Lip Palate

SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.

scholarly journals Compensation orthodontic treatment of an adult patient with bilateral cleft lip and palate clip. Case Report

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Otto Madrid ◽  
Isabel-Cristina Jaramillo ◽  
Habib Barhoum
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Clinical Case ◽  
Cleft Lip And Palate ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Palate ◽  
Fixed Appliances ◽  
The University

Clinical case of a 28 year old patient with bilateral cleft lip palate, who was treated during a period of 5 years and 4 months, at the University of Valle postgraduate orthodontic’s clinic of lip and palate, is presented. The patient had undershot jaw, severe mandibular macrognatismo, molar malocclusionclass I and class II right and left, accompanied by severe recumbent and mild retrusión of upper incisors and lower and, multiple malposition and impaction tooth 12. A non - surgical orthodontic plan compensation was developed and accompanied by an initial mandibular treatment, orthopedic expansion and corrective orthodontic treatment, using fixed appliances such as standard braces slot 0.22x0.028 inches, extractions of lower first premolars, typing canines as lateral incisors as well as rehabilitation of the upper front teeth. Satisfactory results were obtained in terms of aesthetic and functional occlusion. Key words: Cleft lip, cleft palate, orthodontic treatment of compensation, bilateral cleft lip and palate.

scholarly journals Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP): Two Cases Report

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Emrah Ayna ◽  
Emine Göncü Başaran ◽  
Köksal Beydemir
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Infectious Agents ◽  
Prosthetic Rehabilitation ◽  
Removable Partial Denture ◽  
Anterior Maxilla ◽  
Partial Denture ◽  
Prosthetic Reconstruction ◽  
Fixed Partial Denture ◽  
Reinforced Composite

Although patients with cleft lip and palate (CLP) are not seen regularly in general dental practice, this is a frequent congenital anomaly; approximately one in every 800 live births results in a CLP. The cause of CLP is unknown, but possible causes are malnutrition and irradiation during pregnancy, psychological stress, teratogenic agents, infectious agents (viruses), and inheritance. Most clefts are likely caused by multiple genetic and nongenetic factors. Prosthetic reconstruction of the anterior maxilla is important for these patients. This paper describes the prosthetic rehabilitation of two patients with CLP, 19-year-old and 21-year-old women, both with surgically treated CLP. In both, an examination revealed a residual palatal defect of  mm and missing maxillary lateral incisors. The 19-year-old was treated with a fiber-reinforced composite resin-bonded fixed partial denture. The 21-year-old was treated with a removable partial denture with an extracoronal attachment system. The prosthetic rehabilitation of the two patients with CLP was evaluated clinically. In both, well-planned prosthetic, periodontal, and surgical therapy resulted in satisfactory function and esthetics, alleviating their deformities. With education and appropriate recall, the patients should be able to maintain their oral health.

scholarly journals Prosthodontic Rehabilitation with Onlay Removable Partial Denture: a Case Report

2017 ◽  
Vol 1 ◽  
Author(s):  
Chang Wei Zhi ◽  
Ho Ting Khee
Keyword(s):  
Case Report ◽  
Occlusal Surface ◽  
Occlusal Plane ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Removable Prosthesis ◽  
Occlusal Vertical Dimension ◽  
Abutment Teeth

<p class="AbstractContent">Restoring occlusal plane and occlusal vertical dimension (OVD) in patient with existing indirect restorations who must wear removable prostheses may be a challenge to the dental operator. Onlay removable partial dentures (RPD) are used to re-establish the occlusion in conjunction to replace missing teeth without having to remove the existing indirect restoration. This case report described prosthetic rehabilitation with onlay RPD in patients who were partially edentulous and has reduced OVD. The treatment involved a set of provisional RPD to re-establish the OVD, as well as to evaluate the function, esthetic and speech of the patient, followed by definitive onlay RPD. The mandibular onlay RPD was used to provide stable occlusion and to correct the uneven occlusal surface on the abutment teeth. This treatment able to improve patient’s chewing function through a simple removable prosthesis and conservative on the existing restorations.</p>

Oral Rehabilitation of a Patient with Complete Unilateral Cleft Lip and Palate Using an Implant-Retained Speech-Aid Prosthesis: Clinical Report

2007 ◽  
Vol 44 (6) ◽  
pp. 673-677 ◽  
Author(s):  
Amara Abreu ◽  
Daniel Levy ◽  
Enrique Rodriguez ◽  
Irma Rivera
Keyword(s):  
Primary Care ◽  
Case Report ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Velopharyngeal Insufficiency ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Velopharyngeal Function

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.

scholarly journals The Correction of Maxillary Deficiency with Internal Distraction Devices: A Multidisciplinary Approach

2013 ◽  
Vol 14 (5) ◽  
pp. 957-962
Author(s):  
A Alper Öz ◽  
Mete Özer ◽  
Lütfi Eroglu ◽  
Oguz Suleyman Özdemir
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Multidisciplinary Approach ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Treatment ◽  
Multidisciplinary Care ◽  
Cleft Lip Palate ◽  
Maxillary Deficiency ◽  
Internal Distraction

ABSTRACT Aim The purpose of this case report is to present the orthodontic, surgical and restorative treatments in the case of an operated cleft lip and palate and severe maxillary deficiency in a 14-year-old female patient. Background Only orthodontic treatment could be inefficient for cleft lip and palate patients characterized with maxillary hypoplasia. Orthodontic and surgical treatment shows sufficient results, especially with severe skeletal deficiency. Case report A cleft lip and palate patient required complex multidisciplinary treatment to preserve health and restore esthetics. Dental leveling and alignment of the maxillary and mandibular teeth were provided before the surgery. Maxillary advancement and clockwise rotation of the maxillary-mandibular complex was applied by a Le Fort 1 osteotomy with two internal distraction devices. After the active treatment including orthodontic treatment and orthognathic surgery, upper full mouth ceramic restoration was applied. Conclusion This report shows the efficiency of internal distraction devices in cleft lip palate patients and exemplifies the multidisciplinary care required for such difficult cases. Clinical significance Stable improved occlusion and skeletal relations were observed after a follow-up examination period of 12 months. How to cite this article Öz AA, Özer M, Eroglu L, Özdemir OS. The Correction of Maxillary Deficiency with Internal Distraction Devices: A Multidisciplinary Approach. J Contemp Dent Pract 2013;14(5):957-962.

scholarly journals Andrew's Bridge: Achieving Esthetics with a Prosthetic Alternative-Managing Severe Anterior Ridge Defects in Operated Case of Cleft Lip and Palate

2016 ◽  
Vol 6 (4) ◽  
pp. 93-97
Author(s):  
Neha Hajira ◽  
Pulkit Khandelwal ◽  
HS Shashidhar ◽  
Harleen Sachdeva ◽  
Sumit Khare
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Class Iii ◽  
Missing Teeth ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Anterior Teeth ◽  
Preoperative Examination

ABSTRACT Reconstruction of large anterior ridge defects is often a prosthodontic challenge. Such defects require closure of the defect along with the replacement of the missing teeth so as to achieve proper speech and esthetics. Classifying these defects in the preoperative examination helps to diagnose and predict the prognosis and technical difficulties to be encountered. The aim and purpose of this case report is to describe the management of one such case with missing anterior teeth and severe anterior ridge defects. We also describe the process of fabrication of Andrew's bridge (a fixed-removable partial denture) to treat this Siebert's class III anterior ridge defect. How to cite this article Hajira N, Khandelwal P, Shashidhar HS, Sachdeva H, Khare S. Andrew's Bridge: Achieving Esthetics with a Prosthetic Alternative-Managing Severe Anterior Ridge Defects in Operated Case of Cleft Lip and Palate. Int J Prosthodont Restor Dent 2016;6(4):93-97.

scholarly journals Prosthetic Dentistry Possibilities In Patients With Cleft Deformities Of The Palate and Alveolar Ridge: A Case Report

2019 ◽  
Vol 7 (5) ◽  
pp. 275-281
Author(s):  
Albertas Kriauciunas ◽  
Alvydas Gleiznys ◽  
Oskaras Godvaišas
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Alveolar Ridge ◽  
Rare Presentation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
X Ray ◽  
Prosthetic Dentistry ◽  
Bone Damage

A 56 year old man presented with one-sided cleft palate, affecting alveolar ridge in the upper left canine region. Patient was unable to eat and drink without having the food fall out through his mouths opening into his nose. During first visit, patient underwent x-ray analysis to identify how deeply the bone damage has affected his maxilla. It revealed deep bone penetration, connecting the base of the nose with the mouth. We suggested one of the most effective methods for treating these types of cases – a removable partial denture, which was made to work as an obturator at the same time, closing the space, which causes difficulties to the patient. This case report represents a rare presentation and treatment of cleft palate by using removable partial dentures (RPDs) to close the gap, connecting the patient’s mouth with the nose structures.

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