scholarly journals A cantilever all-ceramic resin-bonded fixed dental prosthesis using digital technology for a patient with cleft lip and palate

2021 ◽  
Vol 21 (1) ◽  
pp. 7-10
Author(s):  
Yu Takaesu ◽  
Yusuke Taniguchi ◽  
Naoyuki Kaga ◽  
Kota Isshi ◽  
Hirofumi Kido ◽  
...  
Keyword(s):  
Digital Technology ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Prosthesis ◽  
Fixed Dental Prosthesis ◽  
All Ceramic

Modified PEEK Resin Bonded Fixed Dental Prosthesis for a Young Cleft Lip and Palate Patient

2016 ◽  
Vol 28 (4) ◽  
pp. 201-207 ◽  
Author(s):  
Efstathia Andrikopoulou ◽  
Panagiotis Zoidis ◽  
Ioli-Ioanna Artopoulou ◽  
Asterios Doukoudakis
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Prosthesis ◽  
Fixed Dental Prosthesis ◽  
Palate Patient

Transporte óseo alveolar intraoral en pacientes con hendiduras alveolares: serie de casos Intraoral alveolar bone transportation in alveolar cleft patients: case series

2018 ◽  
Vol 45 (4) ◽  
pp. 255-260
Author(s):  
Luis Gonzalez ◽  
Alberto Pedraza
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Average Distance ◽  
Case Series ◽  
Retrospective Case ◽  
Alveolar Cleft ◽  
Fixed Dental Prosthesis ◽  
Case Series Study ◽  
Bone Transportation

Introducción: El tratamiento de la hendidura alveolar, del paciente fisurado, permite un adecuado crecimiento facial. Los injertos óseos han sido el tratamiento ideal. Sin embargo la técnica de distracción osteogénica mediante transporte óseo alveolar intraoral ha demostrado ser muy predecible. Objetivo: Describir los resultados del cierre de la Hendidura alveolar, con la técnica de transporte óseo alveolar intraoral bifocal y trifocal en pacientes labio fisurados. Diseño: Estudio retrospectivo de serie de casos. Materiales y métodos: Fueron tratados 4 pacientes con hendidura alveolar unilateral, manejados con la técnica de transporte óseo alveolar intraoral bifocal y trifocal en el año 2008 al 2009, con un seguimiento hasta el año 2014. Todos los pacientes fueron tratados con un aparato Hyrax® (Dentaurum, Alemania) modificado. Resultados: El promedio de distancia del transporte óseo requerido fue de 9,75mm (rango de 15 mm a 9 mm). Se colocaron 5 implantes dentales rehabilitados con prótesis dental fija. Conclusión: El estudio de los casos clínicos demuestra una predictibilidadelevada así como un rango de éxito alto, en los individuos tratados conesta técnica. Por tal motivo el transporte óseo alveolar intraoral es una alternativa eficaz para el tratamiento de hendiduras alveolares extensas.Introduction: The management of alveolar cleft patients, allows an adequate facial growth in cleft lip and palate patients. Bone grafts have been the gold standard treatment. However, the technique of osteogenic distraction by intraoral alveolar bone transportation has proven to be highly predictable. Objective: To describe the results of alveolar cleft management with the intraoral bifocal and trifocal alveolar bone transportation technique in cleft palate patients. Design of study: Retrospective case series study. Materials and methods: 4 patients with unilateral alveolar cleft were treated with the bifocal and trifocal intraoral alveolar bone transportation technique from 2008 to 2009. The cases were followed up until 2014. All patients were treated with a modified Hyrax® (Dentaurum, Germany) device. Results: The average distance of bone transportation required was 9.75mm (range from 15mm to 9mm). 5 dental implants with fixed dental prosthesis were placed. Conclusion: Clinical cases study demonstrated a high predictability, as well as a high success ratein individuals treated with this technique. Therefore, intraoral alveolar bone transportation is an effective alternative for the management of extensive alveolar clefts.

Aesthetic Concepts and Interdisciplinary Approach in a Patient With Bilateral Cleft Lip and Palate and Missing Premaxilla: A Case Report

2020 ◽  
pp. 105566562096929
Author(s):  
Amara Abreu ◽  
Jimmy Londono ◽  
Aram Torosian ◽  
Jack Yu ◽  
Daniel Levy-Bercowski
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Case Reports ◽  
Young Male ◽  
Interdisciplinary Approach ◽  
Interdisciplinary Treatment ◽  
Bony Defect ◽  
Incisor Tooth ◽  
Fixed Dental Prosthesis ◽  
Bilateral Cleft Lip

The smile is an important part of the individual’s facial expression, it allows the communication of emotions and ideas. However, its aesthetics can be severely compromised in patients with cleft lip and palate due to multiple missing, malformed and malposed teeth, abnormal soft tissue morphology, upper lip scar tissue, and altered anatomy in the lower third of the face. This clinical case reports the interdisciplinary treatment approach of a young male patient with complete bilateral cleft lip and palate and missing premaxilla. Prosthodontic rehabilitation included a zirconia-based fixed dental prosthesis, with pink porcelain to camouflage the bony defect and restore the facial and dental aesthetics. Maxillary second premolars received lithium disilicate crowns to obtain a more harmonious smile line and adequate occlusion. A resin-bonded fixed partial denture restored a missing mandibular central incisor. Tooth proportions, gingival contours and facial ratios routinely used in noncleft patients, were used to achieve a consonant smile. The final restorations satisfied the patient’s expectations, restored an aesthetically pleasant smile, and provided an adequate occlusion.

Intraoral Digital Impression for Speech Aid/Obturator in Children: Report of 2 Cases

2021 ◽  
pp. 105566562110026
Author(s):  
Amara Abreu ◽  
Maria Helena Lima ◽  
Eric Hatten ◽  
Laura Klein ◽  
Daniel Levy-Bercowski
Keyword(s):  
Adverse Effect ◽  
Case Report ◽  
Young Children ◽  
Digital Technology ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Repair ◽  
Digital Impression ◽  
Clinical Use ◽  
Obturator Prosthesis

Cleft patients may develop an abnormal opening (fistula) between the oral and the nasal cavities. Surgical repair minimizes the adverse effect on speech and feeding. However, an obturator prosthesis is a nonsurgical approach to help close the communication. The purpose of the case report presented is to show the clinical use of an intraoral digital impression in the fabrication of obturator/speech aid appliances in children with cleft lip and palate deformity. Minimal adjustments were needed, and patients and caregivers responded positively. Prostheses demonstrated good stability and retention at delivery. The use of digital technology seems to have several benefits as an alternative method for capturing impressions, especially in young children with cleft lip and palate deformity.

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

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