An Alternative Prosthodontic Management of Maxillary Dentoalveolar Defect in a Patient With Cleft Palate and Lip: Case Report

Abstract

Cleft palate/lip is a frequently occurring congenital anomaly; one in every 800 births results in such a problem. Different treatment options are available for replacing missing soft and hard tissues, including removable dental prostheses, fixed dental prostheses (FDPs), and implant prostheses. In the literature, according to different authors, there are different option standard for prosthetic treatment of cleft palate/lip. Some authors report that removable prosthesis is the choice in such cases, some of them regard conventional tooth-supported FDPs as a standard of care. In this case report, the prosthetic treatment of congenital cleft palate/lip was described. Upon the choice of the patient and patient’s agreement, the direct construction Fibre-reinforced composite (FRC) adhesive bridge with pink composite gingival epithesis was performed.

Multidisciplinary treatment from infancy to adolescence of a patient with a unilateral cleft lip and palate: a 16-year follow-up case report

“…In addition, unlike the minimally invasive aesthetic procedure recommended by Malgaj et al, 11 the management protocol included a more restorative approach on healthy teeth adjacent to the missing tooth and can be clinically applied without the need for a rubber-dam. Compared to a case reported by Szmidt et al, 14 the applied modified Maryland bridge procedure incorporated fewer restorative demands on teeth adjacent to the cleft, although both options allowed treatment of the patient in a single appointment.…”

“…In addition, the ANB change produced a clinically acceptable profile. 38 Several previous studies have applied multidisciplinary treatment procedures and careful consideration 5,11,14 to manage CLP patients. [4][5][6]13,[34][35][36] Because of a lack of appropriate options to manage the anterior spaces found in CLP individuals, 11,39 the prosthodontic rehabilitation of affected patients presents significant challenges.…”

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

“…Several treatment modalities for replacing the missing lateral incisor in patients with CLP have been reported (Kurtulmus et al, 2007;Bidra, 2012;Balkaya et al, 2014;Canpolat et al, 2014;Levy-Bercowski et al, 2019;Szmidt et al, 2019). Although an orthodontic treatment presents the least-invasive treatment modality, esthetic limitations regarding canine color and shape irregularities in relation to the central incisor represent a major drawback (Ronchi et al, 1995;Wang et al, 2014).…”

“…In these cases, prosthodontic replacement of the lateral incisors is required after the orthodontic maintenance of the edentulous space. Prosthodontic treatment alternatives vary from removable (Kurtulmus et al, 2007;Balkaya et al, 2014;Levy-Bercowski et al, 2019) to fixed (Bidra, 2012;Canpolat et al, 2014;Szmidt et al, 2019) dental restorations. In younger patients, fixed dental restorations provide increased psychological satisfaction and should be considered if possible (Bidra, 2012).…”

Esthetic management of a patient with cleft lip and palate

“…Its etiology cannot be narrowed down to a single factor. It may be hereditary or seen in children of mothers with known malnutrition, irradiation, psychological stress, teratogenic agents, viral infections, etc [1]. CLP patients present with a myriad of problems from feeding at birth to skeletal, dental, and functional problems.…”