Conventional prosthodontic management of partial edentulism with a resilient attachment-retained overdenture in a patient with a cleft lip and palate: A clinical report

Acharya, Varun; Brecht, Lawrence E.

doi:10.1016/j.prosdent.2013.11.007

Cited by 18 publications

(24 citation statements)

References 9 publications

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“…The literature shows that combined prosthetic modalities are the most frequently used type of prosthetic constructions 9 . Several authors presented treatment approaches in their case reports on cleft lip and palate patients using root copings, modified Dolder bar attachment, conus crown system, modified crowns and removable partial dentures 5 , overlay dentures retained with microextracoronar resilient attachments 10 and after obtaining stabile occlusion with orthodontic treatment a fixed partial dentures veneered with composite 11 .…”

Section: Discussionmentioning

confidence: 99%

Fixed prosthetic treatment in patients with cleft lip and palate

Bajevska

Bajevska²,

Bajevska-Stefanovska³

2017

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Introduction. The prosthetic treatment of patients with cleft palate includes various treatment options such as fixed partial dentures, removable partial prosthesis, etc. The type of prosthetic appliance is determined by the oral health of each individual and the circumstances. We presented three adult patients with the cleft lip and palate subjected to prosthetic treatment. Case report. From the possible prosthetic solutions according to the conditions in the oral cavity and the circumstances, fixed partial dentures veneered with composite or ceramic were chosen. A proper relationship between the teeth was reached with the fixed partial dentures, and function established, the phonetics improved and satisfying aesthetics effect accomplished improving the profile appearance of the patient's face. Plastic surgery of the nose was performed after that. Conclusion. Multidisclipinary treatment is necessary for favourable long-term outcome in cleft lip and palate patients.Uvod. Protetsko lečenje pacijenata sa rascepom nepca uključuje različite opcije kao što su fiksne parcijalne proteze, parcijalne pokretne proteze i tako dalje. Tip protetskog aparata zavisi od oralnog zdravlja svake osobe pojedinačno, kao i od okolnosti. Prikazana su tri odrasla pacijenta sa heilognatopalatoshizom koji su zbrinuti protetski. Prikaz bolesnika. Od mogućih protetskih rešenja, u zavisnosti od uslova u usnoj duplji, izabrano je da se urade mostovne konstrukcije, fasetirane sa kompozitom ili keramikom. Sa mostovnom konstrukcijom uspostavljeni su međusobni odnosi zuba, postignuta je pravilna funkcija, poboljašala se fonetika, omogućena je zadovoljavajuća estetika i postignut je zadovoljavajući profilni izgled lica pacijenata. Usledila je plastična operacija nosa. Zaključak. Za povoljan dugoročni ishod lečenja bolesnika sa rascepom nepca i usne neophodan je multidisciplinarni pristup.

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Section: Discussionmentioning

confidence: 99%

Fixed prosthetic treatment in patients with cleft lip and palate

Bajevska

Bajevska²,

Bajevska-Stefanovska³

2017

VOJNOSANIT PREGL

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“…7 The 3-dimensional (3D) structures of the cleft defect lead to both soft and hard tissue deficiencies. For adult patients, the most effective treatment methods for facial esthetic improvement include orthodontic surgery and prosthodontic management.…”

Section: Discussionmentioning

confidence: 99%

“…For patients who are dissatisfied with their esthetic appearance or function, whether they have had orthodontic and surgical treatment or not, prosthodontic intervention is often required. 7 Otherwise, it is difficult to achieve complete oral rehabilitation using only orthognathic surgery in some older patients 3 who have oronasal fistula, loss of maxillary anterior alveolar bone and teeth, reverse articulation, concave facial contour, or other deformities. Prosthodontic rehabilitation methods include partial removable dental prostheses (PRDPs), partial fixed dental prostheses (FDPs), adhesive partial fixed dental prostheses, and implant-supported prostheses.…”

Section: Discussionmentioning

confidence: 99%

Multidimensional esthetic evaluation of patients with a cleft lip and palate wearing a maxillary partial removable dental prosthesis: A 5-year retrospective study

Xing

Nie

et al. 2016

The Journal of Prosthetic Dentistry

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“…A potential disadvantage of such treatment, lack of adequate prosthesis retention, was a definite concern. The use of telescopic crowns cemented to natural teeth that serve as abutments for a removable 17,19 or a fixed 14 suprastructure has been previously reported. However, these alternatives are expensive and involve fixed copings cemented on natural teeth, more difficult to maintain in patients with poor hygiene as a result of the impossibility of removing the prosthesis for cleaning.…”

Section: Discussionmentioning

confidence: 99%

“…13 In many patients, fixed therapy 8,13,14 is not possible because of a large discrepancy between the hypoplastic maxilla and normal mandible, requiring some form of overdenture prosthesis that may be supported by remaining teeth, teeth and implants, or only implants. [15][16][17] An overdenture or overlay prosthesis is any removable dental prosthesis that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and/or dental implants. 18 In patients with most of their natural dentition, teeth can serve as abutments for overdenture retention.…”

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confidence: 99%