Dental rehabilitation of a cleft lip and palate patient by implant‐supported overdenture: A case report

Arshad, Mahnaz; Ameri, Narges; Heidari, Abdolreza; Shirani, Gholamreza

doi:10.1002/ccr3.3032

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…However, the available evidence is limited due to a lack of sufficient clinical studies [ 34 ]. Comparatively, implant survival rates in IODs and IFDs in patients with CLP are lower than those in non-cleft patients [ 35 ]. It has been recommended in the literature that a minimum of four to six splinted implants are needed to support a maxillary overdenture without palatal coverage [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Use of Individually Designed CAD/CAM Suprastructures for Dental Reconstruction in Patients with Cleft Lip and Palate

Mäntynen,

Laurila,

Strausz

et al. 2023

Dentistry Journal

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This patient series reports the outcomes of CAD/CAM prosthetic reconstructions in patients with cleft lip and palate (n = 9, aged 27 to 76) who have experienced significant failure with conventional restorative and fixed prosthodontic treatments. The objective of the protocol is to establish a functional and patient-friendly prosthetic structure for individuals with unilateral/bilateral cleft lip and palate (UCLP/BCLP) while minimising the requirement for specialised follow-up care in the cleft unit. The study data were obtained from a retrospective cohort at Helsinki University Hospital. Prosthetic reconstructions were performed using CAD/CAM bar structures by the Atlantis 2in1 system or Createch removable telescope structures, supported by four to eight maxillary dental implants. Out of the nine patients, seven experienced no complications. One prosthesis fracture occurred after 16 months due to a design error in the original framework, and one patient experienced failure of osseointegration in a dental fixture (specifically, one fixture out of the eight maxillary implants in this patient). In total, 56 implants were successfully placed. The maxillary dentition of elderly patients with cleft lip and palate often poses challenges due to periodontal and reconstructive issues. An implant-supported CAD/CAM bar with a removable telescope suprastructure offers an easily maintained and functional solution for dental rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Use of Individually Designed CAD/CAM Suprastructures for Dental Reconstruction in Patients with Cleft Lip and Palate

Mäntynen,

Laurila,

Strausz

et al. 2023

Dentistry Journal

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“…Combined fixed and removable prosthesis can also be successfully employed for anterior maxillary defect 7 . When only few natural teeth remain removable prostheses retained with telescopic attachments 8 or overdentures 9 provide satisfactory results in retention of the prosthesis. But the restoration of bone and soft tissue defect in the anterior region of the face poses aesthetic challenge in successful rehabilitation.…”

Section: Prosthetic and Implant Dentistrymentioning

confidence: 99%

Rehabilitation Of Anterior Maxillary Hypoplasia With Cleft Palate Using A Selectively Hollowed Complete Removable Prosthesis – A Case Report

Janardanan¹,

Chandran²,

Ayyappan³

et al. 2022

JPID

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Cleft palate is a congenital facial deformity that presents clinically with anterior maxillary hypoplasia, congenitally missing teeth, nasopalatal communication, anterior openbite and a constricted maxillary arch. Aesthetic and functional rehabilitation of cleft palate patient requires the use of a prosthesis that provides adequate support to the lip and reduces the problem of nasal regurgitation. This article describes the fabrication of a removable prosthesis that has been modified anteriorly by providing added thickness to the labial flange so as to increase the lip support. This flange has been hollowed out to reduce the weight of the prosthesis and also provides comfort and ease of use. The palatal plate evades nasal regurgitation and improves speech.

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“…Deciduous and permanent maxillary teeth are the most typically affected in terms of hypodontia [6], with the maxillary lateral incisor on the cleft side having the greatest predilection for hypodontia among CLP patients [7,8]. Subjects with CLP encounter a wide range of physiological and esthetic difficulties which could also affect their social well-being [9,10]. The management of CLP is multidisciplinary and must be rendered starting at the right time.…”

Section: Introductionmentioning

confidence: 99%

Resin-bonded fixed partial denture as a cost-effective prosthesis for missing maxillary lateral incisor in a cleft lip and palate patient: a case report

Rayavarapu¹,

Sajjan²,

Mantena³

et al. 2022

IJDM

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Literature suggests 66.7% of dental abnormalities among patients with cleft lip and palate (CLP). Besides posing functional difficulties, dental anomalies also raise significant aesthetic concerns among these patients, especially with missing teeth in the anterior region. Among various treatment choices like a removable partial denture, fixed and implant treatments available in the prosthetic rehabilitation of missing teeth in CLP subjects, Maryland bridges offer a conservative and cost-effective alternative in short-span edentulous spaces while carrying the advantages of supragingival marginal preparations and less intensive working times. The availability of advanced self-etch adhesive systems that chemically bond to both the tooth and metal surfaces offer these prostheses more longevity. This case report presents the fabrication of a resin-bonded fixed partial denture in the prosthetic rehabilitation of a missing maxillary lateral incisor in a 23-year-old female patient with CLP who was unwilling for orthodontic care.

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Dental rehabilitation of a cleft lip and palate patient by implant‐supported overdenture: A case report

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 3 publications

References 10 publications

Use of Individually Designed CAD/CAM Suprastructures for Dental Reconstruction in Patients with Cleft Lip and Palate

Use of Individually Designed CAD/CAM Suprastructures for Dental Reconstruction in Patients with Cleft Lip and Palate

Rehabilitation Of Anterior Maxillary Hypoplasia With Cleft Palate Using A Selectively Hollowed Complete Removable Prosthesis – A Case Report

Resin-bonded fixed partial denture as a cost-effective prosthesis for missing maxillary lateral incisor in a cleft lip and palate patient: a case report

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