Multidisciplinary Approach in the Treatment of a Patient with Cleft Lip and Palate: A Case Report

Abstract

Treatment of the patient with cleft lip and palate represents a real problem from both functional and esthetic points of view. Today a functional result is not enough. An esthetic result is both necessary and possible to improve the quality of life. The direct placement of an implant in the grafted alveolar cleft is not the ideal choice. Using a rational, multidisciplinary approach, it is possible to obtain esthetic results in these patients. In our case study, a 17-year-old patient previously treated for a unilateral cleft lip and palate and agenesis of the right lateral incisor was given an osseointegrated implant. Computer-assisted dental design (Procera CAD/CAM software, Nobel Biocare AB, Gothenburg, Sweden) was used for the prosthetic rehabilitation, and the end of growth was determined prior to placing the implant. No sign of failure or mobility after loading has been detected at the time of this writing, 8 months after the procedure's completion, and the esthetic result is considered satisfactory by the patient and practitioners.

Comprehensive Multidisciplinary Management of Bilateral Cleft Lip and Palate

“…Managing bilateral CLP in patients with permanent dentition and over-retained deciduous teeth presents a complex scenario that requires a coordinated effort among orthodontists, oral surgeons, and prosthodontists. This situation demands a comprehensive treatment plan to address the challenges associated with dental alignment, occlusion, skeletal discrepancies, and prosthetic rehabilitation [ 7 ].…”

Knowledge and Attitude Among Various Dental Specialities Regarding Nasoalveolar Molding Procedure in Cleft Patients—A Cross-Sectional Study

“…The quality of care in cleft lip and palate must be viewed in terms of the final outcome of the total treatment plan rather than by considering the effect of any single treatment. Successful long-term outcomes depend on individualized, long-term treatment by educating parents and motivating them with the help of multidisciplinary team of experts in the field, from before birth through infancy, childhood, and adolescence to ensure comprehensive care (Abarca et al, 2004).…”

Multidisciplinary Approach for Esthetic, Functional, and Quality-of-Life Outcome in Soft Palate Cleft Patient

“…Today, a functional result is not enough. An esthetic result is both necessary and possible to improve the quality of life (Abarca et al, 2004). Inadequate lip support of the patient was tolerated by means of an overdenture prosthesis which enabled improved stability and retention.…”

“…This condition frequently accompanies such disorders as cleft palate, congenital paralysis of the soft palate, and cerebrovascular disease. Cleft lip and palate is the most frequent congenital craniofacial deformity, with a mean prevalence of between 1:500 and 1:700 in Europe (Sinko et al, 2005) and 1:1000 in the world (Abarca et al, 2004). Treatment of velopharyngeal incompetence includes both surgical and prosthetic procedures (Ueda et al, 2002).…”