Oral Rehabilitation of a Patient with Complete Unilateral Cleft Lip and Palate Using an Implant-Retained Speech-Aid Prosthesis: Clinical Report

Abreu, Amara; Levy, Daniel L.; Rodríguez, E. Alonso; Rivera, Irma Nelly Gutierrez

doi:10.1597/06-169.1

Cited by 35 publications

(42 citation statements)

References 22 publications

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“…5(12), 1175-1181 1176 proper velopharyngeal closure (velopharyngeal insufficiency), lack of neuromuscular competence in the movement of velopharyngeal structures (velopharyngeal incompetence) or as a consequence of mislearning or maladaptive velopharyngeal function not related to physical or neuromuscular problems resulting in velopharyngeal deficiency [3] One of the consequences of Velopharyngeal insufficiency is airflow escape and hypernasality which can be distinguished by speech and nasal resonance abnormalities, while secondary effects are disorders in speech articulation. [4] Prosthetic management of velopharyngeal insufficiency is carried out by means of a pharyngeal obturator which is a removable maxillary prosthesis used to restore the soft palatal defect . [5] A pharyngeal obturator is a removable maxillary prosthesis with posterior extension used to restore the soft palatal defect and to separate the nasopharynx and oropharynx during a function to ensure proper velopharyngeal closure.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

Velopharyngeal Dysfunction: A Systematic Review of Major Instrumental and Auditory-Perceptual Assessments.

Elkady¹,

Michael²,

Fayyad³

2017

IJAR

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Section: Issn: 2320-5407mentioning

confidence: 99%

Velopharyngeal Dysfunction: A Systematic Review of Major Instrumental and Auditory-Perceptual Assessments.

Elkady¹,

Michael²,

Fayyad³

2017

IJAR

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“…Osseointegration of dental implants is a valuable alternative for obtaining an increased mechanical retention, a strong support base, and an effective stabilization of the removable prosthesis that at times supports an obturator 1,16,26 (cf. clinical case n°3 Figs.…”

Section: • Indicationsmentioning

confidence: 99%

Prosthetic rehabilitation of the sequelae of labio-maxillo-palatal clefts: end of the growth period and evolution

Bichet¹,

Molé²,

Weissenbach³

et al. 2012

J Dentofacial Anom Orthod

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With an average frequency of 1/800 births in France, labio-maxillo-palatal clefts (LMPC) are among the most frequent congenital malformations. They raise functional, esthetic, psychological and socio-familial problems that must be managed with an interdisciplinary approach. Within the medical team, the dentist must, by way of prosthetic restorations, compensate for certain sequelae and deficiencies. According to the severity of the case and the success of the treatments, the typical restoration can be limited to replacing the missing lateral incisor, or the restoration may require undertaking comprehensive treatments involving a much more specialized arsenal of surgical and prosthetic procedures. KEY WORDS

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“…In general, edentulous patients with a cleft lip and a palatal defect show a lack of retention of obturator prostheses due to their weight and the inability to achieve a proper sealing of the defect. Osseointegrated implants have been a successful alternative, allowing dentists to provide satisfactory prosthetic rehabilitation in comparison with conventional treatments (8)(9)(10). Dental implants, when properly prescribed, have been increasingly used as an alternative to conventional dentures and provide an improvement in the stability, retention, and function of the prosthesis.…”

Section: Case Reportmentioning

confidence: 99%

Prosthetic rehabilitation of an edentulous cleft palate using a denture with a palatal obturator: a clinical report

Montero¹,

Macedo²,

Rodríguez³

et al. 2011

J Clin Exp Dent

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A cleft palate is a genetic disorder that occurs when an oro-nasal communication is present between the palate and the base of the nose. During pregnancy, the maxillary is not completely merged, and the defect is only seen at birth. Possible causes are hormonal imbalances, nutritional deficiencies, infections, radiation during pregnancy, alcohol or cigarette consumption, the ingestion of other teratogenic substances by the mother, and heredity. The resulting defect requires corrective surgery. In the case of a cleft palate, surgery is postponed until after the first year of life to avoid disturbing the normal development of speech and the risk of aspiration of food, which causes infections such as otitis and pneumonia. Ear infections can harm the development of speech in cases where surgery is not possible or the defect has reappeared. This article describes the prosthetic rehabilitation of a edentulous patient: a woman of 53 years old with a cleft palate who was treated surgically. In a clinical examination, a residual palatal defect was identified. The prosthetic rehabilitation involved the emplacement of a complete adapted prosthesis, using a palatal obturator, with a view to sealing the defect and allowing the patient to acquire better speech quality, and improve her nutrition and well-being.Key words: complete denture, cleft palate, cleft lip, obturator.Montero J, Macedo C, Rodriguez M, López-Valverde A, Gómez de Diego R, Albaladejo A, Del Castillo R, Maroto J. Prosthetic rehabilitation of an edentulous cleft palate using a denture with a palatal obturator: a clinical report. J Clin Exp Dent. 2011;3(Suppl1):e365-8

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Oral Rehabilitation of a Patient with Complete Unilateral Cleft Lip and Palate Using an Implant-Retained Speech-Aid Prosthesis: Clinical Report

Abstract: Improvement in mastication, speech, and velopharyngeal function was achieved with a satisfactory esthetic result.

Cited by 35 publications

References 22 publications

Velopharyngeal Dysfunction: A Systematic Review of Major Instrumental and Auditory-Perceptual Assessments.

Velopharyngeal Dysfunction: A Systematic Review of Major Instrumental and Auditory-Perceptual Assessments.

Prosthetic rehabilitation of the sequelae of labio-maxillo-palatal clefts: end of the growth period and evolution

Prosthetic rehabilitation of an edentulous cleft palate using a denture with a palatal obturator: a clinical report

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