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

Abstract

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

Prosthodontic Rehabilitation of a Completely Edentulous Cleft Palate Patient using an Unconventional Complete Denture-A Case Report

“…The use of a relined obturator is mainly indicated when the palatal defect is highly retentive, or when such a defect is very extensive or covered by an inadequately keratinized gingiva. By contrast, rigid obturators should only be used for small defects covered by keratinized gingiva [7].…”

Protesa obturator definitif resin akrilik pada pasien systemic lupus erythematosus (SLE) pasca maksilektomi

“…Pembuatan obturator definitif pada kasus total edentulous dilakukan sama halnya dengan pembuatan gigi tiruan lengkap dimana dibutuhkan pengukuran vertikal dimensi dan penetapan oklusi sentrik. 13 Penentuan vertikal dimensi dan relasi sentrik yang tepat akan mempengaruhi kualitas mastikasi pasien.…”

“…Sebelum dilakukan insersi obturator definitif perlu dilakukan try in terlebih dahulu agar plat gigi tiruan tidak menimbulkan tekanan, iritasi ataupun rasa sakit pada defek. 13 Sama halnya dengan obturator pasca bedah, retensi pada obturator definitif ini didapatkan melalui ikatan kawat stainless antara baseplate dengan titanium wire mesh. Evaluasi pasien setelah menggunakan protesa obturator definitif resin akrilik menunjukkan adanya perbaikan fungsi fonetik, estetik, pengunyahan, serta penelanan.…”

Prosthodontic Rehabilitation of a Completely Edentulous Patient With a Cleft Palate: A Case Report

“…Patients with palatal defects and complete edentulism present a unique challenge during the fabrication of complete dentures. So proper obturator and palatal extension of the complete dentures need to be carried out to fulfill functions of speech, deglutition, and mastication [4]. This case report presents the successful rehabilitation of a cleft palate patient with a complete denture.…”