Atormac
Home  -  About us  -  Editorial board  -  Search  -  Ahead of print  -  Current issue  -  Archives  -  Instructions  -  Subscribe  -  Contacts  -  Advertise - Login 
 
 
     
CASE REPORT - DEVELOPMENTAL DEFECT
Year : 2015  |  Volume : 5  |  Issue : 1  |  Page : 108-111

Esthetic and functional rehabilitation in patients with cleft lip and palate


1 Private Practice, Al. Mihailidi 9, Thessaloniki 54640, Greece
2 Maxillofacial Surgeon, Maxillofacial Unit, Great Ormond Street Hospital, London, United Kingdom
3 Prosthodontist, University College London Hospitals, London, United Kingdom
4 University College Hospital, London, United Kingdom

Correspondence Address:
Vasilios A Bousdras
Maxillofacial Surgeon, Private Practice, Al. Mihailidi 9, Thessaloniki 54640
Greece
Login to access the Email id


DOI: 10.4103/2231-0746.161109

PMID: 26389047

Rights and Permissions

Oral rehabilitation of missing teeth in cleft patients has acceptable success rates. A two-stage approach is indicated; however, timing of implant placement in the grafted maxilla varies within existing protocols. This case highlights successful implant osseointegration and esthetic oral rehabilitation following placement of two implants at 5 months after maxillary grafting (alveolar bone grafting) with a corticocancellous block obtained from the iliac crest. A 31-year-old male patient had already undergone repair of his bilateral cleft lip and soft palate according to established guidelines for cleft patients. Initial closure of his alveolar clefts and further correction of the maxillary hypoplasia with a bi-maxillary osteotomy were completed in 2002. However, bone resorption due to infection in 2003 necessitated removal of all maxillary incisors. The patient was not satisfied with the removable partial denture provided. In 2007, he did undergo anterior maxillary augmentation under general anesthesia, and 5 months later two implants were placed. A 3-unit bridge did replace functional and esthetic demands. Postoperative recovery was uneventful, and overall bone loss, and oral health remain within standards 28 months following implant placement. Optimal outcome is achievable when replacing missing teeth in cleft patients when timing does not exceed approximately a 6-month interval from bone grafting to implant placement. This article demonstrates that overall esthetic and functional rehabilitation is feasible in cleft lip and palate patients. In this patient, overall oral treatment was achieved with an implant prosthesis.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1508    
    Printed51    
    Emailed0    
    PDF Downloaded361    
    Comments [Add]    
    Cited by others 2    

Recommend this journal