Use of an esthetic overdenture as an alternative treatment in a patient with bilateral cleft lip and palate

Stable occlusion and a pleasing esthetic appearance are often difficult to achieve in patients with congenital defects and severe midfacial deficiencies. Conventional therapy, such as orthodontic treatment followed by orthognathic surgery, is often not sufficient to fully correct the dental and esth...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of prosthetic dentistry 2019-02, Vol.121 (2), p.200-205
Main Authors: Levy-Bercowski, Daniel, Abreu, Amara, Londono, Jimmy, Haeberle, C. Brent
Format: Article
Language:English
Subjects:
Adolescent
Cleft Lip - therapy
Cleft Palate - therapy
Combined Modality Therapy
Dentistry
Denture, Overlay
Esthetics, Dental
Humans
Male
Malocclusion - therapy
Orthodontics, Corrective
Orthognathic Surgical Procedures
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Stable occlusion and a pleasing esthetic appearance are often difficult to achieve in patients with congenital defects and severe midfacial deficiencies. Conventional therapy, such as orthodontic treatment followed by orthognathic surgery, is often not sufficient to fully correct the dental and esthetic problems. An interdisciplinary approach for these patients should include prosthodontic treatment that will assist in establishing a harmonious occlusion and improve facial appearance. This clinical report describes the interdisciplinary approach for a young patient with a history of bilateral cleft lip and palate, spina bifida, hydrocephalus, and ventriculoperitoneal shunt. The patient was treated with conventional orthodontic treatment and orthognathic surgery that failed to fully correct the malocclusion. A removable overlay prosthesis made of crystallized acetyl resin was used to reestablish esthetics and create a stable occlusion.
ISSN:0022-3913
1097-6841
DOI:10.1016/j.prosdent.2018.04.015