Dentoalveolar reconstruction of a missing premaxilla using bone graft and endosteal implants

Prosthodontic Rehabilitation of a Residual Post-surgical Cleft Defect

Cleft lip/palate is a common birth defect globally, and the impact of this condition on the dental health of affected individuals can be profound. During intricate rehabilitation of cleft lip and palate patients, the final phase is achieved with definitive prosthodontic treatment. Prosthodontic rehabilitation is often necessary due to missing teeth and the alveolar ridge, malocclusion, residual defects, and the discrepancy between maxillary and mandibular arches. This article presents a case report of a young female patient with residual post-surgical cleft palatal defect having a mobile anterior segment with missing lateral incisors rehabilitated by a cast partial denture. The prosthesis utilized provided improvements in the patient's speech and esthetics but at a low level of cost and ongoing maintenance.

[Implant therapy for bone loss in the premaxillar part of the bilateral cleft lip and palate patient]

PATIENT

A 19-year-old female patient presented to our hospital for orthodontic treatment. She had a bilateral cleft lip and palate and had lost bone on premaxilla and both sites of central and lateral incisor teeth. She received a bone graft from ilium and prosthetic treatment supported by dental implants.

DISCUSSION

After 3 year's observation, bone volume of the premaxilla showed no significant change and masticatory efficiency was improved.

CONCLUSION

Bone graft and implant prosthesis were effective for the patient with bilateral cleft lip and palate who lost the incisor teeth and bone of the premaxilla.