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FREITAS JADS, de ALMEIDA ALPF, SOARES S, NEVES LTD, GARIB DG, TRINDADE-SUEDAM IK, YAEDÚ RYF, LAURIS RDCMC, OLIVEIRA TM, PINTO JHN. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 4: oral rehabilitation. J Appl Oral Sci 2013; 21:284-92. [PMID: 23857655 PMCID: PMC3881907 DOI: 10.1590/1679-775720130127] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2013] [Revised: 03/13/2013] [Accepted: 03/14/2013] [Indexed: 11/22/2022] Open
Abstract
Treatment of patients with cleft lip and palate is completed with fixed prostheses, removable, total, implants and aims to restore aesthetics, phonetics and function and should be guided by the basic principles of oral rehabilitation, such as physiology, stability, aesthetics, hygiene and the expectations of the patient. In order to obtain longevity of a prosthetic rehabilitation, the periodontal and dental tissue as well as the biomechanics of the prosthesis are to be respected. The purpose of this article is to describe the types of prosthetics treatment, which are performed at HRAC/USP for the rehabilitation of cleft area in adult patients.
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Affiliation(s)
- José Alberto de Souza FREITAS
- DDS, MSc, PhD, Superintendent, Hospital for Rehabilitation of
Craniofacial Anomalies and Full Professor, Department of Stomatology, Bauru School of
Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Ana Lúcia Pompéia Fraga de ALMEIDA
- DDS, MSc, PhD, Assistant Professor, Department of Prosthodontics, Bauru
School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies,
University of São Paulo, Bauru, SP, Brazil
| | - Simone SOARES
- DDS, MSc, PhD, Assistant Professor, Department of Prosthodontics, Bauru
School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies,
University of São Paulo, Bauru, SP, Brazil
| | - Lucimara Teixeira das NEVES
- DDS, MSc, PhD, Assistant Professor, Department of Biological Sciences,
Bauru School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies,
University of São Paulo, Bauru, SP, Brazil
| | - Daniela Gamba GARIB
- DDS, MSc, PhD, Associate Professor of Orthodontics, Department of
Pediatric Dentistry, Orthodontics and Community Health, Bauru School of Dentistry and
Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru,
SP, Brazil
| | - Ivy Kiemle TRINDADE-SUEDAM
- DDS, MSc, PhD, Assistant Professor, Department of Biological Sciences,
Bauru School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies,
University of São Paulo, Bauru, SP, Brazil
| | - Renato Yassutaka Faria YAEDÚ
- DDS, MSc, PhD, Assistant Professor, Department of Stomatology, Bauru
School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies,
University of São Paulo, Bauru, SP, Brazil
| | | | - Thais Marchini OLIVEIRA
- DDS, MSc, PhD, Assistant Professor, Department of Pediatric Dentistry,
Orthodontics and Community Health, Bauru School of Dentistry and Hospital for
Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP,
Brazil
| | - João Henrique Nogueira PINTO
- DDS, MSc, PhD, Prosthodontist of the Dental Division of the Hospital for
Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP,
Brazil
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Abstract
The prosthetic treatments play a role in the rehabilitation of patients with congenital and acquired cleft palate. To prepare the surgical field and/or correct inevitable sequelae of the surgery, the rehabilitation with obturator prosthesis is an auxiliary or complementary treatment to surgical treatments. In cases where the surgical treatment is contraindicated, the prosthetic rehabilitation becomes a definitive treatment. The denture is planned and fabricated according to each patient. Therefore, the aim of this study was to discuss the prosthetic rehabilitation performed in patients with oronasal communication.
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