An innovative technique to restore velopharyngeal incompetency for a patient with cleft lip and palate
Identifieur interne : 002784 ( Main/Exploration ); précédent : 002783; suivant : 002785An innovative technique to restore velopharyngeal incompetency for a patient with cleft lip and palate
Auteurs : Manawar Ahmad [Inde] ; B. Dhanasekar [Inde] ; I N Aparna [Inde] ; Hina Naim [Inde]Source :
- BMJ Case Reports [ 1757-790X ] ; 2013-07-02.
English descriptors
- KwdEn :
- Alveolar ridge height, Case report, Cleft, Cleft palate, Complete prosthesis, Dent, Dental prosthesis, Easy adjustability, Expansion screw, Further permission, Gure, Horizontal direction upto, Incompetency, Innovative technique, Insertion, Intelligibility, Main advantage, Manipal, Master cast, Maxillary, Maxillary arch, Metal framework, Modelling plastic impression compound, Novel treatment, Orthodontic therapy, Palatal, Palatal extension, Palate, Palatopharyngeal, Palatopharyngeal part, Palatopharyngeal section, Palatophryngeal section, Perceptual analyses, Posterior extension, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthetic treatment, Prosthodontics, Resonance rating, Retrognathic maxilla, Same time, Soft palate, Soft palate movement, Speech hearing, Speech tests, Speech therapy, Velar, Velopharyngeal, Velopharyngeal incompetency, Vertical adjustment.
- Teeft :
- Alveolar ridge height, Case report, Cleft, Cleft palate, Complete prosthesis, Dent, Dental prosthesis, Easy adjustability, Expansion screw, Further permission, Gure, Horizontal direction upto, Incompetency, Innovative technique, Insertion, Intelligibility, Main advantage, Manipal, Master cast, Maxillary, Maxillary arch, Metal framework, Modelling plastic impression compound, Novel treatment, Orthodontic therapy, Palatal, Palatal extension, Palate, Palatopharyngeal, Palatopharyngeal part, Palatopharyngeal section, Palatophryngeal section, Perceptual analyses, Posterior extension, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthetic treatment, Prosthodontics, Resonance rating, Retrognathic maxilla, Same time, Soft palate, Soft palate movement, Speech hearing, Speech tests, Speech therapy, Velar, Velopharyngeal, Velopharyngeal incompetency, Vertical adjustment.
Abstract
Treatment of cleft lip and palate patients often demand well-coordinated work of medical and dental specialists. In spite of surgical and orthodontic therapy, prosthetic rehabilitation is always necessary because of partial anadontia, maxillary hypoplasia and velopharyngeal dysfuction. The aim of the prosthetic treatment is to improve aesthetics, function and speech of the patients; however, factors like underdeveloped and collapsed maxillary arch, retrognathic maxilla and reduced alveolar ridge height make the treatment challenging. This clinical report describes an interdisciplinary approach for the management of cleft lip and palate patient associated with mutilated dentition. The prosthetic phase began along with orthodontic treatment to achieve sufficient space distribution, which was restored with fixed dental prosthesis to stabilise the achieved status of occlusion. Palatal lift prosthesis was fabricated to restore the velopharyngeal incompetency with an innovative technique using ‘standard orthodontic expansion screw’ to eliminate hypernasality, decrease intelligibility of speech and to aid in deglutition.
Url:
- https://api.istex.fr/document/59CAB8EB5F236DB5169585243C73906A41253285/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3736618
DOI: 10.1136/bcr-2013-200174
Affiliations:
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In spite of surgical and orthodontic therapy, prosthetic rehabilitation is always necessary because of partial anadontia, maxillary hypoplasia and velopharyngeal dysfuction. The aim of the prosthetic treatment is to improve aesthetics, function and speech of the patients; however, factors like underdeveloped and collapsed maxillary arch, retrognathic maxilla and reduced alveolar ridge height make the treatment challenging. This clinical report describes an interdisciplinary approach for the management of cleft lip and palate patient associated with mutilated dentition. The prosthetic phase began along with orthodontic treatment to achieve sufficient space distribution, which was restored with fixed dental prosthesis to stabilise the achieved status of occlusion. Palatal lift prosthesis was fabricated to restore the velopharyngeal incompetency with an innovative technique using ‘standard orthodontic expansion screw’ to eliminate hypernasality, decrease intelligibility of speech and to aid in deglutition.</div></front></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Ahmad, Manawar" sort="Ahmad, Manawar" uniqKey="Ahmad M" first="Manawar" last="Ahmad">Manawar Ahmad</name></noRegion><name sortKey="Aparna, I N" sort="Aparna, I N" uniqKey="Aparna I" first="I N" last="Aparna">I N Aparna</name><name sortKey="Dhanasekar, B" sort="Dhanasekar, B" uniqKey="Dhanasekar B" first="B" last="Dhanasekar">B. Dhanasekar</name><name sortKey="Naim, Hina" sort="Naim, Hina" uniqKey="Naim H" first="Hina" last="Naim">Hina Naim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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