Prosthetic rehabilitation of a patient with bilateral cleft lip and palate using osseointegrated implants and extracoronal resilient attachments: a case report.
Identifieur interne : 004076 ( Main/Merge ); précédent : 004075; suivant : 004077Prosthetic rehabilitation of a patient with bilateral cleft lip and palate using osseointegrated implants and extracoronal resilient attachments: a case report.
Auteurs : Sema Murat ; Ayhan Gurbuz ; Fikret GencSource :
- The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [ 1545-1569 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- étiologie : Mâchoire partiellement édentée.
- Adulte, Bec-de-lièvre, Couronnes, Femelle, Fente palatine, Humains, Implants dentaires, Maxillaire, Obturateurs palatins, Pose d'implant dentaire endo-osseux, Radiographie panoramique.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- complications : Cleft Lip, Cleft Palate.
- etiology : Jaw, Edentulous, Partially.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous, Partially.
- Adult, Crowns, Female, Humans, Maxilla, Palatal Obturators, Radiography, Panoramic.
Abstract
This case study reports on the prosthetic rehabilitation of a patient with an unrepaired bilateral cleft lip and palate using osseointegrated implants, extracoronal resilient attachments, a combination of metal-ceramic cement-retained fixed partial restorations, and removable prosthesis. Preoperative clinical examination of a 32-year-old woman with bilateral cleft lip and palate revealed a large oronasal communication, hyperplastic soft tissue surrounding the hard palate defect, and a severely resorbed alveolar ridge. A maxillary obturator prosthesis supported by implants and retained with an extracoronal resilient attachment was designed to cover the oronasal communication in the hard palate and fulfill the patient's functional and aesthetic requirements. The patient has been wearing the prosthesis for 1 year. Her speech quality has greatly improved, and her aesthetic and functional expectations have been met.
DOI: 10.1597/09-248
PubMed: 20815722
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pubmed:20815722Le document en format XML
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<term>Cleft Palate (complications)</term>
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (etiology)</term>
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<term>Maxilla</term>
<term>Palatal Obturators</term>
<term>Radiography, Panoramic</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Bec-de-lièvre ()</term>
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<term>Fente palatine ()</term>
<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mâchoire partiellement édentée (étiologie)</term>
<term>Obturateurs palatins</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Radiographie panoramique</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cleft Lip</term>
<term>Cleft Palate</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<term>Crowns</term>
<term>Female</term>
<term>Humans</term>
<term>Maxilla</term>
<term>Palatal Obturators</term>
<term>Radiography, Panoramic</term>
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<term>Fente palatine</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Obturateurs palatins</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<front><div type="abstract" xml:lang="en">This case study reports on the prosthetic rehabilitation of a patient with an unrepaired bilateral cleft lip and palate using osseointegrated implants, extracoronal resilient attachments, a combination of metal-ceramic cement-retained fixed partial restorations, and removable prosthesis. Preoperative clinical examination of a 32-year-old woman with bilateral cleft lip and palate revealed a large oronasal communication, hyperplastic soft tissue surrounding the hard palate defect, and a severely resorbed alveolar ridge. A maxillary obturator prosthesis supported by implants and retained with an extracoronal resilient attachment was designed to cover the oronasal communication in the hard palate and fulfill the patient's functional and aesthetic requirements. The patient has been wearing the prosthesis for 1 year. Her speech quality has greatly improved, and her aesthetic and functional expectations have been met.</div>
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