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Esthetic and functional rehabilitation of a bilateral cleft palate patient with fixed prosthodontic therapy.

Identifieur interne : 001018 ( PubMed/Corpus ); précédent : 001017; suivant : 001019

Esthetic and functional rehabilitation of a bilateral cleft palate patient with fixed prosthodontic therapy.

Auteurs : Avinash S. Bidra

Source :

RBID : pubmed:22863127

English descriptors

Abstract

Patients with bilateral cleft lip and palate present with multiple challenges to the prosthodontist. Some of them include mobility of the premaxillary segment, multiple missing and malposed anterior teeth, unfavorable soft tissues, and a tense maxillary lip. This clinical report describes the fixed prosthodontic management of a bilateral cleft lip and palate patient with a surgically corrected lip and a mobile premaxillary segment. The patient presented with an 11-unit metal-ceramic fixed partial denture made of a base metal alloy that was made 25 years ago. He had multiple porcelain fractures over the years that compromised his esthetics and function. Prosthodontic therapy involved sectioning the old prosthesis, followed by careful treatment planning and fabrication of a new fixed dental prosthesis with improved design and superior materials. At a 3-year follow-up, the fixed dental prosthesis remained intact and functional, and no further complications were noted. A discussion of approaches to treatment planning, biomechanical principles involved, and choice of biomaterials in designing a fixed prosthesis for such patients is presented.

DOI: 10.1111/j.1708-8240.2011.00485.x
PubMed: 22863127

Links to Exploration step

pubmed:22863127

Le document en format XML

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<nlm:affiliation>Department of Reconstructive Sciences, University of Connecticut Health Center, Farmington, CT, USA.</nlm:affiliation>
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<term>Cleft Lip (complications)</term>
<term>Cleft Palate (complications)</term>
<term>Cleft Palate (pathology)</term>
<term>Cleft Palate (rehabilitation)</term>
<term>Dental Abutments</term>
<term>Dental Alloys</term>
<term>Dental Casting Technique</term>
<term>Dental Occlusion</term>
<term>Dental Restoration, Permanent (methods)</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Esthetics, Dental</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Maxilla (pathology)</term>
<term>Palatal Obturators</term>
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<div type="abstract" xml:lang="en">Patients with bilateral cleft lip and palate present with multiple challenges to the prosthodontist. Some of them include mobility of the premaxillary segment, multiple missing and malposed anterior teeth, unfavorable soft tissues, and a tense maxillary lip. This clinical report describes the fixed prosthodontic management of a bilateral cleft lip and palate patient with a surgically corrected lip and a mobile premaxillary segment. The patient presented with an 11-unit metal-ceramic fixed partial denture made of a base metal alloy that was made 25 years ago. He had multiple porcelain fractures over the years that compromised his esthetics and function. Prosthodontic therapy involved sectioning the old prosthesis, followed by careful treatment planning and fabrication of a new fixed dental prosthesis with improved design and superior materials. At a 3-year follow-up, the fixed dental prosthesis remained intact and functional, and no further complications were noted. A discussion of approaches to treatment planning, biomechanical principles involved, and choice of biomaterials in designing a fixed prosthesis for such patients is presented.</div>
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<AbstractText Label="UNLABELLED">Patients with bilateral cleft lip and palate present with multiple challenges to the prosthodontist. Some of them include mobility of the premaxillary segment, multiple missing and malposed anterior teeth, unfavorable soft tissues, and a tense maxillary lip. This clinical report describes the fixed prosthodontic management of a bilateral cleft lip and palate patient with a surgically corrected lip and a mobile premaxillary segment. The patient presented with an 11-unit metal-ceramic fixed partial denture made of a base metal alloy that was made 25 years ago. He had multiple porcelain fractures over the years that compromised his esthetics and function. Prosthodontic therapy involved sectioning the old prosthesis, followed by careful treatment planning and fabrication of a new fixed dental prosthesis with improved design and superior materials. At a 3-year follow-up, the fixed dental prosthesis remained intact and functional, and no further complications were noted. A discussion of approaches to treatment planning, biomechanical principles involved, and choice of biomaterials in designing a fixed prosthesis for such patients is presented.</AbstractText>
<AbstractText Label="CLINICAL SIGNIFICANCE" NlmCategory="CONCLUSIONS">As cleft palate patients require life-long prosthodontic follow-up and maintenance, revisional treatments should incorporate superior materials and methods to minimize future complications.</AbstractText>
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