A case report: A removable partial denture for a cleft lip and palate patient with maxillary anterior teeth missing and oronasal fistula

2020 ◽  
Vol 12 (4) ◽  
pp. 344-347
Author(s):  
Yoko Mizuno
Author(s):  
Neha Hajira ◽  
Pulkit Khandelwal ◽  
HS Shashidhar ◽  
Harleen Sachdeva ◽  
Sumit Khare

ABSTRACT Reconstruction of large anterior ridge defects is often a prosthodontic challenge. Such defects require closure of the defect along with the replacement of the missing teeth so as to achieve proper speech and esthetics. Classifying these defects in the preoperative examination helps to diagnose and predict the prognosis and technical difficulties to be encountered. The aim and purpose of this case report is to describe the management of one such case with missing anterior teeth and severe anterior ridge defects. We also describe the process of fabrication of Andrew's bridge (a fixed-removable partial denture) to treat this Siebert's class III anterior ridge defect. How to cite this article Hajira N, Khandelwal P, Shashidhar HS, Sachdeva H, Khare S. Andrew's Bridge: Achieving Esthetics with a Prosthetic Alternative-Managing Severe Anterior Ridge Defects in Operated Case of Cleft Lip and Palate. Int J Prosthodont Restor Dent 2016;6(4):93-97.


2014 ◽  
Vol 24 (3) ◽  
pp. 250-253 ◽  
Author(s):  
Marina Rechden Lobato Palmeiro ◽  
Caroline Scheeren Piffer ◽  
Vivian Martins Brunetto ◽  
Paulo César Maccari ◽  
Rosemary Sadami Arai Shinkai

2007 ◽  
Vol 44 (6) ◽  
pp. 673-677 ◽  
Author(s):  
Amara Abreu ◽  
Daniel Levy ◽  
Enrique Rodriguez ◽  
Irma Rivera

Objective: To report the oral rehabilitation of velopharyngeal insufficiency due to a congenital anatomic defect using an implant-retained speech-aid prosthesis. Case Report: A 65-year-old man with a diagnosis of complete unilateral cleft lip and palate on the left side with an unrepaired palate was examined. A removable partial denture with a speech bulb had been used for approximately 40 years. After primary care for gross caries and tooth mobility, an implant-retained obturator with a speech bulb was fabricated. Results and Conclusion: Improvement in mastication, speech, and velopharyngeal function was achieved with a satisfactory esthetic result.


Author(s):  
Marina Rechden Lobato Palmeiro ◽  
Caroline Scheeren Piffer ◽  
Vivian Martins Brunetto ◽  
Paulo César Maccari ◽  
Rosemary Sadami Arai Shinkai

2020 ◽  
Vol 24 (1) ◽  
pp. 57-61
Author(s):  
Almina Murić ◽  
Demet Cagil Ayvalioglu ◽  
Bilge Gokcen Rohlig

SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.


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