Volume 31, Issue 3 (11-2018)
jdm 2018, 31(3): 191-197 |
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Rasaeipour S, Vojdani M, Ghodsi S. Step by step procedure for treatment of a patient with bilateral cleft lip and palate: A case report. jdm 2018; 31 (3) :191-197
URL: http://jdm.tums.ac.ir/article-1-5811-en.html
URL: http://jdm.tums.ac.ir/article-1-5811-en.html
Step by step procedure for treatment of a patient with bilateral cleft lip and palate: A case report
1- Assistant Professor, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2- Professor, Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
2- Professor, Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract: (3922 Views)
Background and Aims: Cleft lip and palate is among challenging dentistry problems that calls for a multidisciplinary treatment approach. The treatment protocols in adults aims to improve function, appearance, and psychological conditions. The present article aimed in introducing the procedure of conventional prosthesis application for treatment of an adult patient focusing on complicated intra-operatory challenges.
Materials and Methods: A 52-year-old male patient was referred for correcting his functional deficiency resulted from bilateral cleft lip and palate. After surgical stent fabrication and vestibuloplasty, transitional prosthesis was fabricated using “Melted-sugar method”. Six month later, Richmond copings and fixed prostheses were made and the treatment was completed by delivery of mandibular removable partial prosthesis and maxillary obturator. Finding the correct position of hard palate, not interfering with normal phonetic, and hollowing his obturator, along with stablishing correct vertical dimension were among several challenges call for special considerations.
Conclusion: Following sound procedure, the conventional prosthetic treatment could be considered as an acceptable and applicable treatment option for adults suffering from untreated cleft palate, who are not good candidates for more complicated treatment procedures.
Materials and Methods: A 52-year-old male patient was referred for correcting his functional deficiency resulted from bilateral cleft lip and palate. After surgical stent fabrication and vestibuloplasty, transitional prosthesis was fabricated using “Melted-sugar method”. Six month later, Richmond copings and fixed prostheses were made and the treatment was completed by delivery of mandibular removable partial prosthesis and maxillary obturator. Finding the correct position of hard palate, not interfering with normal phonetic, and hollowing his obturator, along with stablishing correct vertical dimension were among several challenges call for special considerations.
Conclusion: Following sound procedure, the conventional prosthetic treatment could be considered as an acceptable and applicable treatment option for adults suffering from untreated cleft palate, who are not good candidates for more complicated treatment procedures.
Type of Study: Research |
Subject:
general
Received: 2018/12/3 | Accepted: 2018/12/3 | Published: 2018/12/3
Received: 2018/12/3 | Accepted: 2018/12/3 | Published: 2018/12/3
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