Comprehensive Morpho-Functional and Dental Rehabilitation of a Complete Unilateral Cleft Lip and Palate Patient

Abstract

Congenital clefts cause compromised function and esthetics, inadvertently affecting a patient's social and mental health. These defects can be successfully managed by a multidisciplinary team that can provide holistic care from birth till adulthood and beyond. A 17-year-old girl with left side congenital cleft, who had undergone cleft surgeries at our center, reported with a chief complaint of a missing front tooth in the upper region. Clinical and radiographic investigations showed a need for tertiary grafting, which was done using an autologous iliac graft. After six months, a dental implant was placed and immediately loaded after implant stability quotient assessment. Treatment of cleft patients is arduous and technique sensitive and should be done following pre-defined protocols. Each case should be handled by a multidisciplinary team giving attention to each aspect of the treatment requirement. It is an added advantage if the treatment is holistically catered at a single center as it provides patient comfort and avoids patient dependence on past records.

Kumar and Daigavane's Impacted Maxillary Canine Grading System: A New Classification System For Treatment of Cleft Lip and Palate

“…consistent with cleft cases. The first to include angular and linear measurements for the impacted canine in addition to vertical and horizontal ones were Ericson and Kurol et al [6][7][8][9][10][11] canine cusp tip distance to occlusal plane (d-distance), canine impact angle (α-angle), and canine sagittal split (ssector) (sector 1, between the midline and the axis of the central incisor; sector 2, between the axis of the central and lateral incisors; or sector 3, between the axis of the lateral and central incisors) [12][13][14]. These factors determine the likelihood of an impacted tooth, the time required for orthodontic traction, and the intensity of treatment necessary to move an impacted tooth.…”