Interdisciplinary treatment of an adult with a unilateral cleft lip and palate

Abstract

The management of cleft lip and palate (CLP) requires an interdisciplinary team providing comprehensive care. The present report presents an interdisciplinary approach for the care of a cleft patient. A 17-year-old male patient presented with a a chief complaint of “unpleasant appearance of my teeth” and a history of surgical repair of unilateral CLP on the left side. He presented with Class III molar relationships, Class II canine relationships, crossbite related to maxillary right first premolar and lateral incisor, severe maxillary and mandibular crowding, maxillary anterior tooth size deficiency, congenitally missing upper left lateral incisor. Patient was treated with a pre-adjusted edgewise appliance in conjunction with extraction of multiple teeth and distalization of the lower right first molar using a temporary anchorage device. In addition, alveolar bone graft and implant were placed to restore the missing upper left lateral incisor and a final esthetic work was performed for anterior teeth. The case was finished with Class I molar and canine relationships, minimal overjet and overbite. Total treatment time was about 31 months with satisfactory results. Post-treatment evaluation after 8 months showed stable results.

Integrated Care Strategies for Unilateral Cleft Lip and Palate: A Multidisciplinary Treatment Approach for Profile Correction

“…Surgical techniques in adult UCLP cases often include lip revision surgeries, palate repairs, and ABG to enhance the functional and aesthetic aspects. The discussion may delve into the intricacies of these surgeries, the challenges encountered, and the outcomes achieved [ 7 ].…”

Multidisciplinary Rehabilitation of an Adult with a Cleft Lip and Palate: An Illustration of a Dental Substitution Approach for the Management of Unilateral Agenesis of Central and Lateral Incisors

“…2 In such cases, the treatment plan becomes more complex, and typically requires a prosthodontic replacement, although there is a paucity of the literature on the management of those cases. 13 In this case report, we propose an alternative approach to the management of a patient with a cleft lip and palate, illustrating the feasibility of performing a dental substitution for the missing central and lateral incisors, and subsequently minimizing the burden of care.…”

Survival Rate of Dental Implants in the Cleft Area: A Cross-Sectional Retrospective Study

“…[9][10][11] Placing implants in the maxilla of individuals with clefts has been considered feasible since the 1990s, 12,13 with adequate bone quantity and quality being a prerequisite. 14,15 In many cases, regrafting is necessary 9,13,16 after growth ceases. Survival rates for dental implants in clefts range from 75% to 96%, depending on the follow-up time, 9,[17][18][19][20][21] bone quality, surgical technique, presence or absence of postoperative infection, occlusal load, and other factors.…”