Multidisciplinary Treatment of Cleft Lip and Palate: A Case Report

Shirazi, Mandana; Farhadifard, Homa; Moradi, Meisam; Golshahi, Hamid

doi:10.17795/ijo-5054

Cited by 1 publication

(1 citation statement)

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“…Cleft lip and palate cause a variety of problems related to the oral cavity, talking, hearing and may also affect the number, size, shape and position of the primary teeth and permanent teeth [7]. Cleft lip and palate has a quite complex problem and requires a multi interdisciplinary studies [8]. Dental anomalies that can be found in cleft lip and palate patients are crown and root malformation, multiple decayed teeth, and also delayed development [3].…”

Section: Discussionmentioning

confidence: 99%

Apexification of Maxillary Incisor in Adult Patient With Cleft Lip and Palate

Nainggolan¹,

Nugraheni²,

Rinastiti³

2021

Proceedings of the 1st Aceh International Dental Meeting (AIDEM 2019), Oral Health International Conference on Art, Nature and

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Introduction. Cleft lip and palate are congenital abnormalities that caused by many factors. Dental abnormalities in patients with cleft lip and palate were begun during eruption phase such as caries, crown and root deformity, abnormalities number of teeth and the relationship between maxilla and mandibula. Interdisciplinary treatment are required to gain optimum results for patients with clefts. Apexification followed by proper restoration are needed to correct a necrotic tooth with an open apex in cleft lip and palate patients. The aim of this paper is to report treatment of necrotic tooth with open apex in a cleft lip and palate patient. Case report. A 23-year-old female patient was referred to Department of Conservative Dentistry by orthodontist to treat her central incisor maxilla. The patient had a history of cleft lip and palate and had been wearing orthodontic braces for 3 years. Tooth 11 was asymptomatic, periapical radiograph showed radiolucent area on the apical region with open apex. The diagnosis was necrotic pulp with open apex. Apexification treatment using Mineral Trioxide Aggregate followed by fiber post and indirect composite crown were carried out. Indirect composite crown were made on tooth 21 for an aesthetic purpose. The patient returned for follow-up after 6 months with no complaints. Both clinical finding and radiograph show normal tissues and the tooth function normally. Conclusion. The apexification followed by indirect composite crown are the right treatment for treating maxillary central necrotic incisor with open apex in the cleft lip and palate patient.

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Section: Discussionmentioning

confidence: 99%