Periodontal and Prosthetic Treatment of a Cleft Lip and Palate Patient: A Case Report

Abstract

Although cleft lip and palate patients are usually treated by a multidisciplinary team involving physicians and dentists, their periodontal condition may be over-looked. Crowded or malpositioned teeth, hypertrophic gingiva, orthodontic appliances, and prosthetic replacements can impede proper plaque removal and thus perpetuate periodontal disease. It is important to incorporate periodontal treatment into the comprehensive treatment as early as possible. This case report discusses the periodontal surgical procedures involved in eliminating a residual ridge defect and the fitting of the final prosthetic reconstruction. Also, the importance of the identification and management of periodontal conditions characteristic of cleft lip and palate patients before and after surgical, orthodontic, and prosthetic rehabilitation will be emphasized.

An Alternative Method for Constructing an Obturator Prosthesis for a Patient with a Bilateral Cleft Lip and Palate: A Clinical Report

“…When timed properly (i.e., prior to canine eruption) a secondary osteoplasty facilitates the eruption of teeth adjacent to the cleft through the transplant 1 . The indications and timing of premaxillary surgery in patients with BCLP are crucial for success 5,8 . The orthodontic movement of the maxillary segments were found to contribute to late postoperative fistula formation 9 .…”

Alterações quantitativas nos tecidos moles da fissura labiopalatina submetida a enxerto ósseo alveolar secundário tardio com e sem vestibuloplastia

“…As condições periodontais também podem ser comprometidas pela cicatrização do lábio superior que ao criar um vestíbulo bucal raso torna difícil o controle da placa bacteriana (Wade 1969, Lascala e Moussalli 1981, Tan e Henry, 1985e Santi, Weinberg e Abitbol 1995, embora a presença da fissura labiopalatina não pareça ser um fator agravante para a ocorrência da doença periodontal (Almeida 2007).…”