REHABILITATION OF CLEFT LIP AND PALATE PATIENTS WITH A SYSTEMATIC APPROACH
Keywords:
Cleft palate, hard palate, soft palate, compete denture
Abstract
The oral rehabilitation of lip and palate patients is challenging and many of these patients are suffering if they don’t receive sufficient dental treatment. Several techniques, including orthodontic appliances, surgeries, advanced prosthodontic rehabilitation, and alveolar bone grafts have been proposed for the oral rehabilitation of these patients. There are still some difficulties in the prosthetic rehabilitation of cleft lip and palate patients with conventional prostheses or implant-retained prostheses because of insufficient alveolar bone quality and quantity, inadequate soft tissue, and abutment teeth. This paper is an attempt to review the systematic approach in the management of cleft lip and palate patients.
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References
1. Esper LA, Kaizer RO, Fernandes JS, Greghi SL, Carrilho GP. Surgical treatment of mucogingival alterations in cleft lip and palate patients: a clinical report. Perio. 2006;3:31–35.
2. Esper LA, Pegoraro TA, Valle AL. Gingival recession in individuals with cleft lip and palate: prevalence and severity. Cleft Palate J. 2012;49:92–95.
3. Madeira LC, Freitas KC, Greghi SL, Pegoraro LF. Cross-sectional evaluation of the presence of gingival recession in individuals with cleft lip and palate. J Periodontol. 2007;78:29–36.
4. Pedro PF, Kogawa EM, Pereira T, Carrilho GP, Aiello CA, et al. Comparative evaluation of two different vestibulopathy surgical procedures in cleft patients: a pilot study. Cleft Palate J.2005;42:439–441.
5. Sbrana MC, Esper LA, Greghi SL, Conti PC. Gingival recession in maxillary canines and central incisors of individuals with clefts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2010;109:37–45.
6. Brasil JM, Pernambuco RA, Dalben GS. The suggestion of an oral hygiene program for orthodontic patients with cleft lip and palate: findings of a pilot study. Cleft Palate Craniofac J. 2007;44:595–597.
7. Ferreira SB Jr, Kaizer ROF, Almeida ALPF. The role of keratinized mucosa in peri-implant health. Cleft Palate Craniofac J. 2012;49:167–170.
8. Sbrana MC, Ribeiro IWJ, Siqueira EN, Almeida ALPF. Esthetic analysis of gingival components of smile and degree of satisfaction in individuals with cleft lip and palate. Cleft Palate Craniofac J. 2009;46:381–387.
9. Ferreira SB Jr, Esper LA, Sbrana MC, Ribeiro IWJ, Almeida ALPF. Survival of dental implants in the cleft area - a retrospective study. Cleft Palate Craniofac J. 2010;47:586–590.
10. Freitas AC Jr, Silva AM, Lima Verde MA, Aguiar JR. Oral rehabilitation of severely worn dentition using an overlay for immediate re-establishment of occlusal vertical dimension. Gerontology.2012;29(1):75–80.
11. Freitas JAS, Neves LT, Garib DG, Trindade-Suedam IK, Yaedú RYF. Rehabilitative treatment of cleft lip and palate: an experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 1: overall aspects. J Appl Oral Sci. 2012;20(1):9–15.
12. Fukuda M, Takahashi T, Yamaguchi T, Kochi S, Inai T, Watanabe M, et al. Dental rehabilitation using endosseous implants and orthognathic surgery in patients with cleft lip and palate: report of two cases. J Oral Rehabil. 2000;27:546–551.
13. Hickey AJ, Salter M. Prosthodontic, and psychological factors in treating patients with congenital and craniofacial defects. J Prosthet Dent. 2006;95:392–396.
14. Lopes JFS, Pinto JHN, Almeida ALPF, Lopes MMW, Dalben GS. Cleft palate obturation with Brånemark protocol implant-supported fixed denture and removable obturator. Cleft Palate Craniofac J.2010;47:211–215.
15. Verdi FJ Jr, Lanzi GL, Cohen SR, Powell R. Use of the Brånemark implant in the cleft palate patient.Cleft Palate Craniofac J. 1991;28:301–303.
16. Watanabe I, Kurtz KS, Watanabe E, Yamada M, Yoshida N, Miller AW. Multi-unit fixed partial denture for a bilateral cleft palate patient: a clinical report. J Oral Rehabil. 2005;32:620–622.
17. Zhou W, Li W, Lin J, Liu D, Xie X, Zhang Z. Tooth lengths of the permanent upper incisors in patients with clefts lip and palate determined with cone-beam computed tomography. Cleft Palate Craniofac J. 2013;50:88–95.
2. Esper LA, Pegoraro TA, Valle AL. Gingival recession in individuals with cleft lip and palate: prevalence and severity. Cleft Palate J. 2012;49:92–95.
3. Madeira LC, Freitas KC, Greghi SL, Pegoraro LF. Cross-sectional evaluation of the presence of gingival recession in individuals with cleft lip and palate. J Periodontol. 2007;78:29–36.
4. Pedro PF, Kogawa EM, Pereira T, Carrilho GP, Aiello CA, et al. Comparative evaluation of two different vestibulopathy surgical procedures in cleft patients: a pilot study. Cleft Palate J.2005;42:439–441.
5. Sbrana MC, Esper LA, Greghi SL, Conti PC. Gingival recession in maxillary canines and central incisors of individuals with clefts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2010;109:37–45.
6. Brasil JM, Pernambuco RA, Dalben GS. The suggestion of an oral hygiene program for orthodontic patients with cleft lip and palate: findings of a pilot study. Cleft Palate Craniofac J. 2007;44:595–597.
7. Ferreira SB Jr, Kaizer ROF, Almeida ALPF. The role of keratinized mucosa in peri-implant health. Cleft Palate Craniofac J. 2012;49:167–170.
8. Sbrana MC, Ribeiro IWJ, Siqueira EN, Almeida ALPF. Esthetic analysis of gingival components of smile and degree of satisfaction in individuals with cleft lip and palate. Cleft Palate Craniofac J. 2009;46:381–387.
9. Ferreira SB Jr, Esper LA, Sbrana MC, Ribeiro IWJ, Almeida ALPF. Survival of dental implants in the cleft area - a retrospective study. Cleft Palate Craniofac J. 2010;47:586–590.
10. Freitas AC Jr, Silva AM, Lima Verde MA, Aguiar JR. Oral rehabilitation of severely worn dentition using an overlay for immediate re-establishment of occlusal vertical dimension. Gerontology.2012;29(1):75–80.
11. Freitas JAS, Neves LT, Garib DG, Trindade-Suedam IK, Yaedú RYF. Rehabilitative treatment of cleft lip and palate: an experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 1: overall aspects. J Appl Oral Sci. 2012;20(1):9–15.
12. Fukuda M, Takahashi T, Yamaguchi T, Kochi S, Inai T, Watanabe M, et al. Dental rehabilitation using endosseous implants and orthognathic surgery in patients with cleft lip and palate: report of two cases. J Oral Rehabil. 2000;27:546–551.
13. Hickey AJ, Salter M. Prosthodontic, and psychological factors in treating patients with congenital and craniofacial defects. J Prosthet Dent. 2006;95:392–396.
14. Lopes JFS, Pinto JHN, Almeida ALPF, Lopes MMW, Dalben GS. Cleft palate obturation with Brånemark protocol implant-supported fixed denture and removable obturator. Cleft Palate Craniofac J.2010;47:211–215.
15. Verdi FJ Jr, Lanzi GL, Cohen SR, Powell R. Use of the Brånemark implant in the cleft palate patient.Cleft Palate Craniofac J. 1991;28:301–303.
16. Watanabe I, Kurtz KS, Watanabe E, Yamada M, Yoshida N, Miller AW. Multi-unit fixed partial denture for a bilateral cleft palate patient: a clinical report. J Oral Rehabil. 2005;32:620–622.
17. Zhou W, Li W, Lin J, Liu D, Xie X, Zhang Z. Tooth lengths of the permanent upper incisors in patients with clefts lip and palate determined with cone-beam computed tomography. Cleft Palate Craniofac J. 2013;50:88–95.
How to Cite
1.
Sehrawat R, Malik P, Rathee M, Kaur B. REHABILITATION OF CLEFT LIP AND PALATE PATIENTS WITH A SYSTEMATIC APPROACH . Med. res. chronicles [Internet]. 2015Sep.19 [cited 2024Dec.22];2(5):572-8. Available from: https://medrech.com/index.php/medrech/article/view/124
Section
Review Article