Implant prosthetic rehabilitation for patient with monolateral cleft lip and palate. A clinical report

Cleft lip and palate (CLP) is a malformation of genetic derivation. Nonsyndromic cleft of the lip and/or palate derives from an embryopathy with failure in terms of fusion of the nasal process and/or palatal shelves. For patients affected by CLP procedures of guided bone regeneration by autologus bone grafting are recognized as the most effective procedures to close oro-nasal communication. The residual gap of alveolar ridge, determined by the absence of one or more permanent teeth, can be completed by implant-prosthetic rehabilitation. This therapeutic option offers different advantages: − abbreviation or circumvention of orthodontic treatment period; − maintenance of symmetric appearance of the maxillary anterior dentition in cases of unilateral cleft; − preservation of the hard tissues of abutment teeth adjacent to the lacuna; − support of grafted bone height. This work describes the rehabilitation of a 19 year-old patient affected by right unilateral CLP with use of titanium implant supporting a single crown, to replace 1.2. The technique used was particularly helpful for this cleft case, in which a bone deficit subsisted after secondary bone grafting. An additional bone-grafting procedure was necessary at the same time of implant placement, and it was done to achieve best functional and aesthetics results.

Cleft lip and palate (CLP) is a malformation of genetic derivation. For patients affected by CLP, procedures of guided bone regeneration by autologous bone grafting are recognized as the most effective to close oronasal communication. The residual gap of alveolar ridge, determined by the absence of 1 or more permanent teeth, can be completed by implant-prosthetic rehabilitation. This kind of rehabilitation for patients with CLP has the aim of completing dental reconstruction by avoiding sacrifice of adjacent teeth and preserving symmetric appearance. This article describes the rehabilitation of an 18-year-old patient affected by right unilateral CLP with use of a titanium implant supporting a single crown to replace the lateral incisor. The technique used was particularly helpful for this cleft case, in which a bone deficit subsisted after secondary bone grafting. An additional bone grafting procedure was performed at the time of implant placement to achieve the best functional and esthetic results. © 2009 by Quintessence Publishing Co Inc.