Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance
Introduction: Various prostheses have been tried for intermediate restoration of esthetics, function, and speech in cleft patients but are usually associated with frequent breakages and oral hygiene problems. Hence, this modified arch holding appliance was designed to simultaneously replace the miss...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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Series: | Journal of International Clinical Dental Research Organization |
Subjects: | |
Online Access: | http://www.jicdro.org/article.asp?issn=2231-0754;year=2019;volume=11;issue=2;spage=114;epage=116;aulast=Govindraj |
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author | Varun Govindraj Vivek Thakur Deepak Chauhan Sanjeev Datana Shiv Shankar Agarwal Vishvaroop Nagpal |
author_facet | Varun Govindraj Vivek Thakur Deepak Chauhan Sanjeev Datana Shiv Shankar Agarwal Vishvaroop Nagpal |
author_sort | Varun Govindraj |
collection | DOAJ |
description | Introduction: Various prostheses have been tried for intermediate restoration of esthetics, function, and speech in cleft patients but are usually associated with frequent breakages and oral hygiene problems. Hence, this modified arch holding appliance was designed to simultaneously replace the missing anterior teeth and stabilize the transverse changes in the maxillary arch, so as to restore the form and esthetics. Fabrication: Pickup impression with the molar bands was recorded; casts were poured in type III dental stone. Palatal arch holding appliance was fabricated and soldered to the molar bands on the first molars. Stainless steel wires were soldered vertically over labial aspect of the arch holding appliance forming plus (+)-shaped attachment, at positions of missing teeth. Acrylic teeth matching the patient's teeth were selected and adapted over this plus attachment and acrylized. Conclusion: This appliance may provide dual benefits to cleft lip and palate patients by restoration of esthetics while maintaining the transverse changes. It is easy to fabricate, durable, economical, and esthetically acceptable to the patient. |
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institution | Directory Open Access Journal |
issn | 2231-0754 |
language | English |
last_indexed | 2024-12-23T20:07:07Z |
publishDate | 2019-01-01 |
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series | Journal of International Clinical Dental Research Organization |
spelling | doaj.art-3259b8f21fe14f3e94ca0c559baa8ffb2022-12-21T17:32:54ZengWolters Kluwer Medknow PublicationsJournal of International Clinical Dental Research Organization2231-07542019-01-0111211411610.4103/jicdro.jicdro_22_19Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding applianceVarun GovindrajVivek ThakurDeepak ChauhanSanjeev DatanaShiv Shankar AgarwalVishvaroop NagpalIntroduction: Various prostheses have been tried for intermediate restoration of esthetics, function, and speech in cleft patients but are usually associated with frequent breakages and oral hygiene problems. Hence, this modified arch holding appliance was designed to simultaneously replace the missing anterior teeth and stabilize the transverse changes in the maxillary arch, so as to restore the form and esthetics. Fabrication: Pickup impression with the molar bands was recorded; casts were poured in type III dental stone. Palatal arch holding appliance was fabricated and soldered to the molar bands on the first molars. Stainless steel wires were soldered vertically over labial aspect of the arch holding appliance forming plus (+)-shaped attachment, at positions of missing teeth. Acrylic teeth matching the patient's teeth were selected and adapted over this plus attachment and acrylized. Conclusion: This appliance may provide dual benefits to cleft lip and palate patients by restoration of esthetics while maintaining the transverse changes. It is easy to fabricate, durable, economical, and esthetically acceptable to the patient.http://www.jicdro.org/article.asp?issn=2231-0754;year=2019;volume=11;issue=2;spage=114;epage=116;aulast=Govindrajcleft maxillamodified arch holding applianceprosthetic rehabilitation in cleft lip and palate patients |
spellingShingle | Varun Govindraj Vivek Thakur Deepak Chauhan Sanjeev Datana Shiv Shankar Agarwal Vishvaroop Nagpal Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance Journal of International Clinical Dental Research Organization cleft maxilla modified arch holding appliance prosthetic rehabilitation in cleft lip and palate patients |
title | Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance |
title_full | Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance |
title_fullStr | Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance |
title_full_unstemmed | Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance |
title_short | Simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance |
title_sort | simultaneous stabilization and prosthetic rehabilitation of cleft maxilla using modified palatal arch holding appliance |
topic | cleft maxilla modified arch holding appliance prosthetic rehabilitation in cleft lip and palate patients |
url | http://www.jicdro.org/article.asp?issn=2231-0754;year=2019;volume=11;issue=2;spage=114;epage=116;aulast=Govindraj |
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