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...

Full description

Bibliographic Details
Main Authors: Varun Govindraj, Vivek Thakur, Deepak Chauhan, Sanjeev Datana, Shiv Shankar Agarwal, Vishvaroop Nagpal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
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
_version_ 1819263031593402368
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.
first_indexed 2024-12-23T20:07:07Z
format Article
id doaj.art-3259b8f21fe14f3e94ca0c559baa8ffb
institution Directory Open Access Journal
issn 2231-0754
language English
last_indexed 2024-12-23T20:07:07Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
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
work_keys_str_mv AT varungovindraj simultaneousstabilizationandprostheticrehabilitationofcleftmaxillausingmodifiedpalatalarchholdingappliance
AT vivekthakur simultaneousstabilizationandprostheticrehabilitationofcleftmaxillausingmodifiedpalatalarchholdingappliance
AT deepakchauhan simultaneousstabilizationandprostheticrehabilitationofcleftmaxillausingmodifiedpalatalarchholdingappliance
AT sanjeevdatana simultaneousstabilizationandprostheticrehabilitationofcleftmaxillausingmodifiedpalatalarchholdingappliance
AT shivshankaragarwal simultaneousstabilizationandprostheticrehabilitationofcleftmaxillausingmodifiedpalatalarchholdingappliance
AT vishvaroopnagpal simultaneousstabilizationandprostheticrehabilitationofcleftmaxillausingmodifiedpalatalarchholdingappliance