Orthodontic-prosthetic rehabilitation of alveolar cleft

This case report presents the treatment of an 18-year-old girl with a unilateral alveolar cleft and impacted deciduous teeth. The patient had a gap in her upper front teeth and sought treatment for the alveolar defect. The initial treatment plan included alveolar bone grafting, fixed mechanotherapy,...

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Main Authors: Yash Salkar, Shubhaani Singh, Anu Singla, Suruchi Sindwani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Cleft Lip Palate and Craniofacial Anomalies
Subjects:
Online Access:http://www.jclpca.org/article.asp?issn=2348-2125;year=2023;volume=10;issue=2;spage=107;epage=111;aulast=Salkar
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author Yash Salkar
Shubhaani Singh
Anu Singla
Suruchi Sindwani
author_facet Yash Salkar
Shubhaani Singh
Anu Singla
Suruchi Sindwani
author_sort Yash Salkar
collection DOAJ
description This case report presents the treatment of an 18-year-old girl with a unilateral alveolar cleft and impacted deciduous teeth. The patient had a gap in her upper front teeth and sought treatment for the alveolar defect. The initial treatment plan included alveolar bone grafting, fixed mechanotherapy, and prosthetic rehabilitation. However, the patient declined the bone grafting surgery. To address the issue, orthodontic treatment began with the extraction of a lower incisor to correct the overjet and the removal of over-retained deciduous teeth and a resorbed lateral incisor. The impacted lateral incisor was brought into the arch to stimulate bone formation. The treatment lasted 21 months, and an interim prosthetic rehabilitation with a natural tooth pontic was placed before the final rehabilitation using a Maryland bridge. The outcome of the treatment showed improved dental esthetics, harmonious soft-tissue profile, and parallel roots. This case highlights the importance of early intervention for alveolar clefts and the collaborative effort required for comprehensive oral rehabilitation in cleft lip and palate patients.
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spelling doaj.art-3984f76b64ab4f2791acd0fbdb07d8302023-10-26T08:54:14ZengWolters Kluwer Medknow PublicationsJournal of Cleft Lip Palate and Craniofacial Anomalies2348-21252348-36442023-01-0110210711110.4103/jclpca.jclpca_14_23Orthodontic-prosthetic rehabilitation of alveolar cleftYash SalkarShubhaani SinghAnu SinglaSuruchi SindwaniThis case report presents the treatment of an 18-year-old girl with a unilateral alveolar cleft and impacted deciduous teeth. The patient had a gap in her upper front teeth and sought treatment for the alveolar defect. The initial treatment plan included alveolar bone grafting, fixed mechanotherapy, and prosthetic rehabilitation. However, the patient declined the bone grafting surgery. To address the issue, orthodontic treatment began with the extraction of a lower incisor to correct the overjet and the removal of over-retained deciduous teeth and a resorbed lateral incisor. The impacted lateral incisor was brought into the arch to stimulate bone formation. The treatment lasted 21 months, and an interim prosthetic rehabilitation with a natural tooth pontic was placed before the final rehabilitation using a Maryland bridge. The outcome of the treatment showed improved dental esthetics, harmonious soft-tissue profile, and parallel roots. This case highlights the importance of early intervention for alveolar clefts and the collaborative effort required for comprehensive oral rehabilitation in cleft lip and palate patients.http://www.jclpca.org/article.asp?issn=2348-2125;year=2023;volume=10;issue=2;spage=107;epage=111;aulast=Salkarcleft alveoluscleft lip and palatemaryland bridgenatural tooth pontic
spellingShingle Yash Salkar
Shubhaani Singh
Anu Singla
Suruchi Sindwani
Orthodontic-prosthetic rehabilitation of alveolar cleft
Journal of Cleft Lip Palate and Craniofacial Anomalies
cleft alveolus
cleft lip and palate
maryland bridge
natural tooth pontic
title Orthodontic-prosthetic rehabilitation of alveolar cleft
title_full Orthodontic-prosthetic rehabilitation of alveolar cleft
title_fullStr Orthodontic-prosthetic rehabilitation of alveolar cleft
title_full_unstemmed Orthodontic-prosthetic rehabilitation of alveolar cleft
title_short Orthodontic-prosthetic rehabilitation of alveolar cleft
title_sort orthodontic prosthetic rehabilitation of alveolar cleft
topic cleft alveolus
cleft lip and palate
maryland bridge
natural tooth pontic
url http://www.jclpca.org/article.asp?issn=2348-2125;year=2023;volume=10;issue=2;spage=107;epage=111;aulast=Salkar
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AT shubhaanisingh orthodonticprostheticrehabilitationofalveolarcleft
AT anusingla orthodonticprostheticrehabilitationofalveolarcleft
AT suruchisindwani orthodonticprostheticrehabilitationofalveolarcleft