Cleft palate obturation with Brånemark protocol implant-supported fixed denture and removable obturator.

A 41-year-old man with cleft palate presented with a wide dehiscence and missing teeth. Six implants had been placed for fabrication of an overdenture, which was unsatisfactory. A bar was waxed and cast for connection to the implants; precision attachments were placed laterally for retention. A fixed partial denture was fabricated, and milled crowns were fabricated at the molar region to provide a guiding plane for insertion of a removable palatal obturator. Good swallowing and speech outcomes were achieved. This technique provided functional and esthetic benefits, enhanced oral hygiene, and improved the psychological condition of the patient.

[1]  G. Pekkan,et al.  Rehabilitation of an Edentulous Cleft Lip and Palate Patient with a Soft Palate Defect Using a Bar-Retained, Implant-Supported Speech-Aid Prosthesis: A Clinical Report , 2009, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[2]  Amara Abreu,et al.  Oral Rehabilitation of a Patient with Complete Unilateral Cleft Lip and Palate Using an Implant-Retained Speech-Aid Prosthesis: Clinical Report , 2007, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[3]  G. Dalben,et al.  Speech Intelligibility of Patients with Cleft Lip and Palate after Placement of Speech Prosthesis , 2007, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[4]  C. Malevez,et al.  Rehabilitation of a Patient with Cleft Lip and Palate with an Extremely Edentulous Atrophied Posterior Maxilla Using Zygomatic Implants: Case Report , 2004, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[5]  M. Pegoraro-Krook,et al.  Evaluation of palatal prosthesis for the treatment of velopharyngeal dysfunction. , 2003, Journal of applied oral science : revista FOB.

[6]  Toshiko Mori,et al.  New Design of a Palatal Lift Prosthesis Combined with a Palatal Bar , 2002 .

[7]  D. Reisberg.  Dental and prosthodontic care for patients with cleft or craniofacial conditions. , 2000, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[8]  K. Shimodaira,et al.  Obturator prosthesis conforming to movement of the soft palate: a clinical report. , 1994, The Journal of prosthetic dentistry.

[9]  M. Arcuri,et al.  Implant-supported prostheses for treatment of adults with cleft palate. , 1994, The Journal of prosthetic dentistry.

[10]  J. Polley,et al.  Secondary (intermediate) alveolar bone grafting. , 1993, Clinics in plastic surgery.

[11]  T. Cook,et al.  The Use of a Temporary Oral Prosthesis to Treat Speech in Velopharyngeal Incompetence , 1993, Facial plastic surgery : FPS.

[12]  J. Deboer.  Edentulous implants: overdenture versus fixed. , 1993, The Journal of prosthetic dentistry.

[13]  H. Tsuru,et al.  The effects of early occlusal loading on one-stage titanium alloy implants in beagle dogs: a pilot study. , 1993, The Journal of prosthetic dentistry.

[14]  R. Ettinger.  Tooth loss in an overdenture population. , 1988, The Journal of prosthetic dentistry.

[15]  L. Furlow.  Cleft Palate Repair by Double Opposing Z‐Plasty , 1986, Plastic and reconstructive surgery.

[16]  W. C. Trier,et al.  A comparison of palatoplasty techniques. , 1984, The Cleft palate journal.

[17]  P. Branemark.  Osseointegration and its experimental background. , 1983, The Journal of prosthetic dentistry.

[18]  R. McKinstry.  The prosthodontic management of cleft palate patients. , 1983, The Journal of prosthetic dentistry.

[19]  J. Curtin,et al.  Early cleft palate repair and speech outcome. , 1982, Plastic and reconstructive surgery.

[20]  B. Ingervall,et al.  An electromyographic study of masticatory and lip muscle function in patients with complete dentures. , 1980, The Journal of prosthetic dentistry.

[21]  P. Branemark,et al.  Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. , 1977, Scandinavian journal of plastic and reconstructive surgery. Supplementum.

[22]  J. F. Bates,et al.  Masticatory function - a review of the literature. III. Masticatory performance and efficiency. , 1976, Journal of oral rehabilitation.

[23]  L J Kipfmueller,et al.  Treating velopharyngeal inadequacies with a palatal lift prosthesis. , 1972, The Journal of prosthetic dentistry.

[24]  R. Massengill,et al.  The use of a bilateral speech appliance in conjunction with a pharyngeal flap: two case reports. , 1971, The Journal of speech and hearing disorders.

[25]  J. Lari.  Osteoplasty in complete clefts of the secondary palate , 1970 .