Periodontal and prosthetic treatment of a cleft lip and palate patient: a case report.
Although cleft lip and palate patients are usually treated by a multidisciplinary team involving physicians and dentists, their periodontal condition may be over-looked. Crowded or malpositioned teeth, hypertrophic gingiva, orthodontic appliances, and prosthetic replacements can impede proper plaque removal and thus perpetuate periodontal disease. It is important to incorporate periodontal treatment into the comprehensive treatment as early as possible. This case report discusses the periodontal surgical procedures involved in eliminating a residual ridge defect and the fitting of the final prosthetic reconstruction. Also, the importance of the identification and management of periodontal conditions characteristic of cleft lip and palate patients before and after surgical, orthodontic, and prosthetic rehabilitation will be emphasized.
Santi
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New York University College of Dentistry, Department of Periodontics, NY 10010, USA.
Weinberg
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MA
Abitbol
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TE
D000328:Adult; D000539:Alveolar Process / Q000473:pathology; D000543:Alveoloplasty; D002971:Cleft Lip / Q000534:rehabilitation*; D002972:Cleft Palate / Q000534:rehabilitation*; D003773:Dental Plaque / Q000628:therapy; D003829:Denture, Partial; D005884:Gingival Hemorrhage / Q000628:therapy; D005885:Gingival Hyperplasia / Q000628:therapy; D006801:Humans; D008297:Male; D010510:Periodontal Diseases / Q000628:therapy*; D013524:Surgical Flaps