title: Multidisciplinary approach in the treatment of a patient with cleft lip and palate: a case report.
abstract: Treatment of the patient with cleft lip and palate represents a real problem from both functional and esthetic points of view. Today a functional result is not enough. An esthetic result is both necessary and possible to improve the quality of life. The direct placement of an implant in the grafted alveolar cleft is not the ideal choice. Using a rational, multidisciplinary approach, it is possible to obtain esthetic results in these patients. In our case study, a 17-year-old patient previously treated for a unilateral cleft lip and palate and agenesis of the right lateral incisor was given an osseointegrated implant. Computer-assisted dental design (Procera CAD/CAM software, Nobel Biocare AB, Gothenburg, Sweden) was used for the prosthetic rehabilitation, and the end of growth was determined prior to placing the implant. No sign of failure or mobility after loading has been detected at the time of this writing, 8 months after the procedure's completion, and the esthetic result is considered satisfactory by the patient and practitioners.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus Hospital, Free University of Brussels, Brussels, Belgium.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Abarca
authors.forename: Yves
authors.initials: Y
authors.lastname: Budzynski
authors.forename: Blaise
authors.initials: B
authors.lastname: Kovacs
authors.forename: Chantal
authors.initials: C
authors.lastname: Malevez
mesh_terms: D000293:Adolescent; D000539:Alveolar Process / Q000601:surgery; D000848:Anodontia / Q000209:etiology / Q000628:therapy*; D002508:Cephalometry; D002971:Cleft Lip / Q000150:complications / Q000628:therapy*; D002972:Cleft Palate / Q000150:complications / Q000628:therapy*; D003131:Combined Modality Therapy; D003442:Crowns; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous; D003776:Dental Porcelain / Q000627:therapeutic use; D017266:Dental Prosthesis; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D005260:Female; D007839:Functional Laterality; D006801:Humans; D007180:Incisor / Q000002:abnormalities; D008310:Malocclusion / Q000209:etiology / Q000628:therapy; D008437:Maxilla / Q000002:abnormalities / Q000601:surgery; D016876:Metal Ceramic Alloys / Q000627:therapeutic use; D009971:Orthodontics, Corrective / Q000379:methods; D011474:Prosthesis Design / Q000379:methods*; D011862:Radiography, Panoramic; D019651:Plastic Surgery Procedures / Q000379:methods; D014025:Titanium / Q000627:therapeutic use
chemical_list: D016876:Metal Ceramic Alloys; C077451:Procera; D003776:Dental Porcelain; D014025:Titanium