[Post-orthodontic rehabilitation of the sequellae of alveolar clefts: implantation or periodontal plastic surgery?].
Just as they do for many cranio-facial deformities, the treatment team begins the care of cleft palate patients early and continues treatment over a long period. Throughout the growth period, they perform well-timed interventions and re-evaluations according to the individual plan they have prepared. When growth is completed and the orthopedic and orthodontic corrections have contributed as much as possible to an esthetic and functional equilibrium, a final prosthetic replacement will frequently be required. When the correct edentulous space between the teeth on each side of the defect has been created, or maintained, practitioners can choose between two alternatives: implants or traditional fixed bridges. They should analyze any secondary anatomic discrepancies, severe or superficial, that may have developed, and prepare the best therapeutic pathway for a reconstruction of crestal gingival morphology by means of periodontal surgery.
Molé
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C
Cmole@aol.com
Stricker
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M
D000539:Alveolar Process / Q000002:abnormalities*; D000543:Alveoloplasty; D016025:Bone Transplantation; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003779:Denture Design; D003830:Denture, Partial, Fixed; D004955:Esthetics, Dental; D005881:Gingiva / Q000637:transplantation; D005893:Gingivoplasty; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery; D010347:Patient Care Planning; D010519:Periodontium / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps
D015921:Dental Implants