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.
Lopes
José Fernando Scarelli
JF
Prosthodontics Sector, Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo (HRAC/USP), Bauru, Brazil. jscarelli@usp.br
Pinto
João Henrique Nogueira
JH
de Almeida
Ana Lúcia Pompéia Fraga
AL
Lopes
Mônica Moraes Waldemarin
MM
da Silva Dalben
Gisele
G
D000328:Adult; D000848:Anodontia / Q000150:complications / Q000628:therapy*; D002972:Cleft Palate / Q000150:complications / Q000628:therapy*; D019094:Dental Prosthesis, Implant-Supported; D003834:Denture Precision Attachment; D003781:Denture Retention / Q000295:instrumentation*; D003830:Denture, Partial, Fixed; D006801:Humans; D008297:Male; D008409:Mastication; D016155:Oral Fistula / Q000150:complications / Q000628:therapy; D010158:Palatal Obturators; D013064:Speech Disorders / Q000209:etiology / Q000534:rehabilitation