title: Cleft palate obturation with Brånemark protocol implant-supported fixed denture and removable obturator.
abstract: 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.
authors.affiliation: Prosthodontics Sector, Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo (HRAC/USP), Bauru, Brazil. jscarelli@usp.br
authors.forename: José Fernando Scarelli
authors.initials: JF
authors.lastname: Lopes
authors.forename: João Henrique Nogueira
authors.initials: JH
authors.lastname: Pinto
authors.forename: Ana Lúcia Pompéia Fraga
authors.initials: AL
authors.lastname: de Almeida
authors.forename: Mônica Moraes Waldemarin
authors.initials: MM
authors.lastname: Lopes
authors.forename: Gisele
authors.initials: G
authors.lastname: da Silva Dalben
mesh_terms: 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