title: Interdisciplinary treatment of an adult with bilateral cleft lip and palate with missing premaxilla: The prosthodontic perspective.
abstract: Conventional orthognathic surgery and orthodontic techniques occasionally fail to completely correct the occlusal relationship and esthetic deficits of patients with cleft lip and palate and severe midface deficiency. Prosthodontic rehabilitation is often required to establish adequate occlusion and provide a more proportional facial appearance. This clinical report describes the interdisciplinary management of an adult with complete bilateral cleft lip and palate who was treated with distraction osteogenesis using a rigid external distraction device for maxillary advancement and his prosthodontic rehabilitation with a dual path removable partial overdenture to develop definitive facial and dental esthetic form.
authors.affiliation: Assistant Professor, Department of Oral Rehabilitation, College of Dental Medicine, Georgia Regents University, Augusta, Ga. Electronic address: aabreu@gru.edu.
authors.forename: Amara
authors.initials: A
authors.lastname: Abreu
authors.affiliation: Associate Professor, Department of Orthodontics, College of Dental Medicine, Georgia Regents University; and Associate Director, Craniofacial Center, Children's Hospital of Georgia, Augusta, Ga.
authors.forename: Daniel
authors.initials: D
authors.lastname: Levy-Bercowski
authors.affiliation: Chief, Section of Plastic Surgery, Medical College of Georgia, Georgia Regents University; and Director, Craniofacial Center, Children's Hospital of Georgia, Augusta, Ga.
authors.forename: Jack
authors.initials: J
authors.lastname: Yu
authors.affiliation: Assistant Professor, Department of Oral and Maxillofacial Surgery, College of Dental Medicine; and Assistant Professor, Department of Surgery, Medical College of Georgia, Georgia Regents University, Augusta, Ga.
authors.forename: Martin
authors.initials: M
authors.lastname: Salgueiro
authors.affiliation: Associate Professor, Department of Oral Health and Diagnostic Sciences, College of Dental Medicine, Georgia Regents University, Augusta, Ga.
authors.forename: Sajitha
authors.initials: S
authors.lastname: Kalathingal
authors.affiliation: Assistant Professor, Department of Endodontics, College of Dental Medicine, Georgia Regents University, Augusta, Ga.
authors.forename: Lisiane
authors.initials: L
authors.lastname: Ferreira Susin
authors.affiliation: Associate Professor, Department of Oral Rehabilitation, Program Director-Prosthodontic Graduate Program, College of Dental Medicine, Georgia Regents University, Augusta, Ga.
authors.forename: Phil
authors.initials: P
authors.lastname: Baker
mesh_terms: D000328:Adult; D002508:Cephalometry; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D004955:Esthetics, Dental; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D056948:Orthognathic Surgical Procedures / Q000379:methods; D011476:Prosthodontics / Q000379:methods*; D055815:Young Adult