Abstract
Adult patients with bilateral cleft lip and palate present unique challenges for prosthodontic
treatment because of mobility of the premaxillary segment, oral-nasal communication,
multiple missing and malpositioned anterior teeth, unfavorable soft tissues, and scar
tissue underneath the maxillary lip. This clinical report describes the prosthodontic
treatment of an adult patient with a terminal maxillary dentition and bilateral cleft
palate, by using 5 dental implants and a 1-piece complete-arch fixed implant-supported
prosthesis made of monolithic zirconia. The zirconia prosthesis aided in rigidly splinting
not only the implants but also in orthopedically splinting the mobile premaxillary
segment to the maxilla. Additional surgical and prosthodontic considerations in splinting
the mobile premaxilla as well as biomechanical principles involved in management of
such patients are also presented in this article.
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References
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Article info
Publication history
Published online: September 23, 2020
Identification
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© 2020 by the Editorial Council for The Journal of Prosthetic Dentistry.
