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References

Thomason JM, Kelly SA, Bendkowski A, Ellis JS Two implant retained overdentures – a review of the literature supporting the McGill and York consensus statements. J Dent. 2012; 40:(1)22-34
Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington HV, Coulthard P Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009; (4)
Monje A, Chan HL, Fu JH, Suarez F, Galindo-Moreno P, Wang HL Are short dental implants (<10 mm) effective? A meta-analysis on prospective clinical trials. J Periodont. 2012; 84:(7)895-904
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Rehabilitation of an edentulous maxilla in a patient with isolated cleft palate

From Volume 43, Issue 3, April 2016 | Pages 214-216

Authors

Bardia Valizadeh

DDS, MFDS RCSed, MCLinDent Prosth, MPros RCSed

Articles by Bardia Valizadeh

S Agrin Barzanji

BDS, MClinDent Perio

Articles by S Agrin Barzanji

Mital Patel

BDS, BSc(Hons), MFDS RCS(Eng), MSc, FDS (Rest Dent), RCS(Eng), FDS RCS (Ed)

Specialist Registrar in Restorative Dentistry, Leeds Dental Institute, Barnet and Chase Farm NHS Trust, Enfield EN2 8JL, UK

Articles by Mital Patel

Shakeel Shahdad

BDS, MMed Sc, FDS RCS(Edin), DDS

Consultant and Honorary Senior Clinical Lecturer, Department of Restorative Dentistry, The Royal London Dental Hospital, New Road, London E1 1BB, UK

Articles by Shakeel Shahdad

Abstract

This article aims to discuss the use of short dental implants in cleft patients, the construction of an implant-retained obturator and the use of a Createch® milled titanium bar with three Locator® overdenture attachments incorporated within the bar.

CPD/Clinical Relevance: Implant-retained obturators offer a possible solution for treating patients with isolated cleft palate who are struggling with dentures due to the unfavourable soft and hard tissue profile. This paper demonstrates how to manage such patients and shows all the clinical and laboratory stages involved.

Article

The challenges often faced in restoring patients with an unrepaired cleft of the palate can be:

Often the biggest challenge lies in providing adequate support, stability and retention for a conventional prosthesis. Advances in implant dentistry have provided a predictable alternative solution to help retain the removable prostheses.1

A 71-year-old man was suffering from an unrepaired palatal cleft with three remaining teeth and one retained root with grade II mobility and severe bone loss (Figures 1, 2).

Following clinical and radiographic examination, the remaining teeth were deemed to have poor prognosis. There was significant bone loss and lack of sulcus depth. These features, as well as a patent with a cleft palate, presented a significant challenge in the rehabilitation of this patient.

An implant-retained obturator on short implants (<10 mm) and a CADCAM Createch® milled titanium bar with incorporated Locator® overdenture attachments can address the problem of lack of stability, support and retention of prosthesis whilst improving the aesthetics, function and quality of life in a patient with an unrepaired cleft palate.

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