ABSTRACT
Oral rehabilitation of adult patients with cleft lip and palate is related to the severity of the anatomical and functional alterations that hamper the proper closure of the nasopharynx. The ideal treatment is closure by bone graft and orthodontics. However, when surgery is not possible or when the patient does not wish to undergo surgery, a palatal prosthesis may offer the best solution in most clinical situations. The authors of this article propose a new classification to help the practitioner with decision making and prosthetic treatment planning for residual palatoalveolar cleft defects.
Subject(s)
Cleft Lip/classification , Cleft Palate/classification , Decision Making , Palatal Obturators , Patient Care Planning , Adult , Cleft Lip/rehabilitation , Cleft Palate/rehabilitation , Dental Prosthesis Design , Humans , Palatal Obturators/classification , Palate, Soft/pathology , Velopharyngeal Insufficiency/classification , Velopharyngeal Insufficiency/rehabilitationABSTRACT
The prosthetic treatments play a role in the rehabilitation of patients with congenital and acquired cleft palate. To prepare the surgical field and/or correct inevitable sequelae of the surgery, the rehabilitation with obturator prosthesis is an auxiliary or complementary treatment to surgical treatments. In cases where the surgical treatment is contraindicated, the prosthetic rehabilitation becomes a definitive treatment. The denture is planned and fabricated according to each patient. Therefore, the aim of this study was to discuss the prosthetic rehabilitation performed in patients with oronasal communication.
