Orthodontic and restorative treatment in cleft lip without bone graft – case report/ Tratamento ortodôntico e restaurador em paciente com fissura labial sem enxerto ósseo – relato de

Raphaela Farias Rodrigues, Iasmin Tavares Santos, Thayna Soares de Sousa, Sarah Lerner Hora, Hibernon Lopes Filho

Abstract


Introduction: Cleft lips and palates are among the most common congenital orofacial anomalies of the head and neck. Treatment of orofacial clefts is challenging, prolonged and delivered by multidisciplinary teams. The patient is typically treated from birth until adulthood. Dentist performance is indispensable for the treatment. This pathology affects several speech, swallowing and dentition implications. Case Report: Patient M.A.D. with complete right unilateral incisive pre-foramen cleft sought dental care. During clinical and radiographic examination, a good facial profile, passive lip sealing, Angle class I malocclusion and absence of the lateral incisor on the same side of the cleft were observed, but there was the presence of the pre-canine. The treatment without bone graft was planned through dental compensation with interceptive and corrective orthodontics and aesthetic reanatomization of the canine. After orthodontic treatment, there was a 3.24 mm diastema between the canine and distal pre-canine mesial. To maintain the proportionality between the teeth, composite resin veneers were made in the upper anterior teeth with increased incisal third. Conclusion: The dental compensation through orthodontics and the confection of the direct veneers in composite resin by operative dentistry were essential in order to obtain the final result extremely satisfactory through conservative treatments.


Keywords


Cleft Lip; Operative Dentistry; Corrective Orthodontics; Interceptive Orthodontics.

Full Text:

PDF

References


Redett R. A guide o understand Cleft Lip and palate. Dallas, Texas: Children’s craniofacial association; 2009.

Kloukos D, Fudalej P, Sequeira-Byron P, Katsaros C. Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients. Cochrane Database Syst Rev. 2016;9:CD010403.

Radojicic J, Tanic T, Jovic N, Cutovic T, Papadopoulos K. Presurgical orthodontic treatment of patients with complete bilateral cleft lip and palate. Vojnosanit Pregl. 2014;71(7):693-699.

Tolarova MM, Cervenka J. Classification and birth prevalence of orofacial clefts. Am J Med Genet. 1998;75(2):126-137.

Schutte BC, Murray JC. The many faces and factors of orofacial clefts. Hum Mol Genet. 1999;8(10):1853-1859.

Wang X. [Surgical correction of secondary deformities with lip and palate cleft]. Zhonghua Kou Qiang Yi Xue Za Zhi. 2004;39(5):362-364.

Kumar Ps P, K SD, G L, Singh N. Incidence and Demographic Patterns of Orofacial Clefts in Mysuru, Karnataka, India: A Hospital-based Study. Int J Clin Pediatr Dent. 2018;11(5):371-374.

Tannure PN, Oliveira CA, Maia LC, Vieira AR, Granjeiro JM, Costa Mde C. Prevalence of dental anomalies in nonsyndromic individuals with cleft lip and palate: a systematic review and meta-analysis. Cleft Palate Craniofac J. 2012;49(2):194-200.

Tortora C, Meazzini MC, Garattini G, Brusati R. Prevalence of abnormalities in dental structure, position, and eruption pattern in a population of unilateral and bilateral cleft lip and palate patients. Cleft Palate Craniofac J. 2008;45(2):154-162.

Trindade-Suedam IK, da Silva Filho OG, Carvalho RM, et al. Timing of alveolar bone grafting determines different outcomes in patients with unilateral cleft palate. J Craniofac Surg. 2012;23(5):1283-1286.

Caballero JT, Pucciarelli MGR, Pazmino VFC, et al. 3D comparison of dental arch stability in patients with and without cleft lip and palate after orthodontic/rehabilitative treatment. J Appl Oral Sci. 2019;27:e20180434.

Bichara LM, Araujo RC, Flores-Mir C, Normando D. Impact of primary palatoplasty on the maxillomandibular sagittal relationship in patients with unilateral cleft lip and palate: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2015;44(1):50-56.

Farronato G, Kairyte L, Giannini L, Galbiati G, Maspero C. How various surgical protocols of the unilateral cleft lip and palate influence the facial growth and possible orthodontic problems? Which is the best timing of lip, palate and alveolus repair? literature review. Stomatologija. 2014;16(2):53-60.

Li Y, Shi B, Song QG, Zuo H, Zheng Q. Effects of lip repair on maxillary growth and facial soft tissue development in patients with a complete unilateral cleft of lip, alveolus and palate. J Craniomaxillofac Surg. 2006;34(6):355-361.

Ribeiro AA, Leal L, Thuin R. Análise morfológica dos fissurados de lábio e palato do Centro de Tratamento de Anomalias Craniofaciais do Estado do Rio de Janeiro. Dental Press Ortodon Ortop Facial. 2007;12(5):109-118.

Alonso N, Tanikawa DYS, Lima Júnior JE, Ferreira MC. Avaliação comparativa e evolutiva dos protocolos de atendimento dos pacientes fissurados. Rev Bras Cir Plást. 2010;25(3):434-438.

Rodrigue SDR, Argolo S, Cavalcanti AN. Reanatomização dental com resina composta: relato de caso. Revista Bahiana de Odontologia. 2014;5(3):182-192.

Radz GM. Minimum thickness anterior porcelain restorations. Dent Clin North Am. 2011;55(2):353-370, ix.

Berwanger C, Rodrigues RB, Ev LD, Yamith A, Denadai GA, Erhardt MCG. Fechamento de diastema co resina composta direta - relato de caso clínico. Rev Assoc Paul Cir Dent. 2016;70(3):317-322.

Lamenha EGR, Guimarães RP, Vicente da Silva CH. Diastema mediano superior: aspectos etiológicos. Int J Dent. 2007;6(1):2-6.

Luz M, Boscato N, Bergoli C. Importância do diagnóstico na reabilitação estética e funcional. PróteseNews. 2015;2(3):296-304.

Schwarz V, Simon LS, Silva SA, Ghiggi PC, Cericato GO. Fechamento de diastema com resina composta: relato de caso. J Oral Invest. 2013;2(1):26-31.




DOI: https://doi.org/10.34119/bjhrv2n6-029

Refbacks

  • There are currently no refbacks.