Oral Rehabilitation in Bilateral Cleft Lip and Palate Patient with Wide Alveolar Cleft

Abstract

We report a case of bilateral cleft lip and palate in a patient with a wide alveolar cleft due to severe atrophy of the pre-maxilla. The patient was a 33-year-old woman who presented with masticatory dysfunction and a foul smell in the nose. We performed oral rehabilitation by the following procedures: first, maxillary plasty was performed by means of an iliac bone graft; next, occlusal rehabilitation was achieved through the placement of dental implants following vestibular extension with a mucosal graft. As a result, her nasolabial form and masticatory function were satisfactorily improved.