2002 Volume 22 Issue 2 Pages 144-152
This report presents the improvement of the prosthetic treatment by the reconstruction of occlusion using bone grafting in adulthood for a case with bilateral cleft lip and palate whose treatment was initially attempted by prosthetic measures only.
The patient was a female adult with bilateral cleft lip and palate. Primary lip repair was carried out at the ages of 6 and 9 months, respectively, while palatoplasty was performed at the ages of 1 year and 9 months, followed by revisionary lip surgery at 6 years 11 months old. Since initial examination for orthodontic care at 7 years old.
A Hawley-type retainer with artificial teeth to replace some missing anteriors which was to be replaced by a metal retainer later was applied at the age of 14 years after temporary orthodontic treatment. Re-examination revealed the necessity of alveolar bone reconstruction for prosthetic rehabililtation; thus, bone grafting in the region of the alveolar cleft was planned using autogeneous particular marrow and cancerous bone harvested from the illiac crest. After that, corrective orthodontic treatment using the multibracket system was completed sparing the space for the upper central incisor which requires prosthetic treatment.
