A case of cleft lip and palate performed a comprehensive oral rehabilitation combined dental implants with orthognathic surgery

Abstract

  Patients undergone surgical operations of cleft lip and palate（CLP）have esthetic and functional problems, such as jaw deformities and malocclusion．For solution of such problems, the comprehensive treatment applied dental implants is useful. We encountered a case of CLP performed a comprehensive oral rehabilitation combined dental implants with orthognathic surgery.

  A 48-year-old woman who had multiple problems, including severe odontogenic sinusitis, maxillary retrognathia, and multiple pathologic teeth, visited our hospital wishing for total treatment of esthetic and functional improvement. She had been received several times of operation for CLP in her childhood. Postoperative maxillary retrognathia complicated with alveolar cleft was existed. Following extraction of the pathologic teeth with apical lesion from right second premolar to left second premolar, graft of autologous decalcified dentin particles and hydroxyapatites for alveolar cleft and socket preservation were undergone prior to implant therapy. Six months after grafting, dental implants were placed in the tooth defect of maxilla. Then an implant-supported provisional restoration was prepared before orthognathic surgery. Bilateral sagittal split ramus osteotomy and genioplasty was done for correction of retrognathia. After stabilization of occlusion, final implant-supported fixed prosthesis was installed. The satisfying result was obtained.