DENTAL PROSTHESIS;

Abstract

Objectives: To provide various means of retention in dental prosthesis for cleftpatients. Study Design: It was a descriptive type of study. Place and Duration of study: Thestudy was carried out at Hamdard University Dental Hospital, Karachi. Total duration of this studywas three years. Materials and Methods: Total 30 patients were selected after taking consentby random sampling technique. The age range varies from 01 month to 45 years. Among 30patients, 19 were female while 11 were males. Special designed Performa was made and filledby getting all related information from patient/ attendants. Then various treatment optionswere discussed with the patient or attendant & with mutual consent prosthesis was fabricatedutilizing various method of retention. Results: Feeding plate was fabricated for five patients,in which retention is achieved through maximum extension of prosthesis, using elastic band,utilization of favorable undercuts. Conventional removable partial denture was fabricated for17 patients. Mainly retention was achieved through retainers, considering esthetics maximumnumber of clasp is incorporated. To get better patient’s compliance flexible removable partialdenture was fabricated for 03 patients while precision attachment was provided to one patient.Speech bulb prosthesis was fabricated for one patient, its retention was mainly achieved bymeans of Adam’s clasp. Seven patients were provided with fixed prosthesis, in four cases pinkporcelain was added in cervical area to further improve esthetics & retention. Mainly due tofinancial status & poor compliance from the patients, implant supported prosthesis was notprovided to any patient. Conclusion: Utilization of various means of retention brings betteradaptation of prosthesis in cleft patients.