Fechamento de fissura palatina com prótese total adaptada – relato de caso

Abstract

In order for us to understand the objectives of treatment with a palate prosthesis, it is necessary, initially, to understand the speech production mechanism, as well as the suction mechanism performed during feeding. The palate prosthesis consists of a removable device that has a fixed extension towards the pharynx and bulb, whose function is to act on the dynamics and functionality together with the pharynx musculature, so that there is control of the oronasal air flow, being the most common the removable type, which can be total, when the patient has no teeth, or partial, when the patient has some teeth, which can be used as anchorage. Its preparation is made from a combination of acrylic resin with the appropriate steps for making a prosthesis. MDGAF patient, 67 years old, female, attended to the clinic of the Brazilian Postgraduate Institute IBPG, reporting functional and aesthetic dissatisfaction of her prosthesis, as she had teeth with wear, pigmentation throughout the prosthesis, speech difficulties, and swallowing. On clinical examination, it was found that it was not just a conventional full denture, but a conventional full denture adapted for patients with cleft palates. In the anamnesis, the patient reported that she was diagnosed in 2003 with poor basilar formation, and the main symptom was severe headaches. She sought a neurologist for such diagnosis, where three attempts were made to close the communication that were unsuccessful.