Nonsurgical Management of Adult Cleft Palate Patient

Abstract

Successful cleft lip and palate rehabilitation requires an interdisciplinary approach. When the patient is reluctant to interdisciplinary approach then the problem becomes even more challenging. This case report describes management of 18-year-old postpubertal male cleft patient who was referred by a plastic surgeon for the orthodontic correction of irregular upper teeth. Patient had maxillary deficiency. Initially maxillary advancement was planned to address the problem. In the mid course of treatment, patient was reluctant to orthognathic surgery. Therefore, an alternate nonsurgical orthodontic camouflage treatment plan was designed with extractions of lower first premolars and proclination of upper anteriors. Though the presented case showed improved esthetics with nonsurgical orthodontic camouflage treatment, which is not possible in all cases. Interdisciplinary approach is must to get optimal facial and dental esthetics.