Poster 166: Esthetic and Functional Reconstruction Using Implants in a Patient With Alveolar Clefts

Abstract

Statement of the ProblemA residual alveolar cleft represents an obstacle for rehabilitation of a dental arch. As a solution, implants with an autogenous bone graft have been suggested for dental reconstruction in alveolar clefts patients. Insufficient interdental alveolar bone height and aesthetic issues seem to be limiting factors in the clinical use of this procedure. This report suggested that superior results can be obtained for esthetic and functional reconstruction using implants with alveolar clefts.Materials and MethodsThe patient was born with a congenital bilateral complete cleft and palate. A closure of the left cleft lip was completed at 4 months of age, the right was completed at 8 months, and the palatal cleft was closed at 1 year 9 months. The patient underwent right alveolar bone grafting at the age of 22 years and left alveolar bone grafting at 23 years. After bony bridge formation became a base, the patient underwent veneer grafting after 6 months to insert implants. The implants were inserted with bone grafting after 3 months.Method of Data AnalysisFindings after surgery demonstrated well maintained interdental bony height and width in the premaxilla. The results indicated that osseointegrated implants combined with bone grafting are more reliable than conventional procedures for occlusal reconstruction in patients with alveolar cleft.ResultsFor general treatment of alveolar cleft, we obtained superior results in respect esthetics and configuration. The results here suggested that the placement of implants can be successfully carried out in grafted alveolar clefts.ConclusionPlacement of endosseous implants in grafted alveolar clefts. Statement of the ProblemA residual alveolar cleft represents an obstacle for rehabilitation of a dental arch. As a solution, implants with an autogenous bone graft have been suggested for dental reconstruction in alveolar clefts patients. Insufficient interdental alveolar bone height and aesthetic issues seem to be limiting factors in the clinical use of this procedure. This report suggested that superior results can be obtained for esthetic and functional reconstruction using implants with alveolar clefts. A residual alveolar cleft represents an obstacle for rehabilitation of a dental arch. As a solution, implants with an autogenous bone graft have been suggested for dental reconstruction in alveolar clefts patients. Insufficient interdental alveolar bone height and aesthetic issues seem to be limiting factors in the clinical use of this procedure. This report suggested that superior results can be obtained for esthetic and functional reconstruction using implants with alveolar clefts. Materials and MethodsThe patient was born with a congenital bilateral complete cleft and palate. A closure of the left cleft lip was completed at 4 months of age, the right was completed at 8 months, and the palatal cleft was closed at 1 year 9 months. The patient underwent right alveolar bone grafting at the age of 22 years and left alveolar bone grafting at 23 years. After bony bridge formation became a base, the patient underwent veneer grafting after 6 months to insert implants. The implants were inserted with bone grafting after 3 months. The patient was born with a congenital bilateral complete cleft and palate. A closure of the left cleft lip was completed at 4 months of age, the right was completed at 8 months, and the palatal cleft was closed at 1 year 9 months. The patient underwent right alveolar bone grafting at the age of 22 years and left alveolar bone grafting at 23 years. After bony bridge formation became a base, the patient underwent veneer grafting after 6 months to insert implants. The implants were inserted with bone grafting after 3 months. Method of Data AnalysisFindings after surgery demonstrated well maintained interdental bony height and width in the premaxilla. The results indicated that osseointegrated implants combined with bone grafting are more reliable than conventional procedures for occlusal reconstruction in patients with alveolar cleft. Findings after surgery demonstrated well maintained interdental bony height and width in the premaxilla. The results indicated that osseointegrated implants combined with bone grafting are more reliable than conventional procedures for occlusal reconstruction in patients with alveolar cleft. ResultsFor general treatment of alveolar cleft, we obtained superior results in respect esthetics and configuration. The results here suggested that the placement of implants can be successfully carried out in grafted alveolar clefts. For general treatment of alveolar cleft, we obtained superior results in respect esthetics and configuration. The results here suggested that the placement of implants can be successfully carried out in grafted alveolar clefts. ConclusionPlacement of endosseous implants in grafted alveolar clefts. Placement of endosseous implants in grafted alveolar clefts.