A CLEFT LIP AND PALATE CASE WITH OLIGODONTIA

Erdoğan C., Gümrü Çelikel A. D.

FDI WORLD DENTAL CONGRESS 2024, İstanbul, Türkiye, 12 - 15 Eylül 2024, ss.1, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.1
  • İstanbul Üniversitesi Adresli: Evet

Özet

  • A CLEFT LIP AND PALATE CASE WITH OLIGODONTIA 

INTRODUCTION:

Cleft lip and palate are the most common congenital anomalies,with  prevalence of 2.1 per 1000 live births.Failure of fusion of maxillary and medial nasal prominences or between the palatal processes results in clefts of varying extent,unilaterally or bilaterally.Dental anomalies such as agenesis and malformation are seen in these patients.Oligodontia is termed absence of six or more teeth,and it can be either isolated or part of a syndrome.

 CASE:

A 12-year-old male patient with unilateral cleft lip and palate presented to our clinic with a chief complaint of upper jaw retrusion and missing teeth.In clinical examination,multiple missing teeth in the upper jaw with 4mm negative overjet is observed.Radiographic examination reveals skeletal Class III anomaly due to maxillary retrognathia with hypodivergent growth pattern,and alveolar cleft on the left side.Treatment plan of the patient includes using skeletally anchored face mask to move the upper jaw forward,and grafting the alveolar cleft. If the use of facemask is insufficient due to accelerated skeletal age, an orthognathic surgery is planned to move the upper jaw forward. After orthodontic treatment, the patient will be referred to prosthetic department for rehabilitation of missing teeth.

 DISCUSSION:

Due to patient's accelerated skeletal age,the focus was initially on correcting the skeletal Class III anomaly.In consequence to multiple missing teeth,traditional tooth-supported facemask application could not be performed.Skeletal anchorage units were created using mini-plates in the piriform rim region and facemask was applied over the plates.

CONCLUSION:

Cleft lip and palate accompanied by oligodontia requires multidisciplinary treatment approaches involving orthodontics,oral surgery and prosthodontics.

 Keywords: cleft lip and palate, oligodontia, skeletal anchorage