aesthetic rehabilitation of a patient with a cleft lip and palate: a case report

Duman Özbilgin Ö., Alpay B., Tiryaki M.

25. Restoratif Diş Hekimliği kongresi, Muğla, Türkiye, 31 Ekim - 03 Kasım 2024, ss.220-221, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Muğla
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.220-221
  • İstanbul Üniversitesi Adresli: Evet

Özet

Aim Cleft lip and palate are one of the most common congenital anomalie. This anomalie can lead to aesthetic concerns, functional, periodontal and restorative concerns for the patient. The aim of this case report is to assess the treatment of a patient with cleft lip and palate using composite restorations and to observe the long-term follow-up results. Case Report Patients with cleft lip and palate often exhibit certain malformations in dental alignment as well. Due to skeletal narrowing of the maxilla, congenital tooth agenesis may occur because there is insufficient space in the dental arch. In these patients, aesthetic appearance can be improved with restorative treatments. A 22-year-old female patient undergoing orthodontic treatment due to cleft lip and palate presented to the Department of Restorative Dentistry at Istanbul University Faculty of Dentistry. Orthodontic treatment was completed by mesializing tooth #13 to the position of a lateral incisor, resulting in a 4mm midline shift due to the cleft palate. After the examination, in addition to the 4mm midline shift, tooth #12 was found to be missing, and tooth #22 exhibited tissue loss due to caries. Composite veneer applications have been planned for aesthetic and functional rehabilitation. After rubber dam isolation, carious tissues were removed, the universal(Prebond President Dental, München, Germany) adhesive was applied using the etch and rinse technique. Restorations were performed using nano-hybrid G-aenial A’chord A2 (GC Corp., Tokyo, Japan) and G-aenial Achord JE (GC Corp., Tokyo, Japan) composite resin materials. Fine-grit diamond burs shaped the restorations, and polishing was finished with 3M Soft-Lex discs and EVE- TWIST Polishing. The restorations were evaluated at the end of the 1st and 2nd years based on FDI criteria.

Result After one year of follow-up, a color score of 2 was observed for tooth #21 based on FDI criteria regarding aesthetic features, while all other scores were found to be successful. Discoloration was noted in the cervical region of tooth #21. After two years of follow-up, a score of 1 was determined for all teeth according to FDI criteria. Conclusıon In patients with cleft lip and palate, a midline shift of 4 mm can be considered aesthetically acceptable. In composite veneer restorations, the two-year follow-up resulted in long-term success. Keywords: cleft lip and palate,lateral agenesis, composite restoration