DUDAK DAMAK YARIKLI HASTADA ESTETİK VE FONKSİYONEL PROTETİK REHABİLİTASYON

The Cleft Lip and Palate (CLP) is variation of a type of clefting congenital anomaly caused by abnormal facial development during pregnancy. The etiology of CLP is unknown. The CLP patient is mainly characterized by the presence of an oronasal communication, malformation or congenital agenesis of the teeth close to the cleft and deficient sagittal and transverse growth of the maxilla. CLP is needing complex treatment strategies scheduled in many years of duration. These patients require various treatments involving a multidisciplinary team, which may include a maxillofacial surgeon, an orthodontist, prosthodontist, an ear nose and throat specialist(ENT), speech therapist and all those professionals who can help provide functional and aesthetic improvement. CLP patients may reconstructed with conventional prostheses or (dental-zygomatic) implant retained prostheses. Clinicians still have some difficulties in prosthetic reconstruction. Prosthetic reconstruction of the premaxillary region is important for these patients. In this case report, to restore masticatory function and improve speech and esthetics of the 21 years old cleft lip and palate patient fixed- removable protheses is used and advantages and disadvantages of prosthetic reconstruction are discussed By applying prothetic rehabilitation the function, phonation and esthetic were reformed. As a result of these deficiencies physcosocial problems were abolished. During one year clinical observation it was constated that the patient was living without any problem