Open AccessSmile designing for cleft lip and palate patient: The prosthodontic approach
Author(s) -
Karuna Gajanan Pawashe,
Shivsagar Tewary,
Pronob Kumar Sanyal,
Deepika Khanna
Publication year - 2017
Publication title -
indian journal of dental sciences
Language(s) - English
Resource type - Journals
eISSN - 2231-2293
pISSN - 0976-4003
DOI - 10.4103/ijds.ijds_43_17
Subject(s) - removable partial denture , dentures , dentistry , medicine , bridge (graph theory) , orthodontics , anterior teeth , treatment modality , surgery
The case report describes smile designing of a 22-year-old male patient who was surgically operated for unilateral cleft lip (left side) with Andrew's Bridge system. It is composed of two components: Fixed component (retainers on abutments joined by bar) and removable component. The patient exhibited maxillary anterior defect (Siebert's Class-III anterior ridge defect), teeth transposition, increased mesiodistal edentulous space, bilaterally missing lateral incisor. When there is a limitation of bone grafting/surgical augmentation, alternative treatment modalities such as removable partial dentures, fixed partial dentures with gingival porcelain and/or fixed-removable partial dentures known as Andrew's bridge are indicated