Multidisciplinary action in a patient with cleft lip and palate: esthetic-functional dentofacial treatment for more than two decades

Authors

  • Laura Viviana Calvache Arcila Universidade Estadual Paulista - UNESP, Instituto de Ciência e Tecnologia, Departamento de Materiais Dentais e Prótese. São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-9435-2346
  • Laís Carolina Landim Gomes Universidade Estadual Paulista - UNESP, Instituto de Ciência e Tecnologia, Departamento de Materiais Dentais e Prótese. São José dos Campos, SP, Brazil. https://orcid.org/0000-0002-5765-7623
  • Alessandro Travassos Universidade Estadual Paulista - UNESP, Instituto de Ciência e Tecnologia, Odontologia Restauradora . São José dos Campos, SP, Brazil. https://orcid.org/0000-0002-3024-7843
  • Virgilio Vilas Boas Fernandes Universidade Estadual Paulista - UNESP, Instituto de Ciência e Tecnologia, Odontologia Restauradora . São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-5063-8748
  • Rodrigo Dias Nascimento Universidade Estadual Paulista - UNESP, Instituto de Ciência e Tecnologia, Departamento de Diagnóstico e Cirurgia. São José dos Campos, SP, Brazil. https://orcid.org/0000-0003-4542-2234
  • Weber Ursi PhDUniversidade Estadual Paulista - UNESP, Instituto de Ciência e Tecnologia, Departamento de Odontologia Social e Clínica Infantil . São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-5768-4886
  • João Mauricio Ferraz Universidade Estadual Paulista - UNESP, Instituto de Ciência e Tecnologia, Departamento de Materiais Dentais e Prótese. São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-6372-6333

DOI:

https://doi.org/10.4322/bds.2023.e3801

Abstract

Cleft lip and palate is a very common congenital defect in which embryonic facial processes do not achieve the ideal facial formation during their development which can cause malformation. Multiple dentistry specializations, especially oral and maxillofacial, orthodontics, oral rehabilitation and dental aesthetics are required in order to correct lip and oral cavity malformations by this congenital defect with the objective of functional and aesthetics improvement. The clinical case reported show the multidisciplinary approach in a patient with cleft lip and palate implementing an aesthetic and functional dentofacial rehabilitation. The case involves a 27-year-old female patient LCLG, Caucasian, with the presence of unilateral congenital cleft lip and palate on the left side, who started rehabilitative and reparative treatment at 3 months of age. She then started pediatric orthodontic treatment for angle class 3 crossbite correction at 7 years of age. After complete replacement of deciduous to permanent dentition at the age of 11, the patient started orthodontic treatment with a fixed appliance for several years and restorative treatment with composite resin reanatomize the anterior teeth due to agenesis of elements 22 and 25. After a few years when the resin restorations were no longer biologically favorable, an aesthetic rehabilitation treatment with ceramic laminates was planned through smile digital planning soon after completing the orthodontic treatment. This case report demonstrates that high aesthetic, functional and psychological expectations of a patient with congenital defect compromise throughout her life were met through a multidisciplinary dental treatment based on correct diagnosis and digital planning.

KEYWORDS

Congenital abnormalities; Malocclusion; Dental Technology; Rehabilitation; Diagnosis.

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Published

2023-06-13

Issue

Vol. 26 No. 2 (2023): Apr - Jun / 2023 - Published Mar 2023

Section

Case Report or Clinical Technique

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