Palmeiro Marina Rechden Lobato, Piffer Caroline Scheeren, Brunetto Vivian Martins, Maccari Paulo César, Shinkai Rosemary Sadami Arai
Department of Prosthodontics, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
J Prosthodont. 2015 Apr;24(3):250-3. doi: 10.1111/jopr.12188. Epub 2014 Jun 27.
Clefts of the lip and/or palate (CLP) are oral-facial defects that affect health and overall quality of life. CLP patients often need multidisciplinary treatment to restore oral function and esthetics. This paper describes the oral rehabilitation of a CLP adult patient who had maxillary bone and tooth loss, resulting in decreased occlusal vertical dimension. Functional and cosmetic rehabilitation was achieved using a maxillary removable partial denture (RPD) attached to telescopic crowns. Attachment-retained RPDs may be a cost-effective alternative for oral rehabilitation in challenging cases with substantial loss of oral tissues, especially when treatment with fixed dental prostheses and/or dental implants is not possible.
唇腭裂(CLP)是影响健康和整体生活质量的口腔面部缺陷。CLP患者通常需要多学科治疗来恢复口腔功能和美观。本文描述了一名成年CLP患者的口腔修复情况,该患者上颌骨和牙齿缺失,导致咬合垂直距离减小。通过使用附着于套筒冠的上颌可摘局部义齿(RPD)实现了功能和美容修复。对于口腔组织大量缺失的具有挑战性的病例,尤其是在无法进行固定义齿和/或牙种植体治疗时,附着体固位的RPD可能是一种具有成本效益的口腔修复替代方案。