Department of Prosthodontics, 37664Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Department of Orthodontics and Dentofacial Orthopaedics, 37667University Medical Centre Ljubljana, Slovenia.
Cleft Palate Craniofac J. 2021 Jul;58(7):912-918. doi: 10.1177/1055665620964709. Epub 2020 Oct 16.
Missing lateral incisors are the most frequent dental disorder associated with cleft alveolus. When orthodontic closure of the edentulous space is not possible, more aggressive prosthodontic treatments are required. Contemporary resin-bonded fixed dental prostheses (RBFDPs) represent a promising, time-efficient alternative treatment with fewer biological complications. This clinical report proposes a modified approach to the esthetic rehabilitation of a patient with a complete unilateral cleft lip and palate on the left side and an incomplete cleft lip and alveolar cleft on the right side. Digital diagnostics, treatment planning, and clinical procedures involved in the fabrication of facially bonded RBFDPs are presented. This modified technique enables the concurrent replacement of lateral incisors and correction of the malformed central incisors as well as increasing the retention of the restorations.
缺失侧切牙是与牙槽裂相关的最常见的牙齿畸形。当牙列间隙无法通过正畸关闭时，需要更积极的修复治疗。现代树脂黏结固定义齿（RBFDP）是一种很有前途的、高效省时的治疗方法，其生物并发症较少。本临床报告提出了一种改良的方法，用于修复一位患者的单侧完全唇裂和腭裂（左侧）以及右侧不完全唇裂和牙槽裂。介绍了数字化诊断、治疗计划和制作面弓式 RBFDP 所涉及的临床操作。这种改良技术可以同时替代侧切牙并矫正畸形的中切牙，同时增加修复体的固位力。
