Prosthetic Rehabilitation of Completely Edentulous Unrepaired Cleft Palate Patient with Implant Supported Hader Bar and Clips: A Case Report

Authors

  • G Devkota National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • SP Joshi National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • P Shrestha National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • S Sah National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • A Verma National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jnprossoc.v5i2.55748

Keywords:

Cleft Palate, Obturator Prosthesis, Implant, Hader Bar and Clip

Abstract

Prosthetic rehabilitation of an edentulous cleft lip and palate patient with a combined hard and soft palate defect is a great challenge, due to the lack of retention of the obturator prosthesis as a result of its weight and the inability to obtain a border seal. Dental implants improve the retention, stability, and occlusal function of prostheses when used in carefully selected cleft lip and palate cases. This clinical report presents an edentulous unilateral cleft lip and palate patient who has hard and soft palate defects and an atrophied maxilla, treated with an implant-supported speech-aid prosthesis Prosthetic rehabilitation of an edentulous cleft lip and palate patient with a combined hard and soft palate defect is a great challenge, due to the lack of retention of the obturator prosthesis as a result of its weight and the inability to obtain a border seal. Dental implants improve the retention, stability, and occlusal function of prostheses when used in carefully selected cleft lip and palate cases. The prosthetic rehabilitation of edentulous patient with unrepaired cleft palate poses a great challenge due to both hard and soft tissue defect compromising retention, support and stability of the obturator due to inability to obtain border seal and heavy weight. In carefully selected patient use of osseointegrated implant along with the bars and clips supporting and retaining maxillary overdentures on implants play a significant role in their efficacy. This clinical report presents an edentulous unilateral cleft palate patient treated with an implant-supported Hader bar and clips.

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Author Biographies

G Devkota, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

PG Resident

SP Joshi, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

Professor

P Shrestha, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

Associate Professor

S Sah, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

Assistant Professor

A Verma, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

Assistant Professor

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Published

2022-12-31

How to Cite

Devkota, G., Joshi, S., Shrestha, P., Sah, S., & Verma, A. (2022). Prosthetic Rehabilitation of Completely Edentulous Unrepaired Cleft Palate Patient with Implant Supported Hader Bar and Clips: A Case Report. Journal of Nepalese Prosthodontic Society, 5(2), 99–105. https://doi.org/10.3126/jnprossoc.v5i2.55748

Issue

Section

Case Reports