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Prosthetic rehabilitation of patients with unilateral complete cleft of the primary and secondary palate.
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The
goal
of
this
paper
was
to
present
the
orthodontic
treatment
of
a
patient
with
unilateral
lip
,
alveolar
and
hard
palate
cleft
(
UCLP
)
and
the
agenesis
of
permanent
teeth
and
prosthetic
rehabilitation
of
two
cases
differing
from
each
other
in
the
extent
of
tissue
deficiency
.
Both
patients
underwent
a
long
,
multi-specialist
surgico-orthodontic
treatment
including
derotation
of
the
maxilla
's
smaller
segment
and
restoration
of
space
for
the
missing
teeth
.
In
the
first
case
presented
,
cross-bite
on
the
front
teeth
and
the
canine
was
eliminated
during
a
late
phase
of
orthodontic
treatment
in
order
to
prepare
for
final
prosthetic
rehabilitation
.
Two
prosthetic
restorations
in
patients
with
similar
dental
anomalies
(
hypodontia
of
the
right
upper
incisors
)
were
presented
and
discussed
in
detail
.
Prosthetic
rehabilitation
with
cemented
restoration
was
carried
out
after
the
end
of
growth
.
Satisfactory
function
of
the
orthognathic
system
and
face
appearance
were
accomplished
.
In
both
cases
cemented
prosthetic
restorations
preserve
the
treatment
outcome
and
bite
stability
.
The
results
were
excellent
and
satisfying
for
the
patients
.
The
patient
who
presented
more
extensive
tissue
distortion
has
retained
correct
bite
and
prosthetic
restorations
for
20
years
.
The
patient
whose
correction
of
the
malocclusion
and
the
cemented
prosthetic
restoration
was
completed
is
also
predicted
to
maintain
long
-standing
oral
health
and
good
functioning
of
the
masticatory
system
.
