Multidisciplinary approach for improving esthetics in cleft palate and alveolus patient: A clinical report Doddamani S, Patil RA, Nerli S - J Indian Prosthodont Soc

This clinical report describes an interdisciplinary (oral surgery, orthodontics, and prosthodontics) approach for the coordinated treatment of a patient diagnosed with operated cleft palate and lip. On intra oral examination gingival cleft, missing maxillary left central and lateral incisors and maxillary right premolars and orthodontic malocclusion were present. The patients' specific esthetic expectations for the anterior maxilla were successfully met through phased treatment, which included orthodontic tooth movement, distraction osteogenesis, surgical closure of the cleft, full upper arch rehabilitation with porcelain fused to metal and pink porcelain in the cleft region. Such coordinated interdisciplinary evaluation and treatment are necessary for improved esthetics, functional results in maxillary anterior areas for esthetically compromised patients in several aspects.