Cleft lip and palate outcomes: Multidisciplinary approach for comprehensive management

Vittorio Favero; Andrea Volpato; Francesca Stefanelli; Giampaolo Drago; Riccardo Favero; Federico Baietto; Stefano Fusetti; Guido Bissolotti

doi:10.1016/j.jormas.2024.101899

Cleft lip and palate outcomes: Multidisciplinary approach for comprehensive management

J Stomatol Oral Maxillofac Surg. 2024 Apr 29:101899. doi: 10.1016/j.jormas.2024.101899. Online ahead of print.

Authors

Vittorio Favero¹, Andrea Volpato², Francesca Stefanelli², Giampaolo Drago², Riccardo Favero², Federico Baietto², Stefano Fusetti², Guido Bissolotti²

Affiliations

¹ Unit of Maxillofacial Surgery, Department of Neurosciences, University of Padua, Via Giustiniani 2, 35121 Padua Italy. Electronic address: Vittorio.favero@unipd.it.
² Unit of Maxillofacial Surgery, Department of Neurosciences, University of Padua, Via Giustiniani 2, 35121 Padua Italy.

PMID: 38692455
DOI: 10.1016/j.jormas.2024.101899

Abstract

In patients with cleft lip and palate the most common associated dental problem is lateral incisor agenesis, often associated with lack of support and definition of the nasal tip. In many cases, adhesions deriving from surgical procedures and skeletal discrepancy make orthognathic surgery and rhinoseptoplasty unavoidable. In the present case report a dental rehabilitation with canine substitution and prosthetic-implant treatment in a posterior area is described. The use, during rhinoseptoplasty, of a customized titanium prosthesis, which provides projection for the tip of the nose, is also introduced. The patient was administered two questionnaires in order to assess the psychological aspects related to the cleft outcomes and the influence that the treatment conveyed.

Keywords: Cleft palate; Orthognathic surgery; Patient-specific implant; Rhinoplasty.