A tale-telling girl of 18 years, all the way from Kerala visited Richardsons Dental and Craniofacial Hospital, Nagercoil with her parents. Being a child with cleft lip and palate she underwent a number of corrective surgeries elsewhere. After these surgeries, she was brought to Dr. Sunil to improve her appearance. Oral and Maxillofacial surgeon specialized in treating craniofacial deformities suggested them with Anterior Maxillary Distraction; wherein the maxillary hypoplasia is corrected. Using dental rehabilitation by means of an intra-oral distractor the upper jaw is brought forward. Later on, the cleft nasal deformity was corrected with Rhinoplasty and a lip revision surgery was done to enhance her look.
Congenital absence of teeth is common in patients with cleft lip and palate deformities. Teeth develop from the tooth buds present within the jawbones. As the cleft patients show defective bone development, tooth buds are absent. Congenital missing or palatal eruption of lateral incisors on the cleft side is common. Even if present they would be peg-shaped.
After all these corrective surgeries, as a final step, they came back in the month of monsoon for dental rehabilitation. Intentional Root canal treatment was advised for all upper anterior teeth. Teeth were prepared by grinding them creating space for the new prosthesis to fit in. Impressions were made with irreversible hydrocolloid material. Try-in from the dental lab was checked and corrections were made. Finally, the finished prosthesis arrived. The dental prosthesis checked in to the patient’s mouth and departed to perform its functions. Its first function arrived was a shiny twinkling smile from the patient and her parents.