Prosthetic rehabilitation of a patient with bilateral cleft lip and palate with fixed prosthesis use of CAD / CAM procedure

Prosthetic rehabilitation takes place in the final stage of complete care of a patient born with a cleft lip and palate. Due to the prosthetic rehabilitation, in addition to the restored chewing function, the patient’s voice formation, speech, as well as his social integration and social relations, could improve further. A new denture can also reduce the patient’s mental problems mainly caused by his/her appearance. As a result, at the end of a long, complex care, a child born with a developmental disorder can live a nearly full adult life. In prosthetic rehabilitation, there are several problems, such as difficult occlusion (crossbite, open bite, Angle III class, pillar teeth with different axial positions etc.), narrowed vestibulum caused by the scarring of the area due to the restorative surgeries, or lack of continuity of the alveolar process. In such cases, for the more precise design and construction, the use of CAD/CAM procedure is a great help: dentures can be planned and seen, and thus, fit well from biomechanical, hygienic, and aesthetic perspectives, despite the individual soft tissue conditions.