INTERDISCIPLINARY APPROACH IN A TREATMENT OF THE PATIENT WITH CLEFT LIP AND PALATE - CASE REPORT
Background: Therapy of patients with cleft lip and palate does not comprise only surgical closure of the cleft – it requires multidisciplinary approach in a dental treatment, with the aim to achieve aesthetically and functionally optimal results. Case report: 12-years-old patient, referred to the orthodontic clinic with surgically closed unilateral cleft lip and palate. After taking diagnostic records, the patient was scheduled for orthodontic treatment. Before banding, crown lengthening on first upper molar has been performed due to a short clinical crown. Length of active orthodontic treatment was 30 months, after which retainer has been placed, and patient scheduled for crown lengthening on upper left incisor and canine. Multiple tooth restorations have been performed on upper anterior region using adhesive, build - up technique (teeth 13, 21, 22, 23). Dental photography editing with image editing software enabled information about possible aesthetic solution for our patient. Follow up: Clinical evaluation of composite restorations has been performed using USPHS criteria. Functionality, pleasing aesthetic results and satisfied patient are outcome of 4 years long comprehensive dental treatment. (J Int Dent Med Res 2010; 3: (1), pp. 29-33 )