Non-Sendromik Dudak Damak Yarığı Hastalarında Multidisipliner Tedavi: 2 Vaka Raporu

Yıl 2018, Cilt: 21 Sayı: 1, 49 - 54, 24.04.2018

Gulsum Sayın Ozel Ozgür Inan Dogan Dolanmaz Ali İhya Karaman

https://doi.org/10.7126/cumudj.417208

Cited By: 1

Öz

Amaç: Bu vaka raporunda
2 non-sendromik dudak damak yarıklı vakanın farklı yaklaşımlarla protetik
tedavisinin anlatılması ve sonuçlarının değerlendirilmesi amaçlanmaktadır.

Vaka Raporu: 15 yaşında tek
taraflı dudak damak yarıklı erkek hasta ve 25 yaşında çift taraflı dudak damak
yarıklı kadın hastalarımız kliniğimize estetik ve fonksiyon kaybından dolayı
başvurmuşlardır. Ortodontik, cerrahi ve prostodontik yaklaşımlarla hastalara
multidisipliner tedavi protokolleri uygulanmıştır. Her iki vakada da sabit
protetik restorasyonlar uygulanmıştır. Farklı tedavi protokolleri uygulanan
hastalarımızda herhangi bir komplikasyon gözlemlenmemiştir. Tedaviler yüksek
hayat kalitesi ve memnuniyet sağlamıştır.

Sonuçlar: Dudak damak yarıklı
hastalarda; konuşma, duyma, okluzyonun devamlılığı, maxillofacial büyümenin
normal seyrinde devamı, fiziksel görünüşün arttırılması ve psikolojik durumun
düzeltilmesi için multidisipliner yaklaşım gereklidir. Farklı tedavi
planlamaları ve zamanlamaları her bir vakaya göre değerlendirilmelidir.

Anahtar Kelimeler

Multidisipliner tedavi, non-sendromik dudak damak yarıkları, dental protezler

Multidisciplinary Treatment in Non-Syndromic Cleft Lip and Palate Patients: 2 Case Reports

Öz

Objective: It is intended in this
case report to explain the multidisciplinary treatment of 2 non-syndromic cleft
lip and palate patients with different approaches, the treatment phases of
prosthetic rehabilitation and the results obtained.

Case Reports:15-year-old unilateral
cleft lip and palate patient and 25-year-old
bilateral cleft lip and palate patient was admitted to our clinic with the
functional and aesthetic complaints. Orthodontic, surgical and prosthetic
treatments were applied

Results: With
multidisciplinary treatments aesthetic and functional solutions were provided. Aesthetic and
functional results were obtained for both cases with fixed restorations. The
treatments protocols had no complications. The outcomes were of high quality
and brought satisfaction to the patients.

Conclusion: Multidisciplinary
treatment should be considered in cleft lip and palate patients in order to be
able to fully ensure speech and hearing, continuation of occlusion and
maxillofacial growth in the normal course and the improvement of physical
appearance and psychological state. However, different treatment plans should
be considered in its different timing for each case. 

Anahtar Kelimeler

multidisciplinary treatment, non-syndromic cleft, dental prosthetics

Kaynakça

• 1. Lam FS, Bendeus M, Wong RW. A multidisciplinary team approach on cleft lip and palate management. Hong Kong Dent J 2007;4(1):38-45.
• 2. Mehrota D. Genomic expression in non-syndromic Cleft lip and palate patients: A review. J Oral Biol Craniofac Res. 2015;5(2):86-91.
• 3. Vojvodic D, Jerolimov P. The cleft palate patient: a challenge for prosthetic rehabilitation—clinical report. Quintessence Int 2001;32:521-4.
• 4. Tuna SH, Pekkan G, Keyf F. A method for positioning the premaxilla during impression making for a patient with bilateral cleft lip and palate: A clinical report. J Prosthet Dent, 2006;96:233-6.
• 5. Hickey JA, Salter M. Prosthodontic and psychological factors in treating patients with congenital and craniofacial defects. J Prosthet Dent 2006; 95:392-9.
• 6. Beumer J, Curtis TA, Marunick TM. Maxillofacial rehabilitation: prosthodontic and surgical considerations. St Louis: Elsevier; 1996. p. 331-83.
• 7. Reisberg DJ. Dental and prosthodontic care for patients with cleft or craniofacial conditions. Cleft Palate Craniofac J 2000;37(6):534-8.
• 8. Ayna E, Basaran EG, Beydemir K Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP): Two Cases Report. International Journal of Dentistry doi:10.1155/2009/515790, Article ID 515790, 2009; 1-4
• 9. Gümüş HÖ., Tuna SH. An Alternative Method For Constructing An Obturator Prosthesis For A Patient With A Bilateral Cleft Lip And Palate: A Clinical Report. Journal of Esthetic and Restorative Dentistry, 2009;21:89-94
• 10. Li H, Dai J, Si J, Zhang J, Wang M, Shen SG, Yu H. Anterior maxillary segmental distraction in the treatment of severe maxillary hypoplasia secondary to cleft lip and palate. Int J Clin Exp Med 2015;8(9):16022-1602