To report the oral rehabilitation of velopharyngeal insufficiency due to a congenital anatomic defect using an implant-retained speech-aid prosthesis.
Case Report:
A 65-year-old man with a diagnosis of complete unilateral cleft lip and palate on the left side with an unrepaired palate was examined. A removable partial denture with a speech bulb had been used for approximately 40 years. After primary care for gross caries and tooth mobility, an implant-retained obturator with a speech bulb was fabricated.
Results and Conclusion:
Improvement in mastication, speech, and velopharyngeal function was achieved with a satisfactory esthetic result.
AdellR.LekholmU.RocklerB.BranemarkP.I.A 15-year study of osseointegrated implants in the treatment of the edentulous jaw.Int J Oral Surg.1981; 6: 387–416.
2.
AlbrektssonT.JanssonT.LekholmU.Osseointegrated dental implants.Dent Clin North Am.1986; 30: 151–174.
3.
AlbrektssonT.LekholmU.Osseointegration: current state of the art.Dent Clin North Am.1989; 33: 537–554.
4.
AnusaviceK.J.Phillip's Science of Dental Materials.10th ed.Philadelphia: WB Saunders;1996.
5.
ArcuriM.R.LaVelleW.E.HiguchiK.W.SvecB.R.Implant-supported prostheses for treatment of adults with cleft palate.J Prosthet Dent.1994; 71: 375–378.
6.
BeumerJ.IIICurtisT.A.FirtellD.N.Maxillofacial Rehabilitation. Prosthodontic and Surgical Considerations.St. Louis, MO: Mosby;1979.
BriefJ.EdingerD.HassfeldS.EggersG.Accuracy of image-guided implantology.Clin Oral Implants Res.2005; 16: 495–501.
9.
BrudvikJ.S.ChigurupatiK.The milled implant bar: an alternative to spark erosion.J Can Dent Assoc.2002; 68: 485–488.
10.
CoxJ.F.ZarbG.A.The longitudinal clinical efficacy of osseointegrated dental implants: a 3-year report.Int J Oral Maxillofac Implants.1987; 2: 91–100.
11.
de CarvalhoW.R.BarbozaE.P.CaulaA.L.Implant-retained removable prosthesis with ball attachments in partially edentulous maxilla.Implant Dent.2001; 10: 280–284.
12.
HarrisonJ.W.Dental implants to rehabilitate a patient with an unrepaired complete cleft of the hard and soft palate: a clinical report.Cleft Palate J.1992; 29: 485–488.
13.
KeyfF.SahinN.AslanY.Alternative impression technique for a speech-aid prosthesis.Cleft Palate Craniofac J.2003; 40: 566–568.
14.
LaineJ.VahataloK.PeltolaJ.TammisaloT.HapponenR.P.Rehabilitation of patients with congenital unrepaired cleft palate defects using free iliac crest bone grafts and dental implants.Int J Oral Maxillofac Implants.2002; 17: 573–580.
15.
LefkoveM.D.MathenyB.SilversteinL.Implant prosthodontic procedures for a completely edentulous patient with cleft palate.J Oral Implantol.1994; 20: 82–87.
16.
LeonardT.J.GillisR.Differential effects of speech prostheses in glossectomized patients.J Prosthet Dent.1990; 64: 701–708.
17.
MandikosM.N.Polyvinyl siloxane impression materials: an update on clinical use.Aust Dent J.1998; 43: 428–434.
18.
MatsuiY.OhnoK.MichiK.YamagataK.Application of hydroxyapatite coated implants as support for palatal lift prostheses in edentulous patients with cleft palate: a clinical report.Int J Oral Maxillofac Implants.1993; 8: 316–322.
19.
MischkowskiR.A.ZinserM.J.NeugebauerJ.KublerA.C.ZollerJ.E.Comparison of static and dynamic computer-assisted guidance methods in implantology.Int J Comput Dent.2006; 9: 23–35.
20.
PhamA.V.AbarcaM.De MeyA.MalevezC.Rehabilitation of a patient with cleft lip and palate with an extremely edentulous atrophied posterior maxilla using zygomatic implants: case report.Cleft Palate Craniofac J.2004; 41: 571–574.
21.
RangertB.JemtT.JorneusL.Forces and moments on Branemark implants.Int J Oral Maxillofac Implants.1989; 4: 241–247.
22.
RennerA.M.Fabrication of implant overdentures that are passive and biocompatible.Implant Dent.2000; 9: 96–101.
23.
SandeepK.Complete denture with hollow pharyngeal bulb prosthesis for rehabilitation of an edentulous cleft palate patient.J Indian Prosthodont Soc.2006; 6: 98–100.
SiesseggerM.SchneiderB.T.MischkowskiR.A.LazarF.KrugB.KlesperB.ZollerJ.E.Use of an image-guided navigation system in dental implant surgery in anatomically complex operation sites.J Craniomaxillofac Surg.2001; 29: 276–281.
29.
SkalakR.Biomechanical considerations in osseointegrated prostheses.J Prosthet Dent.1983; 49: 843–848.
30.
TachimuraT.NoharaK.HaraH.WadaT.Effect of placement of a speech appliance on levator veli palatini muscle activity during blowing.Cleft Palate Craniofac J.1999; 36: 224–232.
31.
TachimuraT.NoharaK.WadaT.Effect of placement of a speech appliance on levator veli palatini muscle activity during speech.Cleft Palate Craniofac J.2000; 37: 478–482.
32.
Trost-CardamoneJ.E.Coming to terms with VPI: a response to Loney and Bloem.Cleft Palate J.1989; 26: 68–70.
33.
WilliamsB.H.OchiaiK.T.HojoS.NishimuraR.CaputoA.A.Retention of maxillary implant overdenture bars of different designs.J Prosthet Dent.2001; 86: 603–607.
34.
WolfaardtJ.F.WilsonF.B.RochetA.McPheeL.An appliance based approach to the management of palatopharyngeal incompetency: a clinical pilot project.J Prosthet Dent.1993; 69: 186–195.
35.
YoshidaH.MichiK.YamashitaY.OhnoK.A comparison of surgical and prosthetic treatment for speech disorders attributable to surgically acquired soft palate defects.J Oral Maxillofacial Surg.1993; 51: 361–365.
