This document describes a case study of a new cast partial denture design for residual post-surgical cleft palate defects. Treatment of cleft palate patients requires coordination between medical and dental specialists. Despite surgical and orthodontic therapy, prosthetic treatment is often necessary to address missing teeth, deformed jaw segments, residual palatal defects, disproportion between jaws, and malocclusion. The new design aims to provide function, esthetics, and alleviate deformities by splinting mobile jaw segments. Impressions and frameworks were made, and the removable partial denture was tried in and adjusted to fit properly. The outcome successfully addressed the patient's deformities and improved esthetics and function.

1. A INNOVATIVE CAST PARTIAL DESIGN
FOR A RESIDUAL POST SURGICAL
CLEFT DEFECT
INDIAN DENTAL ACADEMYINDIAN DENTAL ACADEMY
Leader in continuing Dental EducationLeader in continuing Dental Education
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2. INTRODUCTION
Speech pathologist Hughlett Morris from the
University of Iowa pointed out that cleft palate
presents a “good news-bad news”
situation.
A prosthesis to obturate the cleft of either the hardA prosthesis to obturate the cleft of either the hard
or soft palate was first attempted by Ambrose Pareor soft palate was first attempted by Ambrose Pare
in 1565.1in 1565.1
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3. Treatment of cleft palate patients demands aTreatment of cleft palate patients demands a
well coordinated work of medical and dentalwell coordinated work of medical and dental
specialists. In the framework of the complexspecialists. In the framework of the complex
rehabilitation of cleft lip and palate patientsrehabilitation of cleft lip and palate patients
the final phase of the dental therapy isthe final phase of the dental therapy is
attained with the definitive prostheticattained with the definitive prosthetic
treatment.treatment.
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4. In spite of the surgical and orthodontic therapyIn spite of the surgical and orthodontic therapy
a prosthetic rehabilitation is often necessarya prosthetic rehabilitation is often necessary
because ofbecause of
1.1. Missing teeth,Missing teeth,
2.2. Deformation of maxillary segments,Deformation of maxillary segments,
3.3. Residual palatal defects, andResidual palatal defects, and
4.4. Disproportion between the maxillary andDisproportion between the maxillary and
mandible alveolar ridge,mandible alveolar ridge,
5.5. Missing alveolar ridge and malocclusion.Missing alveolar ridge and malocclusion.
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5. CASE REPORTCASE REPORT
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6. INTRA-ORAL EXAMINATIONINTRA-ORAL EXAMINATION
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7. With the aim to provide satisfactoryWith the aim to provide satisfactory
function and esthetics and alleviation offunction and esthetics and alleviation of
the deformities and splinting of mobilethe deformities and splinting of mobile
anterior segment a new cast partial designanterior segment a new cast partial design
for a residual post surgical cleft palate hasfor a residual post surgical cleft palate has
been outlined in detail.been outlined in detail.
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8. IMPRESSIONSIMPRESSIONS
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9. CAST-PARTIAL FRAMEWORKCAST-PARTIAL FRAMEWORK
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10. TRY-IN OF THE FRAMEWORKTRY-IN OF THE FRAMEWORK
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11. JAW RELATIONSJAW RELATIONS
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12. RPD WITH TISSUERPD WITH TISSUE
CONDITIONERCONDITIONER
RPD WITHOUTRPD WITHOUT
TISSUETISSUE
CONDITIONERCONDITIONER
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13. COMPLETED REMOVABLECOMPLETED REMOVABLE
PARTIAL DENTUREPARTIAL DENTURE
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14. POST-TREATMENTPOST-TREATMENT
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15. POST-TREATMENTPOST-TREATMENTPRE-TREATMENTPRE-TREATMENT
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16. To conclude………….To conclude………….
‘‘The world should be a beautiful place for a child to live.The world should be a beautiful place for a child to live.
If he is handicapped by facial deformity that is marringIf he is handicapped by facial deformity that is marring
his happiness, we should make every effort to restorehis happiness, we should make every effort to restore
that happiness. We must strive for maximum harmonythat happiness. We must strive for maximum harmony
and balance as near to normal as conditions will allow.’and balance as near to normal as conditions will allow.’
- Charles H Tweed- Charles H Tweed
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17. THANK YOU
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