Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Dentistry
Volume 2019, Article ID 6591256, 5 pages
https://doi.org/10.1155/2019/6591256
Case Report

Oral Rehabilitation with Zygomatic Implants in a Patient with Cleft Palate

1Department of Periodontology/Implantology, Dental School, Federal University of Uberlândia-UFU, Uberlândia 38405-266, Brazil
2Department of Diagnosis and Surgery, Univ. Est. Paul.-UNESP, Araraquara 14801-903, Brazil
3Instituto Latino Americano de Ensino e Pesquisa Odontológico-ILAPEO, Curitiba 80710-150, Brazil
4Univ. Sagrado Coração, Bauru 17011-160, Brazil

Correspondence should be addressed to Luis Eduardo Marques Padovan; rb.moc.pcoi@navodap

Received 14 February 2019; Accepted 8 April 2019; Published 6 May 2019

Academic Editor: Jamil Awad Shibli

Copyright © 2019 Guilherme José Pimentel Lopes de Oliveira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Edentulous patients with an atrophic maxilla associated with lip-palate fissures have unpredictable results after undergoing grafting procedures. In situations where the atrophic maxilla does not adequately allow reconstruction, the use of zygomatic implants has been indicated, and probably these implants can be indicated for the rehabilitation of patients with lip-palate fissures. This case report describes the oral rehabilitation treatment of a patient with a lip-palate cleft treated with zygomatic implants and implant-supported fixed prosthesis with two years of follow-up. A 65-year-old female patient had a lip-palate cleft and previously underwent surgery to close the cleft. The patient had a severely atrophic maxilla and had difficulty adapting to a removable total prosthesis. Due to the small amount of bone remaining and extensive fibrous tissue in the palate region, a rehabilitation with conventional implants associated with zygomatic implants was chosen. Two zygomatic implants and a conventional implant were placed on the right side, and a zygomatic implant and conventional implant were placed on the left side; these implants were later activated by a protocol-type prosthesis. The zygomatic implants provided an adequate aesthetic and functional outcome of the prosthesis in a patient with cleft palate.