The assessment of ceramic dental materials during the treatment of severe adult cleft palate  

Anca Porumb 1, Florian Bodog 1, Miclaus Zorela 2, Pop Marina Antoneta 2

1 University of Oradea, Faculty of Medicine and Pharmacy, P-ta 1 Decembrie no. 10, Oradea, Romania

2 PhD student, University of Oradea, Faculty of Medicine and Pharmacy, P-ta 1 Decembrie no. 10, Oradea, Romania

Introduction. The aim of the present study is to underline the importance of ceramic dental materials during the laborious treatment in the case of an adult with cleavage, in order to obtain the best results.

Experimental. We treated an 18-year-old patient with cleavage.

Results and Discussion. The materials used in the treatment of an adult patient with severe cleavage need to be choose very careful, according with the biological aspects. First of all, is mandatory to choose a proper material for endodontic treatment and use a correct technique. Second, the cement used in order to fix a RPE (rapid palatal expender) has to be glass-ionomer cement [1], because the oral and nasal cavity are still communicating [2]. On the other hand, the dental ceramic material used in the prosthetic treatment has to be a special one, pink-colored in those regions where cleavage is present [3].

Conclusions. The cases with cleavage need a complex treatment, usually during a few years and several steps. They need a good collaboration between doctors of different specialties: maxillofacial surgery, orthodontics, prosthetics and plastic surgery.

References. 

[1] Bacetti T, Franchi l., Cameron C., Mc Namara Jr.: Treatment timing for rapid maxillary expansion. Angle Orthodontist , 2001, vol 71, no. 5

[2] Cameron Ch, Franchi L, Bacetti T, Mc Namara Jr: Long term effects of rapid maxillary expansion. A posterior Cephalometric evolution. American Journal of Orthodontics and Dentofacial Orthopedics, febr 2002.

[3] Bassarilli T., Dalstra N, Melsen B.: Changes in clinical crown height as a result of transverse expansion of the maxilla adult. E. J. O. april 2005, vol 27, nr. 27, pg. 121-129.