Anterior Segmental Distraction for a Class III Maxillary Prosthetic Defect in a Cleft Palate Patient
Reconstruction of a partially dentate skeletal Class III patient who has had repair of a bilateral cleft lip and palate can be challenging. In this article we present our results with a segmental maxillary distraction to esthetically restore the support of the upper lip and functionally reconstruct the anterior maxillary dentition with implants. Prosthetic considerations were critical to determine the vector of distraction to achieve ideal results.Abstract
Figure 1. Lateral cephalogram; note missing maxillary anterior teeth. Figure 2. Lateral view without prosthesis; note overclosure and loss of lip projection. Figure 3. Stereolithographic model with distractors in place. Figure 4. Lateral cephalogram following distraction.
Figures 5. (a) Profile after distraction. (b) Intraoral view. Figure 6. Intraoral maxillary view with implants in place. Figure 7. Frontal smile. Figure 8. (a) Frontal view. (b) Three quarters view with prosthesis in place.
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