Smile designing for cleft lip and palate patient: The prosthodontic approach

• Main Authors: Karuna Gajanan Pawashe, Shivsagar Tewary, Pronob Kumar Sanyal, Deepika Khanna
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: Indian Journal of Dental Sciences
• Subjects: Andrew's bridge; anterior ridge defect; cleft lip; cleft palate; fixed removable prosthesis; smile designing
• Online Access: http://www.ijds.in/article.asp?issn=0976-4003;year=2017;volume=9;issue=3;spage=202;epage=205;aulast=Pawashe

The case report describes smile designing of a 22-year-old male patient who was surgically operated for unilateral cleft lip (left side) with Andrew's Bridge system. It is composed of two components: Fixed component (retainers on abutments joined by bar) and removable component. The patient exhibited maxillary anterior defect (Siebert's Class-III anterior ridge defect), teeth transposition, increased mesiodistal edentulous space, bilaterally missing lateral incisor. When there is a limitation of bone grafting/surgical augmentation, alternative treatment modalities such as removable partial dentures, fixed partial dentures with gingival porcelain and/or fixed-removable partial dentures known as Andrew's bridge are indicated.