ESTHETIC APRROACH OF THE CLEFT PALATE PATIENT WITH NARROW ANTEIOR REGION AND TOOTH LOSS

Purpose: it is intended to restore the loss of upper four incisive teeth of patient who has applied to clinic with a cleft lip-plate (clp); and to provide with aesthetic, function and phonation. case: a twenty four aged patient with uni-lateral cleft lip-palate has applied to faculty clinic of prosthodontics. in order to, restore the loss of upper four incisive teeth. after anamnesis, it has been determined that mother and father have not been relatives and there was no other individual in the family with cleft lip-palate. but it has been stated that patient was born in 1986 when chernobyl nuclear power plant exploded. patient had gone through his first cleft lip-palate operation when he was two months old. orthodontic treatment was started in 2006 due to the malposition and diastemas of teeth. in the surgical treatment in 2007, graft, taken from hip, was placed in jaw. in february 2009 a new surgical initiative was performed to move maxilla forward. surgical and orthodontic controls were continued until may 2010. however, for the orthodontic treatment had not been completed because of causes related to the patient and dentist; and there was no enough area which would enable the missing teeth in the front part to be placed aesthetically; four incisive teeth, which had to be placed in present space with special illusion techniques, were tried hard to be restored in best possible aesthetic form and proportion. conclusion: prosthetic restoration of upper four incisive teeth loss of patient was done. thus, the aesthetic, function and phonation of patient which had been lost as a result of cleft lip-palate have been regained; and patient, far from problems he has had for years, is satisfied