Orthodontic and restorative treatment in cleft lip without bone graft – case report/ Tratamento ortodôntico e restaurador em paciente com fissura labial sem enxerto ósseo – relato de

Abstract

Introduction: Cleft lips and palates are among the most common congenital orofacial anomalies of the head and neck. Treatment of orofacial clefts is challenging, prolonged and delivered by multidisciplinary teams. The patient is typically treated from birth until adulthood. Dentist performance is indispensable for the treatment. This pathology affects several speech, swallowing and dentition implications. Case Report: Patient M.A.D. with complete right unilateral incisive pre-foramen cleft sought dental care. During clinical and radiographic examination, a good facial profile, passive lip sealing, Angle class I malocclusion and absence of the lateral incisor on the same side of the cleft were observed, but there was the presence of the pre-canine. The treatment without bone graft was planned through dental compensation with interceptive and corrective orthodontics and aesthetic reanatomization of the canine. After orthodontic treatment, there was a 3.24 mm diastema between the canine and distal pre-canine mesial. To maintain the proportionality between the teeth, composite resin veneers were made in the upper anterior teeth with increased incisal third. Conclusion: The dental compensation through orthodontics and the confection of the direct veneers in composite resin by operative dentistry were essential in order to obtain the final result extremely satisfactory through conservative treatments