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Interdisciplinary Orthodontic and Prosthodontic Rehabilitation of a Patient with Bilateral Cleft Lip and Palate: A Case Report


Authors : Radmila Dimovska; Mirjana Ambaroska Talevska; Jordan Stojanoski; Sashka Spasovska

Volume/Issue : Volume 11 - 2026, Issue 10 - October


Google Scholar : https://tinyurl.com/mr3ujd29

DOI : https://doi.org/10.38124/ijisrt/26Oct1087

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Bilateral cleft lip and palate (BCLP) is frequently associated with dental anomalies, altered maxillary development, and malocclusion, which complicate dental rehabilitation. This report describes the interdisciplinary orthodontic–prosthodontic management of a 22-year-old patient with BCLP who was referred to the Faculty of Dental Medicine, International Balkan University, because of dissatisfaction with dental appearance and function. The clinical findings included absent teeth in cleft-related areas, altered tooth morphology, irregular alignment, compromised anterior aesthetics, and occlusal discrepancies. Treatment was planned jointly by orthodontic and prosthodontic specialists, with orthodontic preparation preceding prosthodontic rehabilitation so that tooth positions and available space would suit the planned restoration, and a porcelain-fused-to-metal fixed partial denture from tooth 15 to tooth 25 was fabricated. After treatment, improved smile aesthetics and dental harmony were observed clinically, and the patient reported satisfactory adaptation. This case illustrates the value of planning orthodontic and prosthodontic treatment together in patients with BCLP. As a single case with qualitative outcomes, it does not allow conclusions about long-term stability.

Keywords : Bilateral Cleft Lip and Palate; Orthodontics; Prosthodontics; Interdisciplinary Treatment; Case Report.

References :

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Bilateral cleft lip and palate (BCLP) is frequently associated with dental anomalies, altered maxillary development, and malocclusion, which complicate dental rehabilitation. This report describes the interdisciplinary orthodontic–prosthodontic management of a 22-year-old patient with BCLP who was referred to the Faculty of Dental Medicine, International Balkan University, because of dissatisfaction with dental appearance and function. The clinical findings included absent teeth in cleft-related areas, altered tooth morphology, irregular alignment, compromised anterior aesthetics, and occlusal discrepancies. Treatment was planned jointly by orthodontic and prosthodontic specialists, with orthodontic preparation preceding prosthodontic rehabilitation so that tooth positions and available space would suit the planned restoration, and a porcelain-fused-to-metal fixed partial denture from tooth 15 to tooth 25 was fabricated. After treatment, improved smile aesthetics and dental harmony were observed clinically, and the patient reported satisfactory adaptation. This case illustrates the value of planning orthodontic and prosthodontic treatment together in patients with BCLP. As a single case with qualitative outcomes, it does not allow conclusions about long-term stability.

Keywords : Bilateral Cleft Lip and Palate; Orthodontics; Prosthodontics; Interdisciplinary Treatment; Case Report.

Paper Submission Last Date
30 - November - 2026

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