Prosthodontic Restoration of a Congenital Premaxillary Maxillofacial Defect- A Modified Approach

Aesthetic and functional rehabilitation of congenital maxillofacial cleft defects can be quite a prosthodontic challenge, especially in an adult patient. A case of an untreated maxillofacial cleft defect was rehabilitated by using a fixed-removable obturator prosthesis. After a minimal surgical correction, the prosthesis included telescopic crowns and a bar and clip assembly along with an obturator extension for restoring the cleft defect. A combination of different dental materials was used in the prosthesis for specific reasons. Functional and aesthetic rehabilitation was made possible by this modified approach.