Rehabilitation of Bilateral Cleft Lip and Palate in Adult Patient with Modification of Maxillary Overlay Cobalt Chromium Obturator

Cleft lip and palate can result indiscontinuity of the oral-nasal and maxillary sinus cavities. It can have a devastating effect on a patient's appearance and speech. Prosthetic rehabilitation is usually required to cover the defect and to restore normal functions. Retention of the obturator is a significant problem while rehabilitating large defects. A suitable technique for fabrication should be selected to achieve this. This article presents the prosthodontic rehabilitation of a congenitally bilateral cleft lip and palate on an adult patient with a distinct method to fulfill the patient's needs, esthetics, and psychological well-being. The treatment plan was to provide her with maxillary overlay cobalt-chromium obturator. A cobalt-chromium framework with a special design was fabricated to aid in the retention. The antral bulb, which covers the defect, was modified and fabricated with a distinctive hollow design. Aesthetics was achieved and patient- reported satisfaction with the outcome.