case_images: PMC8487844_01
case_images: Persistent oronasal communication.
case_images: CRID2021-5540487.001.jpg
case_images: PMC8487844_01_CRID2021-5540487.001.jpg
case_images: fig1
case_images: The patient presented with a cleft lip and palate, a condition for which he underwent the first surgery in China, but with persistent oronasal communication (Figure 1).
case_images: Initial photographic documentation.
case_images: CRID2021-5540487.002.jpg
case_images: PMC8487844_01_CRID2021-5540487.002.jpg
case_images: fig2
case_images: At the clinical and radiological (panoramic radiograph and lateral cephalogram of the skull) examination, the patient also presented an ectopic tooth 21, an ectopic and conoid tooth 22 positioned at the level of the left unilateral cleft, and upper and lower crowding with a very deep curve of Spee (Figures 2-4).
case_images: Initial dental casts.
case_images: CRID2021-5540487.003.jpg
case_images: PMC8487844_01_CRID2021-5540487.003.jpg
case_images: fig3
case_images: At the clinical and radiological (panoramic radiograph and lateral cephalogram of the skull) examination, the patient also presented an ectopic tooth 21, an ectopic and conoid tooth 22 positioned at the level of the left unilateral cleft, and upper and lower crowding with a very deep curve of Spee (Figures 2-4).
case_images: Initial panoramic radiograph and lateral cephalogram of the skull.
case_images: CRID2021-5540487.004.jpg
case_images: PMC8487844_01_CRID2021-5540487.004.jpg
case_images: fig4
case_images: At the clinical and radiological (panoramic radiograph and lateral cephalogram of the skull) examination, the patient also presented an ectopic tooth 21, an ectopic and conoid tooth 22 positioned at the level of the left unilateral cleft, and upper and lower crowding with a very deep curve of Spee (Figures 2-4).
case_images: Cone-beam computed tomography.
case_images: CRID2021-5540487.005.jpg
case_images: PMC8487844_01_CRID2021-5540487.005.jpg
case_images: fig5
case_images: As the presence of strong bone dehiscence, the orthodontic team decided to require a cone-beam computed tomography (CBCT) to a better definition of the bone condition (Figure 5).
case_images: Tooth 21 recovery in the dental arch.
case_images: CRID2021-5540487.006.jpg
case_images: PMC8487844_01_CRID2021-5540487.006.jpg
case_images: fig6
case_images: After 3 months of treatment, the archwire is replaced with a 0.19 x 0.25 NiTi archwire, a bracket is applied on tooth 21, and an accessory 0.16 NiTi archwire was applied for extruding and distorting the tooth (Figure 6).
case_images: Tooth 22 extraction.
case_images: CRID2021-5540487.007.jpg
case_images: PMC8487844_01_CRID2021-5540487.007.jpg
case_images: fig7
case_images: The maxillofacial surgeon then proceeded with tooth 22 extraction (Figure 7) and bone graft surgery (Figure 8).
case_images: Panoramic radiograph after graft surgery.
case_images: CRID2021-5540487.008.jpg
case_images: PMC8487844_01_CRID2021-5540487.008.jpg
case_images: fig8
case_images: The maxillofacial surgeon then proceeded with tooth 22 extraction (Figure 7) and bone graft surgery (Figure 8).
case_images: Temporary prosthetic tooth supported by orthodontic palatal miniscrews.
case_images: CRID2021-5540487.009.jpg
case_images: PMC8487844_01_CRID2021-5540487.009.jpg
case_images: fig9
case_images: Once the achievement of these objectives, the team decided to prosthetically rehabilitate the avulsed tooth 22 with the application of a temporary prosthetic tooth supported by orthodontic miniscrews applied on the patient palate using the Easy Driver system (Figure 9).
case_images: Final photographic documentation.
case_images: CRID2021-5540487.010.jpg
case_images: PMC8487844_01_CRID2021-5540487.010.jpg
case_images: fig10
case_images: Figures 10-12 showed the therapeutic result obtained.
case_images: Final stone models.
case_images: CRID2021-5540487.011.jpg
case_images: PMC8487844_01_CRID2021-5540487.011.jpg
case_images: fig11
case_images: Figures 10-12 showed the therapeutic result obtained.
case_images: Final panoramic radiograph and lateral cephalogram of the skull.
case_images: CRID2021-5540487.012.jpg
case_images: PMC8487844_01_CRID2021-5540487.012.jpg
case_images: fig12
case_images: Figures 10-12 showed the therapeutic result obtained.