This patient has a complete bilateral cleft lip and palate. She has had 3 courses of orthodontic treatment as part of her treatment and presented as she did not like the finished result and her smile. Two teeth are missing and these have been replaced with an upper removable denture.
Working with a Prosthodontist (crown and bridge dental specialist) we decided a further course of orthodontic treatment would be of benefit to provide symmetry to the upper teeth and position the teeth to enable placement of fixed restorations to give an improved aesthetic result for the patients’ adult years.
The CT scans show insufficient bone to place dental implants without further bone grafting which can be problematic in already grafted zones.