[Prosthetic reconstruction of the secondary deformed maxillary arch in a patient with congenital cleft]

A case history of a bilateral cleft lip and palate male patient is presented. He was operated late at the age of his twelve, without any previous orthodontic treatment. Surgical reconstruction included, lip, hard and soft palate, removal of the premaxilla, and later on the pharingoplasty. At the age of twenty years he was prosthetically rehabilitated. Nine inner telescope crowns were made in "Palador" silver alloy, and nine outer in chrom-cobalt splinted together and connected with the skeletal frame. Intermaxillary relations were recorded and established in a manner used in the construction of complete dentures, and occlusion of the teeth, too. A complete obturation of the oronasal communication in the palatomaxillary section was achieved. The patient was followed up throughout next twenty years.