Dental implants in rehabilitation for cleft orthognathic: A clinical study

Implant-based rehabilitation in patients with cleft lip and palate following orthognathic correction remains challenging due to altered bone quality, scarred soft tissues and concerns regard long-term stability and prosthetic complications. Therefore, it is of interest to evaluate clinically the survival rate of implants and the success rate of prosthetics in patients with clefts who underwent staged rehabilitation post-orthognathic treatment. This took place after standardized monitoring for follow-up and peri-implant conditions. Very high short-term implant survival was noted with complications limited to cases that needed regrafting or those requiring complicated prosthetic contours within the cleft segment. Substantial enhancement in functional recovery and patient-reported satisfaction took place when design considerations for prosthetics gave priority to hygiene access plus management of soft tissue. Implant rehabilitation becomes predictable among appropriately selected patients having cleft-orthognathic conditions when there is integration between surgical planning and prosthodontic implementation.