Ортопедична реабілітація дорослих пацієнтів з вродженими незрощеннями верхньої губи та піднебіння незнімними ортопедичними конструкціями (клінічне спостереження)

M. Oliinyk; G. Oliinyk

doi:10.33295/1992-576X-2025-3-105

Authors

M. Oliinyk Danylo Halytsky Lviv National Medical University, Lviv, Ukraine https://orcid.org/0000-0001-7500-2957
G. Oliinyk Danylo Halytsky Lviv National Medical University, Lviv, Ukraine https://orcid.org/0000-0002-5397-076X

DOI:

https://doi.org/10.33295/1992-576X-2025-3-105

Keywords:

congenital cleft lip and palate, maxillofacial anomalies, defects and deformations of the dentofacial system, orthopedic rehabilitation of adult patients, orthopedic structures

Abstract

Relevance. Patients with congenital cleft lip and palate require long-term dental rehabilitation under the supervision of a team of specialists, and the final stage of their treatment is prosthetic rehabilitation. After qualified intervention by a surgeon, orthodontist, speech therapist, and other specialists, the final rehabilitation is performed by an orthopedic dentist. We believe that in most cases, the first stage of this process involves the manufacture of a temporary orthopedic structure, which will later be replaced with a more advanced, fixed, or combined structure.
Purpose: The described clinical case presents orthopedic rehabilitation of a patient with a congenital cleft lip and palate after completion of surgical interventions.
Materials and methods: Dental clinical, radiological, and photo documentation.
Conclusions: The presented clinical case demonstrates the high potential of orthopedic rehabilitation of patients with congenital cleft lip and palate. The use of fixed orthopedic structures contributes to the restoration of occlusal and functional indicators, ensuring final rehabilitation, which is a crucial factor in improving the quality of life for such patients.

Downloads

Download data is not yet available.

Author Biographies

M. Oliinyk, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

Ph. D., Assistant Professor, Department of Prosthetic Dentistry

G. Oliinyk, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

Candidate of Medical Sciences, Assistant Professor, Department of Orthopedic Dentistry

References

Jain, P., Sharma, R., Yadav, L., Kaur, S., Juneja, C., Sharma, D. (2025). Cleft lip and palate: A literature review and recent advances in management. International Journal of Paediatrics and Geriatrics, 8(1): 05–10. DOI: https://doi.org/10.33545/26643685.2025.v8.i1a.254.

Davies, J. M., Codispoti, E. E., Harding, S. A., Wren, Y. E., Southby, L. C. (2025). Exploring the Needs of Young People Born with Cleft Lip and/or Palate approaching end of routine care, in the UK. The Cleft Palate-Craniofacial Journal. Advance online publication. DOI: https://doi.org/10.1177/10556656241312494.

Mahboubi, H., Truong, A., Pham, N. S. (2015). Prevalence, demographics, and complications of cleft palate surgery. International journal of pediatric otorhinolaryngology, 79(6): 803–807. DOI: https://doi.org/10.1016/j.ijporl.2015.02.032.

Mossey, P. A, Little, J., Munger, R. G., Dixon, M. J., Shaw, W. C. (2009). Cleft lip and palate. Lancet, 374(9703): 1773–1785. DOI: https://doi.org/10.1016/S0140-6736(09)60695-4.

Filonenko, V., Kaniura, O., Palamar, B., Bidenko, N. (2023). Poshyrenist vrodzhenykh nezroshchen huby ta pidnebinnia v ukraini. Ukrainian Dental Almanac, (4): 90–96. DOI: https://doi.org/10.31718/2409-0255.4.2023.15.

Leshnevskyy, O. B., Kuzyk, A. S., Romanyshyn, B. S., Sheremet, M. R., & Agir, H. (2024). Clinical case report: late correction of cleft palate in an 11-year-old boy with bilateral cleft lip and palate. Paediatric Surgery. Ukraine, 1 (82): 100–104. DOI: https://doi.org/10.15574/PS.2024.82.100.

Vyshpinskyi, I. M. (2014). Porivnialna kharakterystyka metodiv khirurhichnoho likuvannia nezroshchen verkhnoi huby ta pidnebinnia v ditei riznoho viku. Khirurhiia dytiachoho viku, (3–4): 26–34. http://nbuv.gov.ua/UJRN/Khdv_2014_3-4_7

Makieiev, V. F. (2013). Ortopedychni metody likuvannia khvorykh iz vrodzhenymy nezroshchenniamy verkhnoi huby ta pidnebinnia. Kvart.

de Lima Toyoshima, G. H., da Silva Costa, S. M., Costa, M. S. C., Cota, R. M. E., de Oliveira, T. M., Soares, S., & de Almeida, A. L. P. F. (2022). Fixed partial dentures in adult patients with cleft lip and palate and theirrelationship with the quality of life: A cross-sectional clinical study. The Journal of Prosthetic Dentistry. Apr: 2022.03.011. DOI: https://doi.org/10.1016/j.prosdent.2022.03.011.

Filonenko, V., Yefymenko, V., Vyshpinskyi, I., & Holub, T. (2024). Klinichni aspekty ortodontychnoho likuvannia zalezhno vid rezultativ pervynnykh khirurhichnykh vtruchan u ditei z vrodzhenymy nezroshchenniamy huby ta pidnebinnia. Visnyk stomatolohii, 126(1), 19–26. DOI: https://doi.org/10.35220/2078-8916-2024-51-1.4.

Huang, C., Yuan, W. J., & Zhang, H. H. (2025). Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology, 60(6), 603–610. Advance online publication. DOI: https://doi.org/10.3760/cma.j.cn112144-20250323-00096.

Filonenko, V. V., Kaniura, O. A., Bidenko, N. V., Yefymenko, V. P., & Yakovenko, A. O. (2024). Multydystsyplinarnyi pidkhid do likuvannia ditei iz vrodzhenymy nezroshchenniamy huby ta pidnebinnia v Ukraini. Medytsyna sohodni i zavtra, 93(1),: 75–85. DOI: https://doi.org/10.35339/msz.2024.93.1.fkb.

Dmytrenko, M., Smahliuk, L., Hurzhii, O., Zenchenko, D., & Romanchenko, B. (2024). Innovatsiini pidkhody u kompleksnomu likuvanni patsiientiv iz vrodzhenymy odnobichnymy naskriznymy nezroshchenniamy verkhnoi huby ta pidnebinnia. Kharkivskyi stomatolohichnyi zhurnal, 1(1): 94–103. DOI: https://doi.org/10.26565/3083-5607-2024-1-10.

Halych, L., Kuroyedova, V., Tsvetkova, N., Halych, L. (2024). Orthodontic and orthopedic rehabilitation of adult patients with congenital cleft lip and palate (clinical case). Medicni Perspektivi, 29(2): 237–245. DOI: https://doi.org/10.26641/2307-0404.2024.2.307777.

Makieiev, V. F. (2008). Klinika, diahnostyka ta kontseptualni osnovy ortopedychnykh zakhodiv u kompleksnomu likuvanni defektiv ta deformatsii zubo-shchelepnoi systemy khvorykh z nezroshchenniamy verkhnoi huby ta pidnebinnia [Avtoref. dys. …dokt. med. nauk, Lvivskyi natsionalnyi medychnyi universytet imeni Danyla Halytskoho ].

Makieiev, V. F., Oliinyk, A. Yu. (2017). Ortopedychna reabilitatsiia khvorykh iz vrodzhenymy nezroshchenniamy verkhnoi huby ta pidnebinnia riznymy vydamy proteznykh konstruktsii iz vykorystanniam vlasnoi metodyky vizualizatsii deformatsii zubnykh riadiv dlia otsinky yikh vazhkosti. Novyny stomatolohii, (3): 43–50. URL: http://nbuv.gov.ua/UJRN/Ns_2017_3_11