성장 이후 교정치료와 골이식을 동반한 구순구개열 환자의 골결손 부위 임플란트 치험례

Dental Implant on Alveolar Cleft Site with Orthodontic Treatment and Ramus Bone Graft in Adult Patient: Case Report

We report the case of an unilateral alveolar cleft man who was performed orthodontic treatment and dental implant after autogenous bone graft on cleft site with bone of ramus. We achieved improvement of implant esthetics by multidisciplinary treatment approach in cleft patient. A 35-year-old man with skeletal class I and unilateral alveolar cleft, we planned to graft ramus bone on cleft site, perform orthodontic treatment and to place implant on missing area. For bone graft on the cleft site, we applied autogenous bone of ramus area and demineralized allogenic bone. Orthodontic treatment started for regaining space of dental implant on #22 area, and implant was placed on #22 area. Following the procedure, final prostheses were placed on implant. Upper and lower arch harmony were obtained and space for prostheses were redistributed. Also, we recovered alveolar bone continuity by autogenous bone graft of ramus before orthodontic treatment and could place implant successfully without additional alveloar bone graft on cleft site.