Non-surgical pre-maxillary sculpting in an adult patient with bilateral cleft lip and palate: A case report

Abstract

The severity of a bilateral cleft of the lip and palate ranges from disfigurement to absolute facial handicap. A successful treatment outcome was achieved in an adult patient with cleft lip and palate who reported with an unesthetic appearance, difficulty in closing lips, and chewing and speaking due to a protruded as well as rotated pre-maxillary segment. The correction of this conspicuous deformity was approached through a complex range of movements, which included de-rotation, sliding, retraction, and intrusion. These techniques effectively sculpted the pre-maxillary segment without necessitating any surgical intervention.