Partial reconstruction of the upper jaw with vascularized fibula graft and implants of a patient with cleft lip and palate using implants and cad/cam

The patient with cleft lip and palate represents a continuous challenge for the maxillofacial surgeon and the dentist. This type of patient requires a multidisciplinary team approach, from the initial stages of the rehabilitation process, to minimize the deformations caused by adhesions. Bone grafting represents a valid possibility for achieving these objectives in the various surgical procedures for restoring mandibular integrity. In this clinical case, the authors present the multidisciplinary approach to a case of cleft lip and palate, resolved with a revascularized fibula graft in the premaxillary area and subsequent implant-prosthetic therapy with a 15-year follow-up. Using new technologies in diagnosis and treatment allows patients to face surgical challenges with greater confidence and achieve the desired results.