This young man was born with a birth defect where his lip and palate did not completely form. This is called a cleft lip /cleft palate. It is one of the more common birth defects. He was lucky to be born in Chattanooga, Tennessee where there is a world famous craniofacial team. His first surgery for repair was as an infant; it was one of many surgeries. It is very common with this type of birth defect to be missing several teeth. He was lucky that he was only missing two teeth. As he grew, he went through several types of orthodontic treatment and two sets of braces. He has been a patient of Dr. McOmie’s from early childhood. A great local orthodontist did the braces to correct an under bite and help him get his teeth into alignment for Dr. McOmie to give the patient the restorations that could complete his craniofacial repair journey.
Dr. McOmie took over when the final set of braces came off. The patient was missing the teeth called lateral incisors. On the patient’s right side there is a significant defect in the bone because he was born without the bone in this area.
It was decided, due to the lack of adequate bone, that porcelain fused to zirconia bridges would be the best treatment options. This was decided after much discussion with the patient, his parents, the orthodontist, and Dr McOmie. The advantage of this type of restoration is the teeth have to be prepared or cut down very minimally, leaving lots of tooth structure for strength. This material, also known as “ceramic steel”, is known for its durability. It is also very biocompatible and, as you can see, beautiful.