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The smile is an important part of the individual's facial expression, it allows the communication of emotions and ideas. However, its aesthetics can be severely compromised in patients with cleft lip and palate due to multiple missing, malformed and malposed teeth, abnormal soft tissue morphology, upper lip scar tissue, and altered anatomy in the lower third of the face. This clinical case reports the interdisciplinary treatment approach of a young male patient with complete bilateral cleft lip and palate and missing premaxilla. Prosthodontic rehabilitation included a zirconia-based fixed dental prosthesis, with pink porcelain to camouflage the bony defect and restore the facial and dental aesthetics. Maxillary second premolars received lithium disilicate crowns to obtain a more harmonious smile line and adequate occlusion. A resin-bonded fixed partial denture restored a missing mandibular central incisor. Tooth proportions, gingival contours and facial ratios routinely used in noncleft patients, were used to achieve a consonant smile. The final restorations satisfied the patient's expectations, restored an aesthetically pleasant smile, and provided an adequate occlusion.

Conventional orthognathic surgery and orthodontic techniques occasionally fail to completely correct the occlusal relationship and esthetic deficits of patients with cleft lip and palate and severe midface deficiency. Prosthodontic rehabilitation is often required to establish adequate occlusion and provide a more proportional facial appearance. This clinical report describes the interdisciplinary management of an adult with complete bilateral cleft lip and palate who was treated with distraction osteogenesis using a rigid external distraction device for maxillary advancement and his prosthodontic rehabilitation with a dual path removable partial overdenture to develop definitive facial and dental esthetic form., (Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

The smile is an important part of the individual's facial expression, it allows the communication of emotions and ideas. However, its aesthetics can be severely compromised in patients with cleft lip and palate due to multiple missing, malformed and malposed teeth, abnormal soft tissue morphology, upper lip scar tissue, and altered anatomy in the lower third of the face. This clinical case reports the interdisciplinary treatment approach of a young male patient with complete bilateral cleft lip and palate and missing premaxilla. Prosthodontic rehabilitation included a zirconia-based fixed dental prosthesis, with pink porcelain to camouflage the bony defect and restore the facial and dental aesthetics. Maxillary second premolars received lithium disilicate crowns to obtain a more harmonious smile line and adequate occlusion. A resin-bonded fixed partial denture restored a missing mandibular central incisor. Tooth proportions, gingival contours and facial ratios routinely used in noncleft patients, were used to achieve a consonant smile. The final restorations satisfied the patient's expectations, restored an aesthetically pleasant smile, and provided an adequate occlusion. [ABSTRACT FROM AUTHOR]

In some cases early intervention and multiphase orthodontic treatment are insufficient to correct the skeletal and soft-tissue disharmonies present in cleft lip and palate patients. Commonly, midface deficiency with skeletal and dental Class III malocclusion is present in combination with other dental anomalies. In cleft lip and palate patients, orthognathic surgery may involve maxillary advancement with a LeFort surgical procedure, maxillary distraction osteogenesis, and mandibular setback in combination with maxillary advancement, and, on rare occasions, isolated mandibular setback. The selection of the optimal treatment for a specific patient depends on the patient''s age, amount of needed advancement, severity of the maxillomandibular discrepancy, impact of the surgery on the speech, relapse/stability relationship, esthetic outcome, and the consideration of the possible complications. The need for multidisciplinary treatment planning and sequentially staged treatment is essential for successful patient outcomes. The purpose of this article is to outline multidisciplinary strategies in cleft lip and palate patient care. [Copyright &y& Elsevier]

Abstracts of articles in online-only format are presented including "Novel Mutations in the IRF6 Gene on the Background of Known Polymorphisms in Polish Patients with Orofacial Clefting" by Dr. Agnieszka Charzewska et al, "Evolution of Postoperative Edema in Alveolar Graft Performed with Bone Morphogenetic Protein (rhBMP-2) by Claudia Resende Leal et al and "Clinical Management of BCLP With a Severe Hypoplastic and Retruded Premaxilla" by Balint Nemes et al.

This section presents abstracts of otolaryngology studies including the epidemiology of orofacial clefts in the east of Ireland, protocol management for patients with midline Tessier 0-14 clefts, and the mental health status and aggravation level in mothers of children with isolated oral clefts.

In this article, the author gives farewell remarks and thanks all of the editorial board of the periodical from individual to international.

The authors talk about the changes at the periodical after this issue. Topics discussed include the change in the periodical's publisher from Allen Press to SAGE from the next issue, the availability of the periodical's articles in print as well as online version, and the publication of abstracts accepted at the American Cleft Palate-Craniofacial Association (ACPA) Annual Meeting in the periodical.

The article announces the retraction by the publication of the study "Microarchitecture and Biomechanical Evaluation of Bone Ceramic Grafted Alveolar Defects During Tooth Movement in Rat," by Nan Ru and colleagues.