A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . fflicted or their friends will consent to the destruction of an operationwhich has been attained through such incalculable hardships. Nor can theybe assured, under the circumstances, that the usual perfect result of prosthetictreatment will be attained. Fig. 44 was made from the models of a man over twenty-five years of will serve to illustrate the not uncommon appearance of a surgical closure of acleft. The distance from the posterior border of the velum-palati to the ne
A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . fflicted or their friends will consent to the destruction of an operationwhich has been attained through such incalculable hardships. Nor can theybe assured, under the circumstances, that the usual perfect result of prosthetictreatment will be attained. Fig. 44 was made from the models of a man over twenty-five years of will serve to illustrate the not uncommon appearance of a surgical closure of acleft. The distance from the posterior border of the velum-palati to the nearestextended position of the posterior pharyngeal wall was fully three-fourths of aninch, and consequently his speech had all the imperfect characteristics of open 478 PART IX. THE PROSTHETIC CORRECTION OF CLEFT PALATE cleft palates. The surgically closed cleft was opened for the insertion of a flexiblevelum; and while the result was far from perfect, his speech and voice-tone wereconsiderably improved. This was before the days of the velum-obturator whichdoubtless would have been far more successful. Fig. The above dental casts show (t) the original occlusion of the front teeth; (2) the common result of animperfect surgical operation, and (3) after the correction of the teeth preliminary to opening the cleftfor the insertion of an obturator. The case is presented here principally to show the coitTmon malocclusion ofthe teeth in connection with extensive clefts and what may be accomplished in theircorrection at quite an advanced age. While it is true that a very large porportion of cleft palate patients who havereceived unsatisfactory surgical treatment are unwilling to try what they believeto be another experiment, especially those who have obtained a complete andeven partial closure of the cleft, it happens to be true also that nearly one-half ofthe many patients for whom the author has inserted artificial palates, have at sometime during earlier life—mostly during in
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