Comprehensive Prosthodontic Rehabilitation of a Completely Edentulous Adolescent With Cleft Lip and Palate and Multiple Facial Defects: A Case Report

Cleft lip and palate (CLP) is the most prevalent congenital craniofacial anomaly and is frequently associated with dental anomalies and compromised maxillary anatomy. Complete edentulism in adolescents with CLP is exceedingly uncommon, and its concurrent presentation with bilateral auricular agenesis and nasal hypoplasia represents a rare clinical scenario. A 17-year-old male patient with surgically corrected bilateral CLP, congenital bilateral auricular agenesis, and a congenital nasal defect presented with complete edentulism of both arches. Comprehensive prosthodontic rehabilitation was performed. Intraoral restoration was accomplished using conventional heat-polymerized acrylic resin complete dentures, fabricated following meticulous border molding, definitive elastomeric impressions, and semiadjustable articulator mounting. Extraoral defects were restored using room-temperature vulcanizing silicone prostheses: a spectacle-frame-retained bilateral auricular prosthesis fabricated via a three-piece mold design to accommodate complex anatomical undercuts, and an adhesive-retained nasal prosthesis fabricated via a two-piece mold with putty protection of the nasal apertures. Intrinsic colorimetric matching was achieved using a systematic pigment incorporation technique. At the one-, three-, six-, and 12-month follow-up visits, the patient and guardian reported improvements in mastication, speech, social confidence, and overall satisfaction with the rehabilitation. This case illustrates that a structured, multidisciplinary prosthodontic approach integrating conventional complete dentures with custom-fabricated silicone maxillofacial prostheses can reliably restore orofacial function and esthetics in young patients with complex congenital craniofacial deficits, including those in resource-limited clinical settings.