Journal of South Asian Association of Pediatric Dentistry

Register      Login

VOLUME 4 , ISSUE 1 ( January-June, 2021 ) > List of Articles


Prosthetic Rehabilitation of Soft and Hard Palate Defect in a Pediatric Patient

Ruvienath DW Rajapaksa, Indika P Thilakumara

Citation Information : Rajapaksa RD, Thilakumara IP. Prosthetic Rehabilitation of Soft and Hard Palate Defect in a Pediatric Patient. J South Asian Assoc Pediatr Dent 2021; 4 (1):62-65.

DOI: 10.5005/jp-journals-10077-3072

License: CC BY-NC 4.0

Published Online: 01-06-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Palatopharyngeal insufficiency refers to soft palate defects where some or all of soft palate is deficient affecting palatopharyngeal closure. When surgical correction is not possible or failed, prosthetic rehabilitation by means of a speech-aid prosthesis or a speech bulb is the most desirable option to restore the function. In this case report, prosthetic rehabilitation of a pediatric patient with a hard and soft palate defect is described. Emphasis is given to the role of multidisciplinary approach in the management of cleft palate patients, clinical and laboratory procedures involving construction of a speech bulb prosthesis and the role of speech therapy for the improvement of overall outcome of the treatment.

  1. Kumar P, Alvi HA, Roa J, et al. Assessment of the quality of life in maxillectomy patients: a longitudinal study. J Adv Prosthodont 2013;5:29–35. DOI: 10.4047/jap.2013.5.1.29.
  2. Curtis TA, Beumer III J. Speech velopharyngeal function and restoration of soft palate defects. In: Beumer III J, Curtis TA, Marunick MT. Maxillofacial Rehabilitation Prosthodontic and Surgical Considerations. Isiyaku Euroamerica, Inc. Publishers; pp. 286–324.
  3. Dhakshaini MR, Pushpavathi M, Garhnayak M, et al. Prosthodontic management in conjunction with speech therapy in cleft lip and palate: a review and case report. J Int Oral Health 2015;7(Suppl 2):106–111.
  4. Kasim Mohamed K, Anand Kumar V, Devi N, et al. Fabrication of temporary speech bulb prosthesis: a clinical report. J Indian Prosthodont Soc 2010;10(1):71–74. DOI: 10.1007/s13191-010-0006-0.
  5. Walter JD. Obturators for cleft palate and other speech appliances. Dent Update 2005;32(4):217–222. DOI: 10.12968/denu.2005.32.4.217.
  6. Constance H, James P. A palatal speech bulb: a case study. In: Reports 2019;2(1). DOI: 10.3390/reports2010005.
  7. Davenport J, Basker R, Health J, et al. Removable partial dentures: an introduction. Br Dent J 2000;189:646–657.
  8. Dandekeri S, Sowmya MK, Bhandary S. A maxillofacial rehabilitation with velopharyngeal obturator prosthesis: a case report. Int J Biomed Res 2012;3(06):285–287.
  9. Pinto JH, da Silva Dalben G, Pegoraro-Krook MI. Speech intelligibility of patients with cleft lip and palate after placement of speech prosthesis. Cleft Palate Craniofac J 2007;44(6):635–641. DOI: 10.1597/06-061.1.
  10. Kahlon SS, Kahlon M, Gupta S, et al. The soft palate friendly speech bulb for velopharyngeal insufficiency. J Clin Diagn Res 2016;10(9):ZD01–ZD02. DOI: 10.7860/JCDR/2016/18993.8464.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.