of provisional palatal lift prosthesis with altered cast technique in a primary dentition

Velopharyngeal inadequacies present since birth are typically associated with hypernasality in the speech, which can be dramatically affect the psychosocial life of the child. The constant connection between the oral and nasal cavities affects speech interpretation, produces hypernasality due to nasal air emission. The contact between the extended palate and tongue produces compensatory articulation. In such cases palatal lift prosthesis is recommended. This prosthesis is simple and efficient in controlling the nasal air leak. Concomitant speech therapy is necessary for patients receiving palatal lift. This paper presents a case of a child having palatal incompetency managed with the provisional palatal lift prosthesis (since there is only primary dentition for the support) and simultaneous speech therapy.