scholarly journals Prosthetic rehabilitation by obturator considering the biomechanics in partially edentulous patient after maxillectomy

2021 ◽  
Vol 37 (4) ◽  
pp. 281-293
Author(s):  
Kang-Shin Lee ◽  
Ju-Mi Park ◽  
Seung-Geun Ahn ◽  
Jae-Min Seo ◽  
Yeon-Hee Park ◽  
...  
2016 ◽  
Vol 54 (2) ◽  
pp. 167
Author(s):  
Kyung-Hoi Heo ◽  
Young-Jun Lim ◽  
Myung-Joo Kim ◽  
Ho-Beom Kwon

2015 ◽  
Vol 113 (4) ◽  
pp. 347-349 ◽  
Author(s):  
Mike Y.T. Law ◽  
Robin W.C. Chung ◽  
Otto L.T. Lam

Total rhinectomy defects pose a challenge for the reconstructive surgeon, but since the introduction of osseointegrated implants, maxillofacial implant–retained prosthetic rehabilitation has provided the patient with an alternative option that has an excellent cosmetic result. Traditionally, zygomatic implants are used for prosthodontic restoration in patients with severely atrophic maxilla or to retain an obturator after tumor ablative surgery. More recently, the nonconventional use of zygomatic implants for retention of a nasal prosthesis has been reported in cases involving rhinectomy defects where the length of conventional dental implants is a limiting factor. In this article, we describe the use and value of transversely-oriented zygomatic implants in combination with an acrylic keeper and maxillary denture to optimize retention of a complex, multi-unit prosthesis in an edentulous patient with a total rhinectomy and upper lip defect.


2019 ◽  
Vol 2 (2) ◽  
pp. 229-234
Author(s):  
Valentin Melchner ◽  
Edwin Sever Bechir ◽  
Florentin Daniel Berneanu

AbstractIntroduction. Complete edentulism is escorted by various comorbidities, which affect an individual. The management of edentulous patients was approached since the early days of dentistry.The aim of this case report was to present the implanto-prosthetic rehabilitation of a bimaxillary complete edentulous patient with implant-supported overdentures, by using Straumann dental implants.Case presentation. This case report presents the applied treatment to a bimaxillary complete edentulous patient, where the predictable osseointegration and implant stability after the placement of implants was possible, with the purpose to support the overdentures.Conclusions. The oral rehabilitation of complete bimaxillary edentulism through implant-supported overdentures is a procedure with a predictive treatment that presents beneficial aspects in the quality of life of the patients.


2021 ◽  
pp. 159-161
Author(s):  
Avinash Sagvekar ◽  
Sachin Fulbel ◽  
Aushili Mahule

An important objective of prosthetic rehabilitation is to conserve any residual tissue. Patients undergoing resection of maxilla due to accidental casualties or benign or malignant tumor will have inadequacy in maxillary palatal area. Removable prostheses gets support, stability and retention mainly through anatomical structures such as teeth, alveolar bones and palate. When surgical intervention removes much of these structures, remaining tissue becomes too vulnerable to support the necessary prosthesis. Therefore, important considerations to be undertaken to attain extra support, retention and resistance while planning for obturator of maxillary defects. In this case report we have advocated the application of an obturator that closes the defected cavity and also restores the masticatory functions. This obturator is retained by the stainless steel 19 gauge wire encircling the teeth in neighbouring quadrant, undercuts surrounding the defect. The prosthetic obturator was inserted in a 58-year old partially edentulous patient with an extensive maxillary defect. Subjective and objective evaluations indicated that the functional efcacy of obturator dened the quality of life of the patient. The concept of a obturator is a useful solution for the particular situation created by maxillectomy.


2013 ◽  
Vol 12 (4) ◽  
pp. 435-438
Author(s):  
D Neha ◽  
D Sunil ◽  
J Khetan

Patients with acquired defects or congenital malformations of the palate exhibit disturbances in speech including hypernasality, nasal emission and decreased intelligibility of speech. Maxillofacial prosthesis is an art and science which not only replaces the lost structure but also sometimes restores the function.obturator is a prosthesis which closes the palate and pharyngeal defects and improving the speech and other function. This article presents a case report of a completely edentulous patient with palatal insufficiency rehabilitated prosthodontically with a hollow bulb obturator and a procedure for fabrication of closed hollow bulb obturator prosthesis. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16665 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 435-438


2013 ◽  
Vol 2 (1) ◽  
pp. 77-80 ◽  
Author(s):  
P Joshi

Rehabilitation becomes more challenging with the partial edentulism where bilateral segment is found missing. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes the rehabilitation of a 65-year old female patient with multiple missing teeth and severe loss of tooth structure. The maxillary arch was restored with fixed partial dentures and the mandibular arch using porcelain fused to metal crowns and removable prosthodontics. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 77-80 DOI: http://dx.doi.org/10.3126/njms.v2i1.7658


Prosthesis ◽  
2021 ◽  
Vol 3 (4) ◽  
pp. 388-393
Author(s):  
Ioli Ioanna Artopoulou ◽  
Andromachi Salia ◽  
Gregory Polyzois

Patients with unrepaired cleft palate defects still exist within remote rural areas. The prosthodontic rehabilitation of an adult edentulous cleft patient could be very demanding for treating maxillofacial prosthodontist, since most of them are edentulous, challenging the retention and the stability of the maxillary prosthesis. It is therefore highly important that cleft palate patients seek dental and prosthodontic care as early in their life as possible. In this report, an unusual case of a patient self-obturated cleft palate defect is presented. The patient’s self-made prosthesis was replaced by an appropriately fabricated pharyngeal obturator prosthesis in order to improve speech and swallowing.


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