scholarly journals Case Report of Maxillary Obturator Prosthesis Rehabilitation Following Maxillectomy

2008 ◽  
Vol 52 (4) ◽  
pp. 590-593
Author(s):  
Hiroko Ikeda
Keyword(s):  
Case Report ◽  
Obturator Prosthesis

scholarly journals Maxillary osteonecrosis induced by antiresorptive medication (bisphosphonate) in a patient with multiple myeloma - Case report

2020 ◽  
Vol 9 (11) ◽  
pp. e1179119415
Author(s):  
Patrick Rocha Osborne ◽  
Bruno Mendes ◽  
Leonardo Perez Faverani ◽  
Cleber Nunes Alexandre ◽  
Giorge Pessoa de Jesus
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Pathological Condition ◽  
Treatment Protocol ◽  
Clinical Staging ◽  
Patients At Risk ◽  
Continuous Use ◽  
Obturator Prosthesis ◽  
Made In

Objective: to describe the clinical case of a patient with multiple myeloma, who developed maxillary osteonecrosis induced by anti-resorptive medication (bisphosphonate) submitted to a conservative and surgical therapeutic approach and subsequent prosthetic rehabilitation. Patients and methods: the case report is presented based on a simple review of the literature and clinical experience for the diagnosis, clinical staging of the lesion, carrying out the excision of the necrotic bone, debridement, lesion control and making a obturator prosthesis. Results: Despite the difficulty offered by the pathological condition and continuous use of medication, the treatment employed was successful, restoring health and providing a better quality of life to the patient, which allowed the obturation prosthesis to be made in the 8-month postoperative period. Conclusion: The result obtained emphasizes the importance of knowledge of the staging of the lesion for the application of the treatment protocol, in addition to recognizing patients at risk for the practice of prevention in dental treatments.

scholarly journals A Comfortable Palatal Delayed Surgical Obturator for Hemimaxillectomy Patients

2018 ◽  
Vol 1 (2) ◽  
pp. 109-112
Author(s):  
Prabhat Shrestha ◽  
S. Paudel ◽  
M. Dhungana ◽  
P. Shrestha
Keyword(s):  
Case Report ◽  
Initial Phase ◽  
Soft Tissues ◽  
Simple Technique ◽  
Effective Means ◽  
Facial Esthetics ◽  
The Common ◽  
Common Problems ◽  
Obturator Prosthesis ◽  
Positive Effect

A surgical obturator prosthesis is commonly used as an effective means for rehabilitating patient with hemi-maxillectomy defect. The obturator supports the soft tissues after surgery and minimizes the contraction of scar and disfigurement thereby making a positive effect on patient’s overall function and psychology. The goal of prosthodontics to restore missing orofacial structures for improving facial esthetics and oral function for such patients. The inability to achieve adequate retention, stability, support and comfort due to the friability of healing tissues are the common problems associated with prosthetic treatment in the initial phase of treatment. This case report demonstrates a simple technique to overcome such difficulties by the use of soft lining materials in the delayed surgical obturator.

scholarly journals Prosthetic management of mid-facial defect with magnet-retained silicone prosthesis

2013 ◽  
Vol 38 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Muaiyed M Buzayan
Keyword(s):  
Case Report ◽  
Life Style ◽  
Surgical Excision ◽  
Self Esteem ◽  
Clinical Report ◽  
Silicone Prosthesis ◽  
Facial Prosthesis ◽  
Facial Defect ◽  
Obturator Prosthesis ◽  
Silicone Prostheses

Background and aim:Mid-facial defect is one of the most disfiguring and impairing defects. A design of prosthesis that is aesthetic and stable can be precious to a patient who has lost part of his face due to surgical excision. Prosthesis can restore the patients’ self-esteem and confidence, which affects the patients and their life style. The aim of this case report is to describe a technique of mid-facial silicone prosthesis fabrication.Technique:To provide an aesthetic and stable facial prosthesis, the extra-oral prosthesis was fabricated using silicone material, while the intra-oral defect was restored with obturator prosthesis, and then both prostheses were connected and attached to each other using magnets.Discussion:This clinical report describes the rehabilitation of a large mid-facial defect with a two-piece prosthesis. The silicone facial prosthesis was made hollow and lighter by using an acrylic framework. Two acrylic channels were included within the facial prosthesis to provide the patient with clean and patent airways.Clinical relevanceA sectional mid-facial prosthesis was made and retained in place by using magnets, which resulted in a significant improvement in the aesthetical and functional outcome without the need for plastic surgery. Silicone prostheses are reliable alternatives to surgery and should be considered in selected cases.

scholarly journals Prosthetic Rehabilitation of an Edentulous Veau's Class II - A Case Report

2013 ◽  
Vol 12 (4) ◽  
pp. 435-438
Author(s):  
D Neha ◽  
D Sunil ◽  
J Khetan
Keyword(s):  
Case Report ◽  
Congenital Malformations ◽  
Medical Science ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Art And Science ◽  
Maxillofacial Prosthesis ◽  
Hollow Bulb Obturator ◽  
Obturator Prosthesis ◽  
Nasal Emission

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

scholarly journals Prosthetic therapy of the lateral facial defect

2012 ◽  
Vol 59 (3) ◽  
pp. 164-168
Author(s):  
Vojkan Lazic ◽  
Igor Djordjevic
Keyword(s):  
Case Report ◽  
Aesthetic Outcome ◽  
Neck Trauma ◽  
Prosthetic Reconstruction ◽  
Maxillary Defect ◽  
Facial Defect ◽  
Facial Defects ◽  
The Stability ◽  
Mandibular Movements ◽  
Obturator Prosthesis

Introduction. Facial defects may arise as a result of head and neck trauma or facial tumor ablation. Minor defects can be reconstructed surgically while large defects usually need combined surgical and prosthetic reconstruction. The aim of this study was to present the prosthetic reconstruction of the lateral facial defect using facial colored acrylic prosthesis. Case Report. A male patient with a maxillary defect on the left side and a large lateral facial defect on the same side received an obturator prosthesis as well as a facial colored acrylic prosthesis (facial-orbit) retained by the glasses frame. Satisfied aesthetics was accomplished. However, the stability of the prostheses during mandibular movements could not be achieved which resulted in saliva leakage over the lips. Conclusion. Better functional and aesthetic outcome could be achieved by combined surgical and prosthetic treatment of such large facial defect.

Rehabilitation of Bilateral Maxillectomy with an Obturator Prosthesis: Case Report

2015 ◽  
Vol 1 (3) ◽  
pp. 146-151
Author(s):  
Yeliz ARSLAN ◽  
Betül KÖKDOĞAN BOYACI ◽  
Hüseyin YAZICIOĞLU ◽  
Merve BANKOĞLU GÜNGÖR
Keyword(s):  
Case Report ◽  
Obturator Prosthesis

Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report

2008 ◽  
Vol 9 (1) ◽  
pp. 70-76 ◽  
Author(s):  
T. Sunil Chandra ◽  
Amar Sholapurkar ◽  
Robin Mathai Joseph ◽  
I.N. Aparna ◽  
Keerthilatha M. Pai
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Mouth Opening ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Facial Contour ◽  
Masticatory Efficiency ◽  
Full Complement ◽  
Obturator Prosthesis

Abstract Aim The purpose of this clinical report is to present a description of the prosthetic rehabilitation of a bilateral complete maxillectomy patient using a two piece magnetically connected prosthesis. Background A complete bilateral maxillectomy defect presents a considerable reconstructive challenge for the prosthodontist. It results in devastating effects on cosmetic, functional, and psychological aspects of the patient. Report A 46-year-old woman reported with a chief complaint of missing teeth in the upper jaw. Her primary concerns were a poor facial appearance, inability to chew food, and regurgitation of the food into the nasal cavity. She was diagnosed with carcinoma of the maxillary sinus, for which a bilateral maxillectomy was done followed by post surgical radiation therapy. The prosthetic treatment objectives were to separate the nasal and oral cavities, restore the mid-facial contour, and improve her masticatory functions by providing a full complement of maxillary teeth using a two-piece connected hollow obturator prosthesis connected by a magnet. Summary Insertion and removal of a large prostheses used for rehabilitation of midfacial defects requires good neuromotor coordination and an adequate mouth opening. Because these factors were problematic for this patient, the treatment plan was to fabricate a two piece magnetically connected prosthesis. After fabrication and insertion of the prosthesis, the fit between two sections was evaluated and instructions for insertion, removal, and maintenance of the obturator were given. The patient's speech, masticatory efficiency, and swallowing dramatically improved after insertion. Citation Chandra TS, Sholapurkar A, Joseph RM, Aparna IN, Pai KM. Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report. J Contemp Dent Pract 2008 January; (9)1:070-076.

scholarly journals Sustaining an obturator prosthesis with zygomatic suspension wires in a case of subtotal maxillectomy and insuffient ridge supported retention: A case report

2020 ◽  
Vol 19 (3) ◽  
pp. 582-585
Author(s):  
Matheel Al Rawas ◽  
Farah Rashid ◽  
Aparna Barman ◽  
Taseef Hasan Farook ◽  
Ayman AL Oulabi ◽  
...  
Keyword(s):  
Case Report ◽  
Medical Science ◽  
Alveolar Ridge ◽  
Denture Adhesive ◽  
Myofibroblastic Sarcoma ◽  
Denture Adhesives ◽  
Repeated Use ◽  
Obturator Prosthesis ◽  
Maxillary Arch

Purpose: For making denture in maxillectomy cases is very difficult and challenging to get the retention tomake the denture stable in its position during functioning. This case report describes a clinical condition inwhich patient was treated with a maxillary obturator with zygomatic suspension wiring due to insufficientretention in the palate. Materials and Methods: A 63-year-old patient had gone to a subtotal maxillectomybecause following myofibroblastic sarcoma andwas issued with bilateral circum-zygomatic wiring hooksimmediately after surgery. The patient had less than a third of their alveolar ridge remaining and did notprovide sufficient retention on its own. The wires were used for the retention because natural retentioncould not get due to inadequate maxillary ridge. While the denture was being fabricated, a temporaryfeeding plate was provisioned to the patient. Counter hooks were implemented on the definitive upperdenture, posterior to molars, to attach to the zygomatic suspension hook. Final upper denture was furtherreinforced with denture adhesive on it. A lower denture was also fabricated for the said case followingconventional protocols of jaw relation determination. Results: The obturator provided with adequate sealand leak proof phonetics. The zygomatic wiring coupled with denture adhesive were sufficient to provideadequate retention. Conclusion: Zygomatic suspension wires coupled with counter hooked obturatorprosthesis provide rehabilitation of patients with palatal defects with inadequate maxillary arch forretention.However long-term repeated use of such wires might expose the patient to secondary infectionsand should be kept in consideration Clinical Significance: Circum-zygomatic suspension wiring providesufficient retention to sustain the upper obturator prosthesis in place. However, the retention was stillinadequate, so denture adhesives were used to make it more stable. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.582-585

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