scholarly journals OBTURATOR PROSTHESIS TO REHABILIT PALATE AND KENNEDY CLAS III PATIENT

2017 ◽  
Vol 4 (2) ◽  
pp. 136
Author(s):  
Rahmat Hidayat
Keyword(s):  
Cleft Palate ◽  
Soft Tissues ◽  
Acrylic Resin ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Swallowing Function ◽  
Maxillofacial Prosthesis ◽  
Oroantral Communication ◽  
The Right ◽  
Obturator Prosthesis

Background: Cleft palate leads to oroantral communication and also malformations of the palate and agenese of teeth adjacent to the defect. Abnormal defect closure was done by replacing the hard, soft tissues and missing teeth using an intraoral maxillofacial prosthesis called obturator. Purpose: Assess the use of prosthetic rehabilitation using frame obturator combination with acrylic resin on patient’s palatum defect to restore esthetic, speech, swallowing, mastication functions.Case: 23 years old male patient with chief complaint palatum defect that cause nasal voice. Intraoral examination revealed a large palate defect in the right of palatum durum segment, also defect on left labial gingiva, and missing teeth in 13, 15, 16, 21, 22, 23, 24, 25, 26, 35, 36, 45, 46.Case Management: Obturator was made to cover defect of palate and replace missing teeth. Impression was taken with hydrocoloid irreversible and gauze that cover the defect to avoid alginate entering nasal cavity. Insertion of obturator showed cleft palate was covered well by frame combination with acrylic resin base. The retention, stabilization and occlusion were good, nasal voice was reduced, defect on left labial gingiva were covered by labial wing.Discussion: Patient was satisfed because nasal voice was reduced, estethic,mastication and swallowing function were restored, also. Patient can clean and use obturator easily.Conclusion: Frame obturator in patient’s palate defect can reduce nasal voice, restore esthetic, swallowing and mastication functions.

scholarly journals Prosthetic Rehabilitation of Patient with Anterior Segmental Mandibulectomy Using Cast Partial Removable Denture: A Clinical Report

2019 ◽  
Vol 2 (1) ◽  
pp. 42-46
Author(s):  
Anil Maharjan ◽  
SP Joshi ◽  
P. Shrestha
Keyword(s):  
Surgical Resection ◽  
Soft Tissues ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Removable Denture ◽  
Mandibular Body ◽  
Segmental Mandibulectomy ◽  
Extent Of Surgical Resection ◽  
Marginal Mandibulectomy

Marginal mandibulectomy involves resection of mandibular body with overlying soft tissues while maintaining inferior cortex of mandible and its continuity. It may lead to numerous problems associated with mastication, speech and deglutition and esthetics. Problems associated with such defect depend upon location and extent of surgical resection. Prosthodontic rehabilitation of such patient poses challenges because of obliterated vestibular depth, inadequate denture bearing areas for support, lesser number of remaining teeth. This article describes rehabilitation of patient who underwent anterior segmental mandibulectomy with cast partial removable denture to replace the missing teeth and maintain esthetics.

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 Rehabilitation of Acquired Maxillary Defects Secondary to Mucormycosis: Clinical Cases

2014 ◽  
Vol 15 (2) ◽  
pp. 242-249 ◽  
Author(s):  
Rupal J Shah ◽  
Preeti Agarwal Katyayan
Keyword(s):  
Bacterial Infections ◽  
Hard Palate ◽  
Soft Tissues ◽  
Viral Infections ◽  
Fungal Infections ◽  
The Other ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Maxillary Defects ◽  
Clinical Cases

ABSTRACT Maxillary necrosis can occur due to bacterial infections such as osteomyelitis, viral infections, such as herpes zoster or fungal infections, such as mucormycosis, aspergillosis etc. Mucormycosis is an opportunistic fungal infection, which mainly infects immunocompromised patients. Once the maxilla is involved, surgical resection and debridement of the necrosed areas can result in extensive maxillary defects. The clinician is to face many a challenge in order to replace not only the missing teeth, but also the lost soft tissues and bone, including hard palate and alveolar ridges. The prosthesis (Obturator) lacks a bony base and the lost structures of the posterior palatal seal area compromise retention of the prosthesis. Furthermore, the post surgical soft tissues are scarred and tense, which exert strong dislodging forces. The present article describes the prosthetic rehabilitation of maxillary necrosis secondary to mucormycosis in two cases, one completely edentulous and the other partially edentulous. How to cite this article Shah RJ, Katyayan MK, Katyayan PA, Chauhan V. Prosthetic Rehabilitation of Acquired Maxillary Defects Secondary to Mucormycosis: Clinical Cases. J Contemp Dent Pract 2014;15(2):242-249.

scholarly journals Prosthetic Rehabilitation of an Unusually Self-Obturated Cleft Palate Defect in an Adult Edentulous Patient Living in a Remote Rural Area. A Clinical Report

Prosthesis ◽  
2021 ◽  
Vol 3 (4) ◽  
pp. 388-393
Author(s):  
Ioli Ioanna Artopoulou ◽  
Andromachi Salia ◽  
Gregory Polyzois
Keyword(s):  
Cleft Palate ◽  
Rural Area ◽  
Rural Areas ◽  
Unusual Case ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Remote Rural Area ◽  
The Stability ◽  
Obturator Prosthesis

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.

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 Prótese bucomaxilofacial: a Odontologia além da boca

2019 ◽  
Vol 8 (6) ◽  
Author(s):  
Gabriella Domingues de Carvalho ◽  
Liz Fernandes de Souza ◽  
Thais Oliveira Ferreira ◽  
Gabriela Bento ◽  
Marcela Filié Haddad
Keyword(s):  
Quality Of Life ◽  
Color Stability ◽  
Acrylic Resin ◽  
Life Assessment ◽  
Prosthetic Rehabilitation ◽  
Endosseous Implants ◽  
Oncological Patient ◽  
Maxillofacial Prosthesis ◽  
Central Mucoepidermoid Carcinoma

A prótese bucomaxilofacial é uma especialidade da Odontologia que visa restaurar indivíduos com perda de estrutura na região de boca e face. Seu ensino ainda é restrito na maioria dos cursos de Odontologia no Brasil, de modo que os cirurgiões dentistas se formam sem conhecer este ramo tão bonito da reabilitação e sem o domínio de conhecimentos teóricos e técnicos sobre o assunto. Deste modo, o objetivo do presente trabalho foi realizar uma revisão de literatura acerca da especialidade de prótese bucomaxilofacial para guiar os cirurgiões-dentistas a respeito de sua indicação, tipos, materiais utilizados e técnica de confecção.Descritores: Prótese Maxilofacial; Prótese Dentária; Reabilitação.ReferênciasAlfenas ER, Lanza CRM, Barreiros ID, Novaes Junior JB, Mendonça LL. Reabilitação protética do paciente com perda de substância na região de cabeça e pescoço. Arq Odontol. 2011;47(2):28-31.Dos Santos DM, de Caxias FP, Bitencourt SB, Turcio KH, Pesqueira AA, Goiato MC.Oral rehabilitation of patients after maxillectomy. A systematic review. Br J Oral Maxillofac Surg. 2018;56(4):256-66.Gamarra RS, Oliveira JAP, Dib LL. A estética em reabilitação bucomaxilofacial. Rev APCD. 2015;3(1):42-52.de Oliveira FM, Salazar-Gamarra R, Öhman D, Nannmark U, Pecorari V, Dib LL. Quality of life assessment of patients utilizing orbital implant-supported prostheses. Clin Implant Dent Relat Res. 2018;20(4):438-43.Goiato MC, Tabata LF, Archangelo CM, Júnior MM. Uso de implantes ossointegrados associados a sistemas de retenção na reabilitação com próteses bucomaxilofaciais: Revisão de Literatura. Pesq Bras Odontoped Clín Integr. 2007;7(3):231-36.Goiato MC, de Carvalho Dekon SF, de Faria Almeida DA, Sánchez DM, dos Santos DM, Pellizzer EP. Patients' satisfaction after surgical facial reconstruction or after rehabilitation with maxillofacial prosthesis. J Craniofac Surg. 2011;22(2):766-9.Kusterer LEFL, Paraguassú GM, Silva VSM, Sarmento VA. Reabilitação com obturador maxilar após cirurgia oncológica: relato de casos. Rev Cir Traumatol Buco-Maxilo-Fac. 2012;12(4):9-16.Nemli SK, Aydin C, Yilmaz H, Bal BT, Arici YK. Quality of life of patients with implant-retained maxillofacial prostheses: a prospective and retrospective study, J Prosthet Dent. 2013;109(1):44-52.Goiato MC, Pesqueira A.A, Ramos da Silva C, Gennari Filho H, Micheline dos Santos D. Patient satisfaction with maxillofacial prosthesis. Literature review. J Plast Reconstr Aesthet Surg. 2009;62(2):175-80.Simões FG, Reis RC, Dias RB. A especialidade de prótese bucomaxilofacial e sua atuação na Odontologia. Rev Sul Bras Odontol. 2009;6(3):327-31.Aguiar L, Mozzini AR, Lersch E, De Conto F. Obturador palatino: confecção de uma prótese não convencional – relato de caso. Rev Fac Odontol Passo Fundo. 2013;18(1):125-29.Miyashita ER, Mattos BSC, Marafon PG. Sistemas de retenção em prótese obturadora cirúrgica para pacientes maxilectomizados. Pesq Bras Odontoped Clín Integr. 2011;11(2):263-68.Esteves AJ, Costa FCM, Haddad MF. Prosthetic rehabilitation of oncological patient: case report. Arch Health Invest. 2016;5(6): 291-97.Silva DP, Almeida FC, Vaccarezza GF, Brandão TB, Cazal C, Caroli A et al. Reabilitação protética de pacientes maxilectomizados. Uma contribuição da odontologia e um convite à reflexão. Pesq Bras Odontoped Clín Integr. 2004;4(2):125-30.Rezende JRV. Fundamentos da prótese buco-maxilo-facial. São Paulo: Savier, 1997;1:1-10.Tucci R, Antonio LFM, de Carvalhosa AA, Catro PHS, Nunes FD, Pinto Junior DSl. Central mucoepidermoid carcinoma: report of a case with 11 years’ evolution and peculiar macroscopical and clinical characteristics. Med Oral Patol Oral Cir Bucal. 2009;14(6):283-86.Sperb LCM, Neves ACC, Rode SM. Considerações sobre prótese ocular: Sua importância na odontologia atual. RGO. 2001;49(4):202-24.Aquino LMM, Oliveira M, Martins APVB, Barbosa CMR. Técnicas de moldagem da máscara facial. Rev Odontol UNESP. 2012;41(6):438-41.Neves ACC, Murgo DA, Campoy CD, Coas VR. Prótese facial combinada. RGO. 2005;53(1):1-4.Sousa AVB, Arriaga MH, Llorca FA, Henar TEl. Prótesis oculo-palpebral. A propósito de un caso clínico. RCOE. 2003;8(5):553-61.Filié Haddad M, Coelho Goiato M, Micheline Dos Santos D, Moreno A, Filipe D'almeida N, Alves Pesqueira A. Color stability of maxillofacial silicone with nanoparticle pigment and opacifier submitted to disinfection and artificial aging. J Biomed Opt. 2011;16(9):095004.Abu-Serriah M, McGowan D, Moos K, Bagg J. Extra-oral craniofacial endosseous implants and radiotherapy. Int J Oral maxillofac Surg. 2003;32(6):585-92.Silva RJ, Seixas ZA. Materiais e métodos de higienização para próteses removíveis. Int J Dent. 2008;7(2):125-32.Antunes AA, Carvalho RWF, Lucas Neto A, Loretto NRM, Silva EDO. Utilização de implantes osseointegrados para retenção de próteses buco-maxilo-faciais: revisão de literatura. Rev Cir Traumatol Buco-Maxilo-Fac. 2008;8(2):9-14.Haddad MF, Goiato MC, Santos DM, Crepaldi Nde M, Pesqueira AA, Bannwart LC. Bond strength between acrylic resin and maxillofacial silicone. J Appl Oral Sci. 2012;20(6):649-54.

scholarly journals Prosthetic Rehabilitation of Continuous Maxillary and Orbital Defect

2017 ◽  
Vol 7 (2) ◽  
pp. 77-80
Author(s):  
Yogesh Kumar ◽  
Vinayak Bharate ◽  
Dinesh Babu ◽  
Chandralekha Verma
Keyword(s):  
Acrylic Resin ◽  
Cost Effective ◽  
Orbital Exenteration ◽  
Prosthetic Rehabilitation ◽  
Functional Movement ◽  
Maxillary Defect ◽  
Maxillofacial Prosthesis ◽  
Cost Effective Method ◽  
Orbital Prosthesis ◽  
Successful Rehabilitation

ABSTRACT Orbital exenteration along with hemimaxillectomy for malignant tumor of maxilla usually results in continuous orbital and maxillary defect. A removable maxillofacial prosthesis with adequate retention and stability during functional movement along with good esthetics is the key for successful rehabilitation of such patients. This case report describes a novel and yet cost-effective method for retention of silicone orbital prosthesis using acrylic resin base attached to maxillary obturator using pin and socket of an electric plug which results in better retention of both the prosthesis. How to cite this article Kumar Y, Bharate V, Babu D, Verma C. Prosthetic Rehabilitation of Continuous Maxillary and Orbital Defect. Int J Prosthodont Restor Dent 2017;7(2):77-80.

scholarly journals Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

2020 ◽  
Vol 8 (2) ◽  
pp. 49
Author(s):  
Antonio Troiano ◽  
Giorgio Lo Giudice ◽  
Roberto De Luca ◽  
Fabrizio Lo Giudice ◽  
Salvatore D’Amato ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Dental Implant ◽  
Cystic Lesion ◽  
Acrylic Resin ◽  
Odontogenic Cyst ◽  
Mandibular Region ◽  
Oral Implant ◽  
The Right ◽  
Obturator Prosthesis

The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, Ø2.5 cm, in the right mandibular region with an oral implant intruding inside it. The overdenture in the mandibular right site showed no clinical mobility. The authors decided to perform a surgical treatment aimed to preserve the implant. The patient underwent Partsch I surgery followed by iodoform gauze insertion replaced weekly for one month, revision of the previous orthograde endodontic treatments, and an acrylic resin obturator prosthesis application for the following two months. The twelve month follow-up showed no clinical mobility of the right lateral mandibular implant prostheses. Radiographical analysis revealed cystic lesion healing and perimplant bone regeneration. This report highlights the opportunity to apply cystotomy when the cyst involves a dental implant and undermines its stability. This possibility is offered by the peculiar clinical scenario where the implant was stabilized by the presence of a previous prosthetic fixation. Our study led to the application of an operative protocol that allowed for the preservation of the implant.

scholarly journals Protesa Maksilofasial Thermoplastic Nylon (Valplast) dengan Hollow Bulb (Klas III Aramany palate schisis hereditary)

2012 ◽  
Vol 19 (1) ◽  
pp. 29
Author(s):  
A. Azhindra ◽  
Haryo Mustiko Dipoyono ◽  
Titik Ismiyati
Keyword(s):  
Cleft Palate ◽  
Psychiatric Patients ◽  
Speech Disorders ◽  
Psychological State ◽  
Face Shape ◽  
Self Confidence ◽  
Anterior Teeth ◽  
Maxillofacial Prosthesis ◽  
The Face ◽  
The Right

Latar Belakang: pada penderita palato schisis (celah langit-langit)yang disebkan hereditary atau bawaan lahir terlihat defect yang menyebabkan gangguan bicara (sengau), penelanan, pengunyahan, estetik, dan psikologis. Untuk dapat mencapai fungsi bicara, fungsi mengunyah dan fungsi estetika diperlukan protesa untuk menutup celah tersebut. Tujuan: untuk meninformasikan cara rehabilitas defect atau cacat pada wajah dengan protesa maksilofasial thermoplastic nylon dengan hollow buib yang berguna untuk mengembalikan fungsi bicara, penelanan, pengunyahan, estetik dan psikologis penderita. Kasus dan penanganan: pasien pria berusia 46 tahun dating ke RSGM Prof. Soedomo atas rujukan dari poli RS. Dr. Sardjito. Saat datang pasien terganggu berbicara, menguyah dan menelan disebkan adanya celah langit-langit terbuka dan merupakan kelainan bawaan. Pasien kehilangan banyak gigi terutama pada gigi posterior pada rahang atas dan ingin dibuatkan gigi tiruan. Obturator ini dibuat segera dengan mempertimbangkan penutupan celah langit-langit, menggunakan bahan yang lebih ringan (menggunakan hoolow bulb) agar keluhan pasien dapat diatasi didesain alat yang mempunyai retensi maksimal dan mengembalikan pengunyahan, fungsi bicara, penelanan, estetis dan psikologis sehingga pasien akan akan mempunyai bentuk wajah yang mendekati normal. Hollow bulb adalah rongga yang dibuat pada protesa maksilofasial untuk menutup rongga mulut, rongga hidung dan defect. Pada waktu insersi diperiksa retensi, stabilisasi, oklusi, estetik dan pengucapan. Kontrol dilakukan 1 minggu dan 1 bulan setelah pemakaian. Hasil pemeriksaan dan evaluasi setelah 1 minggu dan 1 bulan setelah pemakaian protesa maksilofasial hollow bulb didapatkan hasil dengan retensi, stabilisasi, olusi dan pengucapan lebih baik. Kesimpulan: setelah menggunakan protesa maksilofasial thermoplastic nylon dengan hollow buib pada penderita palato scisis, pasien dapat berbicara dan mengunyah dengan normal. Protesa maksilofasial hollow bulb thermoplastic nylon juga dapat mengembalikan estetik yang maksimal sehingga pasien dapat menambah kepercayaan dirinya serta mengembalikan keadaan psikologi pasien yang telah lama menurun. Background: patients with palato schisis (clelf palate) due to hereditary or congenital defect will be seen that cause speech disorders (nasal), swallowing, mastication, esthetic and psychological. Purpose: to inform the way rehabilitation defect in the face with a maxillofacial prosthesis thermoplastic nylon with hollow bulb that is useful to restore the fuction of speech, swallowing, mastication, esthetics, and psychiatric patients. Case and handling:  46-yearold male patient came to RSGM Prof. Soedomo referral from Dr. Sardjito hospital. When patient come to feel annoyed talking, chewing ang swallowing due to the precence cleft palate is open and is a congential abnormality accompanied with loss of many teeth. Obturator is made immediately by considering the closure of cleft palate, using a lighter material (using a hollow bulb) with retention, stabilization and occlusion of the right and restore normal nendekati face shape. Hollow bulb is a cavity created in maxillofacial, prosthesis, to close the oral cavity, nasal cavity and the defect.at the time of insetation examined retention, stabilization, occlusion, esthetics and pronunciation. Control was performed 1 week and 1 month after application. The results of the examination and evaluation after 1 week and 1 month after the use of hollow bulb know maxillofacial prostheses retentation, stabilization, occlusion and better pronunciation. Conclusion:  maxillofacial prostheses after using thermoplastic nylon with hollow bulb in patients with palate scisis, patients can speak and chew normaly. Maxillofacial prostheses nylon thermoplastic hollow bulb can also restore the maximum aesthetic, especially in the lose of anterior teeth with retention or grip that can mimic the gingival so the patient increase self confidence and restore the patient’s psychological state that has longbeen declined.

The massive nodular cutaneous and soft tissues lesions of the right shoulder and the arm as the extramedullary manifestation of the advanced stage of multiple myeloma

Oncoreview ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. 180-183
Author(s):  
Arkadiusz Drobiecki ◽  
Marcin Pasiarski ◽  
Agnieszka Stelmach-Gołdyś ◽  
Bartosz Garus
Keyword(s):  
Multiple Myeloma ◽  
Soft Tissues ◽  
Advanced Stage ◽  
The Right
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