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

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.

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


2014 ◽  
Vol 15 (2) ◽  
pp. 242-249 ◽  
Author(s):  
Rupal J Shah ◽  
Preeti Agarwal Katyayan

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.


2008 ◽  
Vol 9 (1) ◽  
pp. 70-76 ◽  
Author(s):  
T. Sunil Chandra ◽  
Amar Sholapurkar ◽  
Robin Mathai Joseph ◽  
I.N. Aparna ◽  
Keerthilatha M. Pai

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.


2016 ◽  
Vol 1 (3) ◽  
pp. 210
Author(s):  
Indah Sulistiawaty ◽  
Mohammad Dharmautama ◽  
Edy Machmud ◽  
Jevin S. Cialy ◽  
Elvi Elvi

Prosthetic rehabilitation is the rehabilitation process of masticatory and esthetics function for patients missing teeth and alveolar bone by means of manufacture and installation of dentures. The prosthetic rehabilitation commonly used include denture adhesive bridge, fixed-fixed bridge, as well as telescopic overdenture. Adhesive bridge is bridge denture consisting of single pontic and two retainer wings attached to the abutment using cement or resin. Fixed-fixed bridge is a bridge denture with rigid connectors on both ends of the pontics, whereas the telescopic crown Overdenture is a removable denture that uses linked precision on the original tooth in the form of primary coping on abutment and secondary coping on the denture. To expose the procedures of prosthetic rehabilitation using adhesive bridge and fixed-fixed bridge on the maxilla and telescopic crown Overdenture on mandible. Male patients aged 32 years came with complaints of difficulty to chew food because he had lost some teeth behind. In the maxilla, teeth are lost in the region of 15 and 16 performed by making the fixed-fixed bridge with abutment teeth 14 and 17. Loss of teeth in the region of 26, performed the manufacture of adhesive bridge with a box preparation on the occlusal 25 and 27. In the mandible, tooth loss in the region of 36,37,46, and 47 performed manufacture of telescopic crown Overdenture with primer coping on the teeth 35.38, 45, and 48 and the secondary coping on a metal frame. Prosthetic rehabilitation especially in the case of loss of back teeth is very important because with the denture patients can chew properly and maintain the stomatognathic system.


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Alisha Rewari ◽  
Nupur Dabas ◽  
Reshu Sanan ◽  
Shefali Phogat ◽  
Sumit Singh Phukela ◽  
...  

Summary. Prosthetic rehabilitation of a completely edentulous patient is no more confined to replacement of missing teeth. Long span of edentulism and ageing leads to loss of support of the facial musculature, which is of great concern in treating completely edentulous patients. Flaccid facial musculature eventually leads to sunken cheeks and unesthetic appearance, causing a negative impact on psychological well-being of the patient. The use of conventional complete dentures can restore the loss to some extent, but in some cases, additional support is required. The present clinical report exemplifies the use of magnet-retained detachable maxillary cheek plumper prosthesis in a completely edentulous patient with sunken cheeks.


2017 ◽  
Vol 4 (2) ◽  
pp. 136
Author(s):  
Rahmat Hidayat

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.


Author(s):  
E.M.B.P. Reuling ◽  
D.D. Naves ◽  
K.J. Hartemink ◽  
E.H.F.M. van der Heijden ◽  
P.W. Plaisier ◽  
...  

2012 ◽  
Vol 108 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Ahran Pae ◽  
Chul-Ho Choi ◽  
Kwantae Noh ◽  
Yong-Dae Kwon ◽  
Hyeong-Seob Kim ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 3508
Author(s):  
Rosa Sun ◽  
Hadleigh Cuthbert ◽  
Colin Watts

Gliomas are central nervous systems tumours which are diffusely infiltrative and difficult to treat. The extent of surgical resection is correlated with improved outcomes, including survival and disease-free progression. Cancerous tissue can be directly visualised intra-operatively under fluorescence by administration of 5-aminolevulinic acid to the patient. The adoption of this technique has allowed surgeons worldwide to achieve greater extents of resection, with implications for improved prognosis. However, there are practical limitations to use of 5-aminolevulinic acid. New adjuncts in the field of fluorescence-guided surgery aim to improve recognition of the interface between tumour and brain with the objective of improving resection and patient outcomes.


2017 ◽  
Vol 5 (11) ◽  
pp. 1739-1742 ◽  
Author(s):  
Shailendra Kumar Sahu ◽  
B.K. Motwani ◽  
Anurag Dani

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