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

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.

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


2014 ◽  
Vol 111 (4) ◽  
pp. 269-272 ◽  
Author(s):  
Mehmet Cudi Balkaya ◽  
Huseyin Sultan ◽  
Seda Erdem ◽  
Deniz Mutlu

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


1996 ◽  
Vol 76 (3) ◽  
pp. 230-232 ◽  
Author(s):  
Denis Vojvodic ◽  
Vjekoslav Jerolimov ◽  
Asja Celebic

Author(s):  
J. Montero ◽  
C. Macedo ◽  
M. Rodriguez ◽  
A. Lopez-Valverde ◽  
R. Gomez de Diego ◽  
...  

2009 ◽  
Vol 46 (1) ◽  
pp. 97-102 ◽  
Author(s):  
S. Hakan Tuna ◽  
Gurel Pekkan ◽  
Bulent Buyukgural

Prosthetic rehabilitation of an edentulous cleft lip and palate patient with a combined hard and soft palate defect is a great challenge, due to the lack of retention of the obturator prosthesis as a result of its weight and the inability to obtain a border seal. Dental implants improve the retention, stability, and occlusal function of prostheses when used in carefully selected cleft lip and palate cases. This clinical report presents an edentulous unilateral cleft lip and palate patient who has hard and soft palate defects and an atrophied maxilla, treated with an implant-supported speech-aid prosthesis.


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.


2012 ◽  
Vol 06 (02) ◽  
pp. 212-217 ◽  
Author(s):  
Sema Murat ◽  
Ayhan Gurbuz ◽  
Abulfaz Isayev ◽  
Bahadir Dokmez ◽  
Unsun Cetin

ABSTRACTThe majority of maxillary defects can be rehabilitated with conventional simple obturator prosthesis. However, inadequate retention, stability and support may be associated with the use of an obturator. Precision attachments have been used to retain obturators for some time. The use of precision attachments in a dentate maxillectomy patient can yield significant functional improvement while maintaining the obturator’s aesthetic advantages. This clinical report describes the prosthetic rehabilitation of two maxillary defects with an obturator retained using extracoronal resilient precision attachments. (Eur J Dent 2012;6:212-217)


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