scholarly journals Prosthetic Rehabilitation of Soft and Hard Palate Defect in a Pediatric Patient

Author(s):  
Ruvienath DW Rajapaksa ◽  
Indika P Thilakumara
2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mounika Ayinala ◽  
Gautam Shetty

Tumors involving the hard palate, maxillary sinus, or nasal cavity require maxillectomy based on the extent of the lesion. Lack of these boundaries affects the speech, esthetics, and masticatory function. Prosthetic rehabilitation of these defects can be done utilizing zygomatic implants. This present case describes the use of a zygomatic implant to retain a maxillary obturator in a 22-year-old male patient following partial maxillectomy (Brown’s Class 2b) due to odontogenic myxoma. A surgical obturator was secured in position subsequent to the implant placement. Following the healing period, an interim obturator using heat cure acrylic was fabricated. Mechanical retention for the definitive obturator was obtained through the ball attachment suspended from the multiunit abutment of the zygomatic implant. The case was followed up closely for a year to evaluate the function of the prosthesis. The prosthetic rehabilitation not only promoted esthetics and function but also improved the patient’s quality of life.


2013 ◽  
Vol 6 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Triveni Mohan Nalawade ◽  
Rachappa M Mallikarjuna ◽  
Bina M Anand ◽  
Mayur Anand ◽  
KK Shashibhusan

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.


2015 ◽  
Vol 10 (4) ◽  
pp. 32-36 ◽  
Author(s):  
Meena Kumari Mishra ◽  
Raj Kumar Singh ◽  
Pramita Suwal ◽  
Prakash Kumar Parajuli ◽  
Pragya Shrestha ◽  
...  

Case description: A 60 year old female patient presented to Department of Prosthodontics, CODS, BPKIHS, Dharan with a chief complain of loose obturator. History revealed that patient had undergone partial maxillectomy for squamous cell carcinoma 7 years back. The patient also has been wearing obturator which was loose when the patient reported to the department. On examination, the site of surgery was the maxillary right buccal sulcus area and a part of the hard palate including teeth number 11, 12, 13, 14, 15, 16, 17. The presented defect situation corresponded to a Class I situation (resection performed along the palatalmidline) according to the Aramany classification of defects. The surgical site showed complete healing. A hollow-bulb obturator was fabricated for rehabilitation of the defect.Conclusion: The extensive surgical procedures necessary to eradicate cancer of the head and neck and to prevent local recurrence or regional metastasis often leave extremely large physical defects which present almost insurmountable surgical difficulties in restoring acceptable function or esthetics. The prosthesis rehabilitated the patient in terms of function by providing better masticatory efficiency, phonetics by adding resonance to the voice, hence improving the clarity of speech and also improved the esthetics of the patient.JCMS Nepal 2014; 10(4):32-36


1998 ◽  
Vol 35 (4) ◽  
pp. 271-378 ◽  
Author(s):  
D JOHNSON ◽  
V CONDON

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