DEFINITIVE OBTURATOR FABRICATION FOR A HEMI MAXILLECTOMY PATIENT: A CASE REPORT

Main Article Content

Dr. Monika Singh
Dr. Soundarya Singh

Keywords

Rehabilitation, debilitating, demoralizing, hemimaxillectomy, obturator

Abstract

Brief background: This paper describes step by step clinical and laboratory procedure involved in the rehabilitation of a hemimaxillectomy patient using obturator prosthesis.


Materials and methods: A complete review of the history of the patient and clinical oral examination revealed that the patient had undergone surgical removal of part of maxilla and had multiple palatal openings. The patient was also partially edentulous both in the maxilla and mandible. An obturator with remaining teeth for the maxilla and a removable partial denture for mandible was planned for the patient.


 Discussion: Discussion related to the functional restoration of the maxillectomy defect by obturators and the clinical importance and various functions of obturators.


 Summary and Conclusion: Surgical removal of part of maxilla or mandible due to pathology or trauma should be associated with an appropriately contoured restoration to prevent a physically debilitating and psychologically demoralizing experience for the patient

Abstract 139 | pdf Downloads 81

References

1. Worthington P.: Craniofacial Prosthesis: Anaplastology and Osseointegration: Craniofacial Rehabilitation In Oncology Patients, ed. 1997, Quintessence Publishing Co, Inc., 86-91
2. Chalion V.A., Drane J.B., Standish S.M.: Chalian: Intraoral Prosthetics, 133-157
3. Panje WK. Bilateral maxillectomy and midfacial reconstruction. Annals of Otol, Rhinol Laryngeal 1995; 845-9
4. Majid AA, Weinberg B. Speech Intelligibility following prosthodontic obturation of surgically acquired maxillary defects. Journal of Pros. Dent. 1979; 32: 87-96
5. Joseph MR. Hemimaxillectomy rehabilitation using simple hollow bulb obturator. Journal of Int. Prosth. Soc.; Oct 2009, V9, Iss 4, 230-233
6. Reddy K N, Aparna I N, Hegde V. Rehabilitation of a compromised maxillectomy defect with a definitive hollow bulb obturator. Journal of Int. Prosth. Soc.; Dec 2008, V8, I4, 221-224
7. Okay DJ, Genden E, Buchbinder D, Urken M. Prosthodontic guidelines for surgical reconstruction of the maxilla: A classification system of defects. Journal of Pros. Dent. Oct 2001; Vol.86,No.1, 352-362
8. Williams E. Craniofacial Prosthesis: Anaplastology and Osseointegration: Facial Reconstruction Following Cancer Treatment: A Case Study, ed. 1997, Quintessence Publishing Co, Inc., 120-124