Abstract

Temporary obturator' is necessary for maxillectomy procedures to minimise functional disabilities of speech and the swallowing of food and fluid following surgery. It also provides a base to hold surgical packing and/ or tissue conditioners in place. This packing helps to restore function and counter act contraction during healing of the ,tissues at the operated site. Dental clinicians are often faced with the problem of surgical staffs requesting an obturator for their patients at short notice. This article describes a fast technique of constructing an immediate surgical obturator.

Highlights

  • Temporary obturator' is necessary for maxillectomy procedures to minimise functional disabilities of speech and the swallowing of food and fluid following surgery.l.2 It provides a base to hold surgical packing and/ or tissue conditioners in place

  • Two or four holes are drilled on the model in the area where hemi-maxillectomy is to be performed, usirig first round 8 bur, followed by an acrylic cutting bur (Fig. 3, 4). 3

  • Separating medium is applied onto the model and acrylic resin packed into the area left by the wax

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Summary

INTRODUCTION

Temporary obturator' is necessary for maxillectomy procedures to minimise functional disabilities of speech and the swallowing of food and fluid following surgery.l.2 It provides a base to hold surgical packing and/ or tissue conditioners in place. It provides a base to hold surgical packing and/ or tissue conditioners in place. 2. The area to be surgically removed is outlined on the model. Two or four holes are drilled on the model in the area where hemi-maxillectomy is to be performed, usirig first round 8 bur, followed by an acrylic cutting bur (Fig. 3, 4). Separating medium is applied onto the model and acrylic resin packed into the area left by the wax. 5. The obturator is removed from the model, trimmed and polished (Fig.[10]). On the fitting surface of the obturator a'hole is drilled on each of the projections with a round 8 bur, to hold fluid self-cured acrylic resin mix (Fig. 11). The ~ are bent"to sit on the holes in the projections (Fig. 12).Self-cured acrylicresin is poured into the reserviour in the acrylic projections. The temporary immediate obturator is polished and ready for use (Fig. 13)

DISCUSSION
Laney WR

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