Abstract
Rehabilitation of hemimaxillectomy defects with prosthetic obturator can be challenging in term of providing adequate retention, support and stability to the prosthesis and expected outcome. Nasal reflux and hypernasal voice are the two major sequel after surgery that can affect patient social involvement and can have great psychological impact. The prosthodontist is limited by the properties of the materials available for facial restorations, the mobility of soft tissue surrounding the defects, the difficulty of establishing retention for large prosthesis, and the patient ability to accept the outcome. The outcome of prosthesis can be improved remarkably due to better coordination between surgeon and prosthodontist and careful designing of prosthesis. Dramatic improvement in the acceptance of prosthesis is seen if the prosthodontist participation can begin early in the course of patient care which ultimately will increase the quality of life (QOL) of the patient.
Highlights
Rehabilitation of patient with congenital or acquired defect can be challenging depending on aetiology of defect
Maxillary defect may produce anatomical and functional deformity problem related to mastication, articulation, deglutition and fluid secretion to nose, which might affect quality of life [1]
The patient was referred from oral surgery to department of prosthodontics for surgical obturator [2]
Summary
Rehabilitation of patient with congenital or acquired defect can be challenging depending on aetiology of defect. Among all the intraoral defects, maxillary defects are most common with predictable prosthetic outcome. Depending upon aetiology these defect can be congenital or acquired like trauma or due to surgery. Depending upon site and size of defect it can lead communication to nasal cavity, nasopharynx or antrum. Maxillary defect may produce anatomical and functional deformity problem related to mastication, articulation, deglutition and fluid secretion to nose, which might affect quality of life [1]. The goal of prosthetic rehabilitation is to allow mastication and adequate articulation, support of the soft tissue to restore midfacial contour and acceptable esthetic result
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Clinical and Developmental Anatomy
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
