Abstract
Pleomorphic adenoma (PA) is the most common benign neoplasm of the salivary glands. The treatment is total excision of the lesion, which may lead to tissue loss and buccosinusal communication. The presence of the communication interferes in the patient's quality of life, leading to reflux; difficulty in swallowing, speaking, and breathing; and recurrent sinusitis. This study aims to report a rehabilitation of a 77-year-old female patient reporting speech and swallowing difficulties 6 years after surgical removal of a PA in the soft palate on the left side. The patient had the absence of all teeth, 2 osseointegrated implants in the mandible, and extensive buccosinusal communication in the soft palate and left retromolar region. A palatal extended obturator prosthesis was installed simultaneously to a mandibular total o-ring attachment prosthesis on the 2 implants. The obturator prosthesis and speech therapy rehabilitation reestablished the functions of the stomatognathic system.
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