TREATMENT OPTIONS WITH COMBINED DENTURES IN PATIENTS WITH MAXILLARY RESECTION

Abstract

Background: Resection of upper jaw violates the border between oral and nasal cavity; thereby leading to the impossibility of feeding, speaking and breathing. The prosthetic treatment methods are the main tool for restoration of the damaged functions. Aim: The aim of this publication is to investigate the options for the application of combined dentures, made from acrylic resin and silicone, in the treatment of patients with maxillary resection and total edentulism. Materials and methods: The prosthetic treatment of a 70-year-old female patient with resection of the frontal area of the upper jaw and total edentulism is studied. The preliminary impressions were taken with alginate and the definitive ones – with custom trays and silicone impression material. An obturator and complete denture of the lower jaw were fabricated from heat cured acrylic resin after fixing the occlusion closure and trial denture. Silicone material for direct relining is used to provide retention and stability to the obturator. Results: Patient's feeding, speaking and breathing functions were successfully restored. The silicone substitution part provided a non-traumatic distribution of the masticatory pressure and tightly insertion in the retentive areas of the defect. The created border between oral and nasal cavity fostered breathing and fluid intake. Conclusion: The performed treatment shows that prosthetic treatment methods continue to be an important method for improving patients' life quality after maxillary resection, despite the progress in modern surgical procedures.