Rehabilitation Of Maxillectomy Patient Research Articles

PROSTHODONTIC REHABILITATION OF HEMIMAXILLECTOMY PATIENT WITH CAST PARTIAL DENTURE AND HOLLOW BULB OBTURATOR: A CASE REPORT

Obturator prosthesis is required for the restoration of speech, deglutition, and improvement of esthetics in patient after maxillectomy. The presence of oral tumors necessitates the surgical removal of all or part of the maxilla, leaving the patient with a defect that compromises the integrity and function of the oral cavity. The maxillofacial Prosthodontist, as a member of the surgical team, plays an important role in the recovery and rehabilitation of maxillectomy patient by fabricating and placing a surgical obturator. This clinical report describes the use of definitive hollow bulb obturator with cast partial denture framework for the treatment of a 65-year-oldpatient with hemimaxillectomy. This technique will improve the speech, mastication, swallowing and esthetics for the patient.

A novel technique to maximise retention in the rehabilitation of maxillectomy patients with three piece hollow bulb obturator – A case report

A novel technique to maximise retention in the rehabilitation of maxillectomy patients with three piece hollow bulb obturator – A case report - APRD- Print ISSN No: - 2581-4796 Online ISSN No:- 2581-480X Article DOI No:- 10.18231/j.aprd.2020.047, IP Annals of Prosthodontics and Restorative Dentistry-IP Ann Prosthodon

Rehabilitation of maxillectomy patients using quad zygomatic implants – a case series

Rehabilitation of maxillectomy patients using quad zygomatic implants – a case series

Rehabilitation of Disfigurement Associated with Maxillectomy by a Cheek Plumper Prosthesis

Patients having undergone maxillectomy as a result of carcinoma in the region or facial trauma are left with severe facial disfigurement that is associated with long term psychosocial effects. As one side of the face loses the crucial support from the maxilla, innovative customized treatment options become the choice of rehabilitation. Ideally, such treatment should be preceded by consultation with a prosthodontist which unfortunately most of the times is not the case. Rehabilitation of maxillectomy patients is not possible without incorporating the dynamics of facial expression. This article discusses a patient having undergone maxillectomy who was successfully rehabilitated with an obturator that had an additional lip/cheek plumper incorporated in its design.

Prosthetic rehabilitation of maxillectomy patient with telescopic cast partial denture

Surgical management of Benign or Malignant neoplasm, congenital malformations, maxillofacial trauma or neuromuscular disease would result in maxillofacial defects. The size and location of these defects influence the degree of impairment and difficulty in prosthetic rehabilitation. Lack of support, retention, and stability of the prosthesis are some of the common problems in maxillectomy patients. Apart from these, social integration also becomes difficult as the quality of their lives is altered. Retention of partial denture prosthesis in rehabilitation of maxillectomy patient has been an enigma for prosthodontist. However, a well-planned prosthesis fabricated in accordance to the designing principles, reinforced by knowledge and skill of the prosthodontist would result in prosthesis with improved retention and stability. This case report presents management of a female patient with hemimaxillectomy using a telescopic cast partial denture treatment modality that resulted in enhanced quality of life with optimal aesthetics and functional adequacy.

Flexible resins in the rehabilitation of maxillectomy patient

Surgical resection is an established and common method for treatment of maxillofacial tumors. Such intervening surgery in this region may involve the destruction of antral, nasal, or orbital contents and jaws. Normally, the end result is a defect which may affect speech, swallowing, mastication and facial appearance. Prosthodontic restoration of functions and facial form is an excellent method in the replacement of missing parts and restoration of contour. Pertinent research in materials, designs and methods have resulted in whole array of possible prosthess that can be provided to meet specific patient needs. This case report describes the fabrication of definitive obturator prosthesis made of flexible acrylic resin on a chrome cobalt base.

Dimensional change in maxillary prosthetic obturators

Dimensional stability of obturator bases and changes in occlusal relationships are areas of clinical importance in the oral rehabilitation of maxillectomy patients. The dimensional change in maxillary prosthetic obturators constructed with three different denture base resins was investigated. The results indicate that a light-polymerized material had the least percent of change between base and teeth positions.