Th e mechanical replacement of ana tomic tissues and structures is an ever present problem in the general dental practitioner’s treatment planning. Pros thetic procedures require evaluation of conditions with particular reference to location, type of structure lost, pathologic change and mechanical limitations. Recent publicity has stressed the need for early diagnosis and possible surgical treatment of malignant lesions. In view of the fact that many of these lesions in volve the hard and soft palate, cheeks and other parts of the face, the demand for obturators and surgical prosthetic patches is greater now than ever before and will continue to increase in the future. In lesser numbers, presented for cor rection are such malconditions as cleft palates, syphilitic and other pathologic fistulas, unhealed tooth sockets involving maxillary sinuses and scar tissue areas in the hard and soft palate. • Defects such as these require early prosthetic treatment, for the untreated patient is handicapped when eating, drinking and speaking. Patients suffer ing these handicaps may develop a men tal condition that results in their with drawing as much as possible from their normal surroundings and associates. In the past, efforts have been made with varying success to correct such mal conditions by constructing obturators and complex hinged appliances from cast metal, vellum rubber, vulcanite rubber or solid rubber, all attached to some type of denture. From experience gained in the treat ment of mouth wounds of World War II veterans, a very simple process has been developed whereby it is possible to con struct obturators of any type, separate and independent of any other prosthetic appliance. These obturators are retained by undercuts or adhesives, and may be inserted or seated at any time after sur gical intervention. They will be tolerated by the most sensitive tissues, even postoperatively. The first consideration in developing these appliances was to find a material that could be used to simplify their con struction. O f all the well known dental materials such as vellum rubber, elasto acrylics and various types of metal, pre vulcanized latex has proved superior in length of service, creation of sure seal, toleration by tissue and ease in manipula tion, fabrication and insertion. Prevulcanized latex is an aqueous solu tion composed of about 65 per cent rub ber solids and 35 per cent water. When this aqueous solution is dehydrated, a pure, smooth rubber deposit results. An obturator or prosthetic patch can be fab ricated to any thickness desired by the application and dehydration of successive coats of the solution. Prevulcanized latex is a well known commercial item and may be obtained from any reputable chemical or drug firm.
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