Two-Piece Hollow Bulb Obturator Research Articles

Dual flask technique for fabrication of two-piece hollow bulb obturator in a microstomia patient: A neoteric approach

Tumor resections or traumatic injuries necessitating maxillectomy will often result in defects that create a communication between the oral and nasal cavities accompanied by difficulty in deglutition, speech, and an unaesthetic appearance. It also affects psychological status of the patient. Fibrosis and post surgical contracture of tissues restricts mouth opening in patients who had undergone maxillectomy and radiotherapy. Fabrication of a two piece obturator prosthesis is beneficial in such cases. presents the fabrication of a two piece hollow bulb obturator using sectional impressions and dual flask technique in a completely edentulous hemi maxillectomy patient with microstomia.

Two-piece hollow bulb obturator after partial maxillectomy on ameloblastoma case

Ameloblastoma often occurs in the mandibular area, but 15 - 20% of ameloblastoma originates from the maxilla. Ameloblastoma lesions in the maxilla can be treated with partial maxillectomy, which produces defects that alter speech, swallowing function, and aesthetic. The role of prosthodontics is needed to rehabilitate the patient’s condition by fabricating an obturator that helps reduce the morbidity of patients. The main problem with the rehabilitation of substantial defects in the maxilla is the weight of the prosthesis, resulting in non-retentive prosthesis. The purpose of this case report was to evaluate the post-treatment of the partial maxillectomy in the case of ameloblastoma with the hollow bulb to rehabilitate the functions of mastication, phonetics, swallowing function, and aesthetic functions.This case report discussed the treatment of a 58-year-old female who undergone partial maxillectomy, has experienced tooth loss in 15, 14, 13, 12, 11, 21, 22, and 23, and had an anterior palate defect due to mass retrieval under the Aramany class VI classification. The chosen treatment was the fabrication of an obturator with the twopiece hollow bulbmade of acrylic resin. The results of the obturator insertion are good retention, stabilization,occlusion, aesthetics, clear phonetic, and the increasing patient’s confidence. The follow-up control after one week showed good retention, stabilization, occlusion, aesthetics, even clearer pronunciation and a good adaptation from the patient. This case report concludes that the two-piece hollow bulb acrylic resin obturator in ameloblastoma case can rehabilitate the maxillary defect post partial maxillectomy to restore masticatory, phonetic, swallowing and aesthetic functions.

PEEK Maxillary Obturator Prosthesis Fabrication Using Intraoral Scanning, 3D Printing, and CAD/CAM.

This report presents a digital technique for the fabrication of a two-piece hollow bulb maxillary obturator prosthesis. The procedure described resulted in an accurate prosthesis while avoiding the discomfort associated with analog impressions. The manipulation of a routine postoperative CT scan in conjunction with a 3D printer allowed for the fabrication of a 3D-printed anatomical cast, from which the two-piece hollow bulb obturator was fabricated. The obturator prosthesis framework was digitally designed and milled from a modified PEEK material, resulting in a lightweight prosthesis with excellent biocompatibility. The clinical and laboratory steps involved are described.

Case presentation of two maxillectomy patients restored with two-piece hollow bulb obturator retained using two different types of magnets

Palatal defect can be repaired by reconstructive surgery and/or a dental prosthesis. We present prosthodontic rehabilitation of two partially edentulous patients, both with surgically induced palatal defect and explains how to achieve the goal for esthetics and phonetics. This also describes the fabrication of a hollow obturator by two piece method, which is simple and may be used as definitive obturator for maximum comfort of the patient. In both the above cases, since the mouth opening is restricted due to surgery, obturator prosthesis is given as two pieces retained with opposite poles of magnet, which facilitates the removal and insertion of the prosthesis.

Rehabilitation of a partial maxillary defect with magnet retained two-piece hollow bulb obturator

A restricted mouth opening in hemimaxillectomy patients can create a significant problem with insertion and removal of the obturator prosthesis. A two-piece obturator is an alternative management for such patients. The treatment of a patient with a hemimaxillectomy due to squamous cell carcinoma is presented in this clinical report. A sectional obturator prosthesis retained by magnets was fabricated to deal with trismus, fibrosis, and microstomia. The patient's esthetic and functional expectations were satisfied. The new generation of magnets with improved technology provides sufficient denture retention for clinical application. However, further follow-up may be necessary to ascertain the long-term usefulness of the magnet-retained obturator prosthesis, because of corrosion and further loss of magnetism.

A Direct Investment Method of Closed Two-Piece Hollow Bulb Obturator

Maxillary defects occur due to surgical treatment of benign and malignant tumors, congenital malformation, and trauma. Prosthetic rehabilitation in such patients is influenced by the size and location of the defect. The most common of all intraoral defects are seen in the maxilla, in the form of an opening into the maxillary sinus and nasopharynx. These defects create disabilities in speech, deglutition, and mastication. The prosthesis which closes such an opening and recreates the functional separation of the oral cavity and sinus and nasal cavities is referred to as an obturator. Numerous techniques of hollow bulb fabrication have been mentioned in the literature from time to time. But there are only a few methods for bulb fabrication in two-piece obturator. This technique describes a direct investment method of waxed-up closed hollow bulb two-piece obturator.

Prosthetic Rehabilitation of a Maxillectomy with a Two-Piece Hollow Bulb Obturator. A Clinical Report

Extensive bilateral midfacial defects involving the upper jaw, palate, and sinus present a formidable reconstructive challenge. A combination of total and subtotal maxillectomy is, in general, a rare surgical procedure that affects the cosmetic, functional, and psychological aspects of a patient's life. Prosthetic restoration has become the preferred method for the rehabilitation of such conditions. The use of magnets is an efficient means of providing combined prostheses with retention, quality, and stability. This clinical report describes the rehabilitation of a total and subtotal maxillectomy patient with a two-piece hollow bulb obturator retained with the help of magnets and a retention clasp.

Two-piece hollow bulb obturator

There are various types of obturator fabrication achievable by prosthodontist. Maxillectomy, which is a term used by head and neck surgeons and prosthodontists to describe the partial or total removal of the maxilla in patients suffering from benign or malignant neoplasms is a defect for which to provide an effective obturator is a difficult task for the maxillofacial prosthodontist. Multidisciplinary treatment planning is essential to achieve adequate retention and function for the prosthesis. Speech is often unintelligible as a result of the marked defects in articulation and nasal resonance. This paper describes how to achieve the goal for esthetics and phonetics and also describes the fabrication of a hollow obturator by two piece method, which is simple and maybe used as definitive obturator for maximum comfort of the patient.

Prosthetic rehabilitation of a completely edentulous patient with palatal insufficiency

This article presents a case report of a completely edentulous patient with palatal insufficiency successfully rehabilitated with closed hollow bulb obturator prosthesis and also describes a simple technique for fabricating a two-piece hollow bulb obturator that allows for control of the bulb's wall thickness and weight of the prosthesis.