Pre – planned surgical Obturator prosthesis followed by a definitive ones: a requisite for rehabilitation- a case report.

Author:

Naisargi Shah1,Badwaik Praveen1,Khanna Anshul1,Patil Prashant1,Deshmukh Kiran1

Affiliation:

1. Terna Dental College

Abstract

Effective obturation of the maxillectomy defect is a challenging task for the maxillofacial prosthodontist. Multidisciplinary treatment planning is essential to achieve adequate retention and function for the prosthesis. The demand for maxillofacial prosthetic devices for the rehabilitation of patients with congenital or acquired (post-surgical, post-trauma) defects has intensified in recent years. Most of the difficulties can be overcome, to an extent, with the placement of an immediate surgical obturator. This clinical report describes the fabrication of a pre-planned surgical template (immediate surgical obturator) which uses patient’s original occlusion and tooth position, made prior to the surgical resection and inserted at the time of surgery, to provide the patient with the additional benefits of masticatory efficiency, aesthetics and psychological comfort during the healing period followed by a definitive soft liner bulb obturator to accommodate resected lesion post surgery. Keywords: Mucormycosis, surgical template, obturator, silicone based permanent denture soft liner.

Publisher

Indian Dental Association

Subject

General Medicine

Reference10 articles.

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3. Rieger J, Wolfaardt J, Seikaly H, Jha N. Speech outcomes in patients rehabilitated with maxillary obturator prostheses after maxillectomy: a prospective study. Int J Prosthodont 2002;15:139- 44.

4. Mukohyama H, Haraguchi M, Sumita YI, Lida H, Hata Y, Kishimoto S, Taniguchi H. Rehabilitation of a bilateral maxillectomy patient with a free fibula osteocutaneous flap. J Oral Rehabil 2005;32:541-4.

5. Pigno MA. Conventional prosthetic rehabilitation after free flap reconstruction of a maxillectomy defect: a clinical report. J Prosthet Dent 2001;86:578-81.

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