scholarly journals A Case Report of Maxillofacial Prosthesis

1965 ◽  
Vol 9 (1) ◽  
pp. 94-97
Author(s):  
Yoshihiko Okuno ◽  
Yasushi Ohara ◽  
Norishige Torii
2019 ◽  
Vol 43 (5) ◽  
pp. 343-347 ◽  
Author(s):  
Pinar Cevik ◽  
Mustafa Kocacikli

Purpose: Patients with maxillofacial deformities always seek for aesthetic prosthesis. Recently, three-dimensional printing technologies have been used for dental treatments on such patients. Case report: A 24-year-old man reported to the Department of Prosthodontics for replacement of his missing right ear induced by a trauma. A magnet-retained auricular prosthesis was planned for the patient. Three-dimensional scanning was performed on the healthy side by using a three-dimensional optical scanner and the data were mirrored. The mirrored image was then imported to a software and a virtual model of the future prosthesis was obtained for the defect side. A three-dimensional printer was used to fabricate a negative mold for the mirrored image by using additive manufacturing. Initially, an impression of the defect side was made; then, the cast model was obtained in a dental flask. Magnets of the prosthesis were inserted to the acrylic resin framework on the cast model. Room temperature vulcanized silicone elastomer was mixed and poured into the three-dimensionally fabricated mold. Then, the flask was placed over the negative mold firmly. After polymerization of the silicone, the auricular prosthesis was delivered to the patient and the patient was instructed to clean the prosthesis daily. Conclusions: Three-dimensional printing technology was used for the fabrication of the patient’s missing ear. This method eliminated the conventional laboratory steps and reduced the number of stages of the fabrication of a silicone prosthesis. The negative mold of the defect side allowed us a direct fabrication of the silicone prosthesis without a need for waxing or flasking procedures.


2021 ◽  
Vol 10 (8) ◽  
pp. 550-554
Author(s):  
Rajiv Dharampal Bhola ◽  
Sweta Gajanan Kale Pisulkar ◽  
Surekha Anil Dubey Godbole ◽  
Hetal Satish Purohit ◽  
Anjali Bhoyar Borle

Combined intra and extra oral defects can be stated as those facial defects which have an intraoral communicating route. Midfacial defects are aptly classified into 2 major categories by Marunick et al. 1 as midline midfacial defects in which the nose and / or upper lip defects are included; and the second major group was lateral defects in which the cheek and orbital defects are categorized. However, defects which include combinations of the above-mentioned defects are in existence. Midfacial defects which are acquired, present themselves often with severe disfigurement of structures and hence show impaired function. It is a meticulous task to rehabilitate the defects which are caused as a result of cancerous lesion resection as they are huge. Such post resection lesions frequently are rehabilitated by a facial prosthesis to maintain function as well as the appearance in the normal form. In adjunction to the facial prosthesis, an intraoral prosthesis which constitutes of an obturator is also required to regain the natural speech and pattern of swallowing. Fabrication of such facial prosthesis not only requires the artistic capability but also excellent clinical decision making of the prosthodontist. Mode of retention of the combined prosthesis should also be kept in mind while fabricating as it is also a difficult task to retain them because of the size and weight of the same. Moreover the prosthesis should also be secured in its place with these aids which can also prove as a challenge. This case report states rehabilitating a large surgically resected midfacial defect with the assistance of a “3-piece prosthesis” which constitutes a sectional intraoral obturator along with maxillary and mandibular extraoral facial prosthesis.


2013 ◽  
Vol 12 (4) ◽  
pp. 435-438
Author(s):  
D Neha ◽  
D Sunil ◽  
J Khetan

Patients with acquired defects or congenital malformations of the palate exhibit disturbances in speech including hypernasality, nasal emission and decreased intelligibility of speech. Maxillofacial prosthesis is an art and science which not only replaces the lost structure but also sometimes restores the function.obturator is a prosthesis which closes the palate and pharyngeal defects and improving the speech and other function. This article presents a case report of a completely edentulous patient with palatal insufficiency rehabilitated prosthodontically with a hollow bulb obturator and a procedure for fabrication of closed hollow bulb obturator prosthesis. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16665 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 435-438


Author(s):  
Dr. Angleena Y. Daniel ◽  
Dr. B Vinod

The deformity associated with maxillofacial defects causes more of a psychological imbalance than the actual structural and functional loss. Mandible is the only bone that supports the lower face and aids in performing oral functions. Maxillofacial defects that interrupt the continuity of the mandible results in mandibular deviation and rotation which are evident esthetically as well as occlusally. The prime aims of prosthetic rehabilitation are to restore the patient with improved esthetics and acceptable occlusion. These aims   are related to the extent of the mandibular resection, the amount of soft tissue loss, and presence or absence of natural teeth. Mandibular discontinuity defects that are immediately restored with grafts have better prognosis as the continuity of mandible is retained. Maxillofacial prosthesis  that can camouflage these defects to restore the facial symmetry,   normal appearance   and   an acceptable occlusion, can not only boost the patient’s morale and assist in bringing them back to the society but also aid in performing their functions more efficiently . This clinical case report describes the prosthetic rehabilitation with a cast partial denture for a patient who underwent a hemimandibulectomy and reconstruction with bone (rib) graft. Key words: Hemimandibulectomy, Prosthetic rehabilitation, Amoeloblastoma, Cast Partial denture.


2020 ◽  
Vol 8 (11) ◽  
Author(s):  
Olívia Breda Moss ◽  
Brena Carolina de Lima Pinheiro ◽  
Tássia Caroline da Costa Mendes ◽  
Francisco Pantoja Braga ◽  
Brigitte Nichthauser ◽  
...  

Mutilações faciais decorrentes de cirurgia oncológica provocam deformações na fisionomia, levando os pacientes à depressão e ao isolamento social. Na impossibilidade de reconstrução cirúrgica, a reabilitação protética com próteses bucomaxilofaciais é o meio preferível para restabelecer a aparência estética e corrigir dificuldades de alimentação, deglutição e fonação, proporcionando reintegração social e melhorando a qualidade de vida.  Este artigo visa relatar um caso de reabilitação com prótese obturadora maxilar em paciente pediátrico após cirurgia oncológica para tratamento de osteoma em palato, que provocou comunicação bucosinusal e perda parcial da maxila. Paciente do gênero feminino, 11 anos, procurou atendimento odontológico após cirurgia de excisão de um osteoma que originou comunicação bucosinusal.  Após anamnese, exames intra e extra-oral e análise dos modelos de estudo optou-se pela realização de uma prótese parcial removível provisória superior com obturador palatino e grampos auxiliares de fios ortodônticos, pois a paciente encontrava-se em fase de crescimento. Após moldagem das arcadas superior e inferior, confecção do plano de cera superior e ajuste deste plano seguindo o perfil facial e oclusal da paciente, os modelos foram montados em articulador semi-ajustável e realizada a seleção e montagem dos dentes artificiais. A prova estética e funcional dos dentes mostrou o restabelecimento estético e fonético da paciente. Foi realizada moldagem funcional com boca fechada seguida da acrilização, instalação e proservações da prótese. Conclui-se que a prótese bucomaxilofacial superior vedou a comunicação bucosinusal, restabeleceu a estética, fonética e função mastigatória, devolvendo autoestima e reintegração social a paciente.Descritores: Prótese Maxilofacial; Obturadores Palatinos; Prótese Dentária; Reabilitação Bucal.ReferênciasLongo F, Califano L, De Maria G, Cicarelli R. Solitary osteoma of the mandibular ramus: report of a case. J Oral Maxillofac Surg. 2001; 59(6):698-700.Akmansu H, Eryilmaz A, Dagli M, Korkmaz H. Endoscopic removal of paranasal sinus osteoma: a case report. J Oral Maxillofac Surg. 2002;60(2):230-32.Silveira RL, Borges HO, Machado RA, Cancino CM, Oliveira MG. Análise imaginológica dos osteomas. Rev Bras Patol Oral. 2005;4(1):23-6.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. Rio de Janeiro: Elsevier; 2016.Kusterer LEFL, Paraguassú GM, Silva VSM, Sarmento VA. Reabilitação com obturador maxilar após cirurgia oncológica: relato de casos. Rev cir traumatol buco-maxilo-fac. 2012;12(4):9-16.Contis SM, Pérez IM. Necesidad de prótesis bucomaxillofacial en pacientes atendidos em la consulta de somatoprótesis. Rev cuba med mil. 2006;35(3):ID: lil-459350.Goiato MC, Pesqueira AA, Silva CR, Gennari H Filho, Santos DM. Patient satisfaction with maxillofacial prosthesis. Literature review. J Plast Reconstr Aesthet Surg. 2009;62(2):175-80.Oliveira BS. Prótese bucomaxilofacial na reabilitação de pacientes com tumores de boca: análise de casos e impacto na qualidade de vida [monografia]. Florianópolis: Universidade Federal de Santa Catarina; 2016.Rodrigues RG, Rodrigues DS, Olivieira DC. Reabilitação com prótese bucomaxilofacial: revisão de literatura. RSM. 2019;5:20-27.Shibayama R, Tossi R, Campaner M, Queiroz ME, Dallazen E. Reabilitação Protética de Paciente Maxilectomizados-Relato de Caso. Rev Odontol Araçatuba. 2016;37(2):9-16.Rabelo DP, Tanure RP, Grajeda FM, Grossmann SM. Reabilitação Protética Oral em Paciente Oncológico. Rev UninCor. 2018;16(1):1-8.Alhaji MN, Ismail IA, Khalifa N. Maxillary obturator prosthesis for a hemimaxillectomy patient: A clinical case report. Saudi J Dent Res. 2016;7(2):153-59.Chen C, Ren W, Gao L, Cheng Z, Zhang L, Li S et al. Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation. Braz J Otorhinolaryngol. 2016;82(2):177-83.Miracca RAA, Andrade Sobrinho J, Tanaka EMG. Magnetos na retenção de prótese conjugada óculo palpebral e obturador palatino. PCL Rev Ibero Am Prótese Clínica & Laboratorial. 2004; 6(32):365-75.


2020 ◽  
Vol 11 (1) ◽  
pp. 44-48
Author(s):  
Muhammad Aamir Rafique ◽  
Safana Khan ◽  
Hira Ahmed

ABSTRACT:Edentulous patient with an intra-oral and extra-oral defect suffers from both functional loss and psychological distress. Magnets give a successful approach to rehabilitate the oral functions and improve the quality of life. This case report describes a simple method of fabricating a two part magnetic maxillofacial prosthesis.


1999 ◽  
Vol 29 (5) ◽  
pp. 256-260 ◽  
Author(s):  
Y. Ota ◽  
S. Ebihara ◽  
W. Ooyama ◽  
S. Kishimoto ◽  
M. Asai ◽  
...  

2010 ◽  
Vol 10 (4) ◽  
pp. 253-256
Author(s):  
Sunitha Thomas ◽  
A. Shyam Mohan ◽  
P. L. Rupesh

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