Prosthetic Rehabilitation of An Acquired Maxillary Defect with Definitive Obturator Prosthesis- A Clinical Technique

2020 ◽  
Vol 29 (02) ◽  
pp. 100-102
Author(s):  
Muhammad Waseem Ullah Khan ◽  
◽  
Sabiha Naeem ◽  
Qudsia Iqbal
Keyword(s):  
Prosthetic Rehabilitation ◽  
Maxillary Defect ◽  
Obturator Prosthesis

scholarly journals Prosthetic rehabilitation of patient with maxillofacial defect by hollow bulb obturator

2014 ◽  
Vol 11 (3) ◽  
pp. 284-286
Author(s):  
GK Shrestha ◽  
P Parajuli ◽  
P Suwal ◽  
RK Singh
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Prosthetic Rehabilitation ◽  
Maxillary Defect ◽  
Hollow Bulb Obturator ◽  
Obturator Prosthesis

Introduction: Post-surgical maxillary defect is mostly repaired by the use of an obturator, which is often quite heavy due to the extension into the defect that is better relieved by making it hollow. Objective: To fabricate hollow bulb obturator in simple way. Case: An 85 year old man was referred from ENT department after hemimaxillectomy to remove squamous cell carcinoma, for obturator prosthesis and was treated with hollow bulb obturator prosthesis. Conclusion: The hollow bulb reduces the weight of prosthesis making is comfortable for the patient. DOI: http://dx.doi.org/10.3126/hren.v11i3.9656 Health Renaissance 2013;11(3):284-286

scholarly journals Prosthetic rehabilitation of a patient with near total maxillectomy using a hollow bulb obturator: a case report

2017 ◽  
Vol 5 (1) ◽  
pp. 6
Author(s):  
Archana Vyas ◽  
Dhanasekar B ◽  
I N Aparna ◽  
Prabhu Nayana
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Patient Comfort ◽  
Prosthetic Rehabilitation ◽  
Masticatory Function ◽  
Maxillary Defect ◽  
Total Maxillectomy ◽  
Hollow Bulb Obturator ◽  
Obturator Prosthesis

Aim: To prosthetically rehabilitate maxillary defect in a patient with near total maxillectomy using hollow bulb obturator.Case description: Authors report a case of 64-year-old male patient with near total maxillectomy with respect to the left side who was referred for the prosthetic rehabilitation.Conclusions: The hollow bulb definitive obturator prosthesis rehabilitated the patient in terms of masticatory function, phonetics and esthetics. The hollow bulb design ensured patient comfort due to its decreased weight.

scholarly journals Rehabilitation of Maxillary Defect Using Zygomatic Implant Retained Obturator

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mounika Ayinala ◽  
Gautam Shetty
Keyword(s):  
Hard Palate ◽  
Odontogenic Myxoma ◽  
Prosthetic Rehabilitation ◽  
Implant Placement ◽  
Heat Cure ◽  
Maxillary Defect ◽  
Zygomatic Implants ◽  
And Function ◽  
Zygomatic Implant

Tumors involving the hard palate, maxillary sinus, or nasal cavity require maxillectomy based on the extent of the lesion. Lack of these boundaries affects the speech, esthetics, and masticatory function. Prosthetic rehabilitation of these defects can be done utilizing zygomatic implants. This present case describes the use of a zygomatic implant to retain a maxillary obturator in a 22-year-old male patient following partial maxillectomy (Brown’s Class 2b) due to odontogenic myxoma. A surgical obturator was secured in position subsequent to the implant placement. Following the healing period, an interim obturator using heat cure acrylic was fabricated. Mechanical retention for the definitive obturator was obtained through the ball attachment suspended from the multiunit abutment of the zygomatic implant. The case was followed up closely for a year to evaluate the function of the prosthesis. The prosthetic rehabilitation not only promoted esthetics and function but also improved the patient’s quality of life.

scholarly journals Effectiveness of Prosthetic Rehabilitation and Quality of Life of Older Edentulous Head and Neck Cancer Survivors Following Resection of the Maxilla. A Cross-sectional Study

2021 ◽  
Author(s):  
Ioli Ioanna Artopoulou ◽  
Aspasia Sarafianou ◽  
Christos Perisanidis ◽  
Gregory Polyzois
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Surgical Approach ◽  
Complete Denture ◽  
The Self ◽  
Physical Status ◽  
Prosthetic Rehabilitation ◽  
Obturator Prosthesis

Abstract PurposeTo evaluate the effectiveness of the prosthetic rehabilitation, as well as the quality of life (QOL) of older edentulous maxillectomy patients.MethodsEffectiveness of the complete denture obturator prosthesis and QOL of 44 older patients who had resection of the maxilla and were restored with a definitive prosthesis that was in use for minimum 1 year was assessed using 3 instruments: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire (QLQ-C30), Head and Neck Cancer Module (QLQ-HN35), and Obturator Functioning Scale (OFS). Data analysis was performed by the one-way ANOVA on ranks, Spearman rank order correlation, and hierarchical multivariable rank regression at α=.05 level of significance.ResultsParticipants’ gender (P<.001), adjuvant treatment (P =.016), surgical approach (P =.017), size of the maxillary defect (P=.028), participants’ prosthetic history (P =.047), and dental status of the mandible (P =.038) were significantly related to the self-reported effectiveness of the obturator. Perceived functioning of the complete denture obturator prosthesis (P=.001), participants’ gender (P=.002), the American Society of Anesthesiologists (ASA) physical status (P=.027), and surgical approach (P=.039) were significant predictors of QOL. ConclusionRestoration of the edentulous maxillectomy defect is challenging. An effective definitive complete denture obturator appeared to be the strongest predictor for advanced quality of life in older maxillectomy patients. The physical status of the older participants significantly affected the overall QOL, but did not influence the self-reported functioning of the complete denture obturator prosthesis.

Prosthetic rehabilitation of a maxillary defect with a bone anchored prosthesis: A clinical report

2019 ◽  
Vol 121 (1) ◽  
pp. 173-178
Author(s):  
Thomas J. Salinas ◽  
Nikita Sinha ◽  
Venkata Revuru ◽  
Kevin Arce
Keyword(s):  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Maxillary Defect

Hollow-Bulb Obturator Prosthesis: an Alternative for Extensive Maxillary Defect Rehabilitation

2018 ◽  
Vol 126 (3) ◽  
pp. e140
Author(s):  
Ariadne Padilha De Andrade ◽  
Nara Maria Vasconcelos Ielo ◽  
Aljomar José Vechiato Filho ◽  
Thais Bianca Brandão ◽  
Ana Claudia Luiz ◽  
...  
Keyword(s):  
Maxillary Defect ◽  
Hollow Bulb Obturator ◽  
Obturator Prosthesis

PROSTHETIC REHABILITATION OF HARD PALATE - A RECONSTRUCTIVE CASE REPORT.

2021 ◽  
pp. 159-161
Author(s):  
Avinash Sagvekar ◽  
Sachin Fulbel ◽  
Aushili Mahule
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Anatomical Structures ◽  
Maxillary Defect ◽  
Residual Tissue ◽  
Maxillary Defects ◽  
Important Objective

An important objective of prosthetic rehabilitation is to conserve any residual tissue. Patients undergoing resection of maxilla due to accidental casualties or benign or malignant tumor will have inadequacy in maxillary palatal area. Removable prostheses gets support, stability and retention mainly through anatomical structures such as teeth, alveolar bones and palate. When surgical intervention removes much of these structures, remaining tissue becomes too vulnerable to support the necessary prosthesis. Therefore, important considerations to be undertaken to attain extra support, retention and resistance while planning for obturator of maxillary defects. In this case report we have advocated the application of an obturator that closes the defected cavity and also restores the masticatory functions. This obturator is retained by the stainless steel 19 gauge wire encircling the teeth in neighbouring quadrant, undercuts surrounding the defect. The prosthetic obturator was inserted in a 58-year old partially edentulous patient with an extensive maxillary defect. Subjective and objective evaluations indicated that the functional efcacy of obturator dened the quality of life of the patient. The concept of a obturator is a useful solution for the particular situation created by maxillectomy.

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