International Journal of Experimental Dental Science

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VOLUME 7 , ISSUE 1 ( January-June, 2018 ) > List of Articles


Prosthetic Rehabilitation of an Acquired Maxillary Defect in a Patient with a Compromised Dentition

Dhanushka L Bandara, JA Vajira P Jayasinghe

Keywords : Case report, Maxillary acquired defect, Maxillary hollow bulb obturator, Prosthetic rehabilitation

Citation Information : Bandara DL, Jayasinghe JV. Prosthetic Rehabilitation of an Acquired Maxillary Defect in a Patient with a Compromised Dentition. Int J Experiment Dent Sci 2018; 7 (1):30-34.

DOI: 10.5005/jp-journals-10029-1171

License: CC BY-SA 3.0

Published Online: 01-03-2010

Copyright Statement:  Copyright © 2018; The Author(s).


Background: The goal of prosthodontic rehabilitation entitles preservation of the remaining dentition and a long-term maintenance care, thus ensuring the stability of the dentition and the prosthesis. This becomes crucial in a patient with maxillary acquired defects where the social, behavioral, and the functional changes are involved. Status of the remaining dentition, the size, and extent of the lesion will mainly determine the overall prosthetic treatment plan. Aim: This study aims to elaborate the importance of meticulous treatment planning in the prosthetic rehabilitation of a patient who presented with a maxillary acquired defect. Case report: This clinical report describes the management of a patient with maxillary defect, where the remaining dentition has become further compromised due to inadequate maintenance care, thus resulting in a challenge in the prosthetic rehabilitation. Conclusion: Rehabilitation of an acquired maxillary defect with a compromised dentition, using definitive closed hollow bulb obturator, took care of the different domains of care, giving an improved quality of life to the patient. Clinical significance: Careful treatment planning with an aim to preserve the existing dentition and provide adequate maintenance care is essential for a successful outcome in the prosthetic management of patients with maxillary acquired defects.

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  1. Devlin H, Barker GR. Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy. J Prosthet Dent 1992 Feb;67(2):223-227.
  2. Kornblith AB, Zlotolow IM, Gooen J, Huryn JM, Lerner T, Strong EW, Shah JP, Spiro RH, Holland JC. Quality of life of maxillectomy patients using an obturator prosthesis. Head Neck 1996 Jul-Aug;18(4):323-334.
  3. Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: Classification. J Prosthet Dent 1978;40:554-557.
  4. Desjardins RP. Obturator prosthesis design for acquired maxillary defects. J Prosthet Dent 1978 Apr;39(4):424-435.
  5. Gay WD, King GE. Applying basic prosthodontic principles in the dentulous maxillectomy patient. J Prosthet Dent 1980 Apr;43(4):433-435.
  6. Keyf F. Obturator prostheses for hemimaxillectomy patients. J Oral Rehabil 2001 Sep;28(9):821-829.
  7. Parr GR, Tharp GE, Rahn AO. Prosthodontic principles in the framework design of maxillary obturator prostheses. J Prosthet Dent 1989 Aug;62(2):205-208.
  8. Curtis TA. Treatment planning for intraoral maxillofacial prosthetics for cancer patients. J Prosthet Dent 1967 Jul;18(1):70-72.
  9. Khan SB. Aesthetic clasp design for removable partial dentures: a literature review. SADJ 2005 Jun;60(5):190-194.
  10. Rieger J. Speech outcomes in patients rehabilitated with maxillary obturator prosthesis after maxillectomy: a prospective study. Int J Prosthodont 2002 Mar-Apr;15(2):139-144.
  11. Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: Design principles. J Prosthet Dent 1978;40:656-662.
  12. Roumanas ED, Chang TL, Beumer J. Use of osseointegrated implants in the restoration of head and neck defects. J Calif Dent Assoc 2006 Sep;34(9):711-718.
  13. Salinas TJ, Guerra LR, Rogers WA. Aesthetic considerations for maxillary obturators retained by implants. Pract Periodontics Aesthet Dent 1997 Apr;9(3):265-276.
  14. Walter JD. Obturators for acquired palatal defects. Dent Update 2005 Jun;32(5):277-285.
  15. Schwartzman B, Caputo A, Beumer J. Occlusal force transfer by removable partial denture designs for a radical maxillectomy. J Prosthet Dent 1985 Sep;54(3):397-403.
  16. Matsuyama M, Tsukiyama Y, Tomioka M, Koyano K. Subjective assessment of chewing function of obturator prosthesis wearer. Int J Prosthodont 2007 Jan-Feb;20(1):46-50.
  17. Coulthwaite L, Verran J. Potential pathogenic aspects of denture plaque. Br J Biomed Sci 2007;64(4):180-189.
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