Management of malignancies and abnormal growths in maxillary sinus often include ablative surgeries. The closure of the resulting anatomical defect can be achieved with an obturator prosthesis. Reduction in weight of the obturator is an important consideration in improving the retention and stability of the prosthesis. Hollowing the bulb of the obturator (extension of the prosthesis into the defect) is an effective method of reducing the weight of the prosthesis. Such obturators can be one piece or two pieces. Of the many methods to make an obturator hollow, four techniques are described here. Along with the pros and cons of each, the method of fabrication is detailed as well. It is the discretion of the operator to apply these techniques aptly for fabrication of either an interim or a definitive prosthesis.
Development of an optimal interface between bone and orthopedic or dental implants has taken place for many years. In order to determine whether a newly developed implant material conforms to the requirements of biocompatibility, mechanical stability and safety, it must undergo rigorous testing both in vitro and in vivo. Results from in vitro studies can be difficult to extrapolate to the in vivo situation. For this reason the use of animal models is often an essential step in the testing of orthopedic and dental implants prior to clinical use in humans. This review discusses the reasons, the importance, and the research carried out in rabbits in our quest to develop a dental implant ideally suited for human bone.
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