Resection or loss of a portion of the mandible can result in a variety of functional, cosmetic and psychological deficits that are dependent on the extent of the defect, the concomitant therapy and the timing of rehabilitative efforts. These impairments greatly affect the patient's Quality of life (QOL). The thrust in cancer care is not simply on survival but on rehabilitation, which aims to improve multiple impairments and QOL. This article describes a case of a 58-year-old female with segmental resection of the anterior mandible, extending to lower lip, resulting in a large intraoral as well extra oral defect. Prosthodontics rehabilitation was done using a two-piece intra oral and extra oral prosthesis oriented to each other using magnets. Use of magnets for retaining the extra oral prosthesis simplifies the clinical and laboratory phase enhancing patient's comfort and psychological morale.
The esthetic and functional rehabilitation of the patients with palatal defects using obturator poses challenge to the clinician. The use of existing teeth along with implants helps in providing good retention, support, and stability to the prosthesis. Ball-socket type of attachments offer efficient, yet economical alternative to these patients. This case report describes management of a hemimaxillectomy adult patient with a class II palatal defect using tooth implant-supported obturator. Osseointegrated implants and direct overdenture post with ball-socket type of attachments were used to construct a definitive obturator for prosthetic rehabilitation of this patient.
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