Contemporary treatment modalities for definitive rehabilitation of acquired maxillary defects – A review

Abstract

Various techniques have been described to restore acquired maxillary defects. The aim of this paper is to review the contemporary treatment modalities that have been explored to rehabilitate and reconstruct partial or complete maxillectomy in dentulous and edentulous patients. MEDLINE/PUBMED search was conducted for dental literature published from January 2000 to December 2018. Literature study revealed various methods and materials used to treat patients with acquired maxillary defects. These include modifications in method and materials used for the fabrication of conventional obturators (using precision and semi-precision attachments, telescopic copings, magnets, silicone based materials, titanium and its alloys, PEEK, thermoplastic resin); implant-supported obturators supported on conventional, zygomatic and pterygoid implants using different attachments (ERA, magnet, bar attachment, locator, ball attachment); use of CAD/CAM technology for presurgical planning and fabrication of obturator prosthesis; surgical reconstruction with microvascular free tissue flaps; and bone engineering. Significant attention has been devoted to refining current methods and developing better methods to successfully rehabilitate maxillectomy patients. The use of osseointegrated implants, newer prosthesis materials, advanced laboratory procedures, inclusion of CAD/CAM technology, advances in surgical reconstructive techniques and tissue engineering has revolutionized the traditional treatment options.

The Effect of Different Relining Materials Accumulation Oral Floral in Lateral Maxillary Defect

“…The defect may involve the alveolar process, hard and / or soft palate, and floor of the nose. (1,2) Significant functional and social disabilities with acquired maxillary defect that can be minimized by obturator after surgical resection. (3,4) Disabilities lead to air leakage, poor obturator stability, retention and reduced obturator bearing area dramatically affect the prognosis of obturator prosthesis.…”