Obturator for Rehabilitation of Cleft Palate With Implant-Supported Retention System

Goiato, Marcelo Coelho; Santos, Daniela Micheline dos; Villa, Luiz Marcelo Ribeiro

doi:10.1097/scs.0b013e3181c50de1

Cited by 10 publications

(7 citation statements)

References 18 publications

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“…25,26 Thus, the obturator reproduces the anatomic integrity of the palate, in which the nasal, sinus, and oral cavities are individualized, and also protects the operated area, optimizing the healing process. 27 This article aimed to report a treatment case of a patient with pleomorphic adenoma of minor salivary glands, located in the palate, by means of partial maxillectomy and immediate installation of an interim denture base with palatal obturator. Also, we discuss the importance of this technique in the clinical evolution of the postoperative course in patients who underwent maxillectomy for further rehabilitation with definitive obturator prosthesis.…”

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confidence: 99%

Oral Rehabilitation After Surgical Removal of Pleomorphic Adenoma

Goiato

Tamae²,

Silva³

et al. 2011

Journal of Craniofacial Surgery

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Although tumors of minor salivary glands are rare, the pleomorphic adenoma is the most common pathology among the benign neoplasm and can be found with high prevalence in the junction between hard palate and soft palate. The treatment of choice for most of maxillary tumors is surgical through either a total or partial maxillectomy. However, surgical defects caused by such type of treatment lead to both clinical and psychologic disorders for the patient. The immediate oral rehabilitation using interim palate obturator after maxillectomy provides optimization on the healing process, recovers the stomatognathic functions after surgery, and avoids psychosocial sequelae for the patients. This clinical report aimed to present the rehabilitation with immediate palate obturator of a patient who underwent a partial maxillectomy due to a hard palate pleomorphic adenoma of minor salivary glands. We report the clinical importance of the prosthetic rehabilitation and the improvements on both quality of life and stomatognathic functions of this patient. It can be concluded that the immediate rehabilitation of the patient after partial maxillectomy by using an interim palate obturator was a great option and provided clinical benefits in the immediate postoperative period, improving the patient’s quality of life, allowing the patient’s reinsertion into society, and reducing the surgical treatment sequelae.

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confidence: 99%

Oral Rehabilitation After Surgical Removal of Pleomorphic Adenoma

Goiato

Tamae²,

Silva³

et al. 2011

Journal of Craniofacial Surgery

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“…An implant-supported obturator offers the ultimate means of providing support, retention, and stability. 15,18,[28][29][30] Early implant placement in a growing child is not recommended because the relative position of the implants can change with growth. 31 The orthodontic Nance appliance is unlikely to become less stable with growth, as it has been used for many decades as a long-term space maintainer.…”

Section: Discussionmentioning

confidence: 99%

The Nance Obturator, a New Fixed Obturator for Patients with Cleft Palate and Fistula

Borzabadi‐Farahani

Groper

Tanner

et al. 2012

Journal of Prosthodontics

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In patients with fistulas that impair function (e.g., feeding, resonance, intelligibility), obturators are used to improve feeding and reduce nasal air emission by occluding the abnormal opening between the oral and nasal cavities. This report describes a novel method for occluding an anterior palatal fistula in patients with cleft palates. The new design for a fixed obturator is based on the Nance appliance, which was originally used as a space maintainer, but has been redesigned for closing an anterior palatal fistula in a patient with cleft lip and palate. The Nance obturator may be used when the surgical closure of the fistula is not feasible and a removable device is not successful. As it is a fixed device, it does not require remaking with maxillary growth. The new design may also function as a fixed space maintainer to preserve molar anchorage and maxillary transverse width.

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“…29 With the advent of osseointegrated implants, denture retention and stability have increased; therefore, greater improvements in speech, chewing, swallowing, and aesthetics are achieved in the treatment. 30,31 In addition, the use of oral implants in the rehabilitation allows the clinical inspection of possible recurrence of malignant tumors in case of patients with wide resection of the jaw and adjacent tissues. 32 Furthermore, the use of implant-supported dentures to rehabilitate patients with oronasal communication reduces the period of patient's adaptation when compared with conventional denture.…”

Section: Complete Edentulousmentioning

confidence: 99%

Prosthetic Treatments for Patients With Oronasal Communication

Goiato

Santos

Moreno

et al. 2011

Journal of Craniofacial Surgery

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The prosthetic treatments play a role in the rehabilitation of patients with congenital and acquired cleft palate. To prepare the surgical field and/or correct inevitable sequelae of the surgery, the rehabilitation with obturator prosthesis is an auxiliary or complementary treatment to surgical treatments. In cases where the surgical treatment is contraindicated, the prosthetic rehabilitation becomes a definitive treatment. The denture is planned and fabricated according to each patient. Therefore, the aim of this study was to discuss the prosthetic rehabilitation performed in patients with oronasal communication.

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Obturator for Rehabilitation of Cleft Palate With Implant-Supported Retention System

Abstract: The use of ball attachment system improved speech, masticatory efficiency, swallowing, and social behavior of the patient.

Cited by 10 publications

References 18 publications

Oral Rehabilitation After Surgical Removal of Pleomorphic Adenoma

Oral Rehabilitation After Surgical Removal of Pleomorphic Adenoma

The Nance Obturator, a New Fixed Obturator for Patients with Cleft Palate and Fistula

Prosthetic Treatments for Patients With Oronasal Communication

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