Prosthodontic Rehabilitatative Therapy through Surgical Obturator for Maxillectomy Patients: A Review

Rathee, Manu; Bhoria, Mohaneesh; Malik, Poonam

doi:10.18488/journal.95/2014.1.2/95.2.52.58

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…The obturator restores the patient’s lost maxillofacial contours, oral structures, and esthetic. This allows the patient to live in a psychosocial environment [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions

Dalkız¹,

Dalkiz²

2018

Dentistry Journal

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Objective: Maxillectomy often results in a high level of morbidity with significant psychological and functional implications for patients. The aims of the present study were to assess the effectiveness of the maxillary obturator as a speech rehabilitation aid, to examine the influence of dentition on speech intelligibility, to restore patients’ regular daily activity as soon as possible, and to maintain patients’ psychological well-being throughout the treatment. Patients and Methods: Forty-one palatomaxillary immediate obturator and definitive reconstruction patient treatments were reviewed at a clinic (Ankara, Turkey). Patients aged between 20 and 73 years with surgically acquired partial maxillary defects were included in this study. All patients were rehabilitated with immediate and definitive obturators. The patients were given immediate surgical obturators which were adjusted to the defect area with a tissue conditioner. By employing this procedure and relining with the tissue conditioner weekly, immediate obturators were used in the interim stage of the treatment. As interim obturators, prostheses were used for two to three months until healing and resorption were found satisfactory, after which the definitive obturators were fabricated. Results: The speech intelligibility test (SIT) was employed for the evaluation of the speech ability. Significant improvements were found in the mean speech intelligibility test score (SITS), from 0.02% in patients without prosthetic obturation to 94.10% in patients with immediate obturation on the second day, 95.60% in patients with immediate obturation on the 20th day, and 95.97% in patients with definitive obturation.

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“…The obturator restores the patient’s lost maxillofacial contours, oral structures, and esthetic. This allows the patient to live in a psychosocial environment [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions

Dalkız¹,

Dalkiz²

2018

Dentistry Journal

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“…[8][9][10] For this, the soft relining material was replaced every 15 days for a period of 3 months. After the stabilization of the supporting tissues occurred, the immediate prosthesis was relined with a rigid conditioner (Kooliner, GC America Inc), 14 to act as a temporary prosthesis, even given the time for medical reevaluation and endorsement for the manufacture of the definitive palatal obturation prosthesis.…”

Section: Clinical Reportmentioning

confidence: 99%

“…This measure was of great value for the patient's quality of life, which did not suffer drastic impacts on her speech and diet, even eliminating the need for a nasogastric tube. 9,10,14 After hospital discharge, the patient maintained a consultation routine to assess wound healing, adaptation of the prosthesis according to tissue condition and phonetics and food. [8][9][10] For this, the soft relining material was replaced every 15 days for a period of 3 months.…”

Section: Clinical Reportmentioning

confidence: 99%

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Use of Immediate Obturator Prosthesis as a Rehabilitation Option in Cases of Squamous Cell Carcinoma

Ramirez

Munhoz

Freitas³

et al. 2021

Journal of Craniofacial Surgery

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Maxillary defects caused by surgical resection generate abnormal communication between the nasal and oral cavities, hindering proper eating and phonetics, and causing aesthetic damage. Prosthetic intervention is necessary to rehabilitate these patients, in order to block communication and allow correct speech and swallowing functions. This article reports the manufacture of an immediate palatal obturator prosthesis after hemimaxillectomy due to the surgical removal of an intraoral squamous cell carcinoma, which guaranteed better conditions for postoperative recovery, as well as better adaptation to the definitive prosthesis and the use of the prosthetic apparatus.

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“…It is possible to correct deformations with the help of certain surgical interventions. [14][15][16][17][18] The purpose of this case report is to demonstrate the benefits and applicability of appropriate maxillofacial prosthetic rehabilitation following surgical resection cancer of the upper jaw.…”

Section: Introductionmentioning

confidence: 99%

Features of Controlled Wound Healing and Orthopedic Treatment in Bilateral Resection of the Upper Jaw. Case Report

Mashinyan

Hovhannisyan

Kharazian³

et al. 2023

JBSMFS

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Oral and maxillofacial orthopedics is engaged in prosthetics of congenital and acquired defects of the maxillofacial region resulting from resections of the jaws of neoplasms and also as a result of injuries. In the presence of defects in the maxillofacial region, various methods of treatment are currently used, including removable prosthetics, reconstruction of the defect with a vascularized musculoskeletal autograft, and prosthetics using implants. This direction tends to be further developed and improved, which will contribute to the full integration of the patient into society. This article presents the procedure for prosthetics of a resection defect of the upper jaw (clinical case) followed by prosthetic rehabilitation.

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Prosthodontic Rehabilitatative Therapy through Surgical Obturator for Maxillectomy Patients: A Review

Cited by 4 publications

References 18 publications

The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions

The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions

Use of Immediate Obturator Prosthesis as a Rehabilitation Option in Cases of Squamous Cell Carcinoma

Features of Controlled Wound Healing and Orthopedic Treatment in Bilateral Resection of the Upper Jaw. Case Report

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