“Reconstruction and Rehabilitation of Maxillary Defects Secondary to Mucormycosis”

Rathee, Manu; Singh, Sandeep; Malik, Sanju; S, Divakar; Alam, Maqbul

doi:10.36348/sjodr.2022.v07i01.001

Cited by 12 publications

(14 citation statements)

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“…While the real reason for such a sharp rise during the second wave is still unknown, it has been discovered that patients with risk diseases as diabetics and immunocompromised who have recovered from COVID-19 infection are more susceptible to mucormycosis. (12 ) In Egypt several studies reported the presence of CAM cases during the third pandemic wave. Fouad et al (20) reported that 96.2% of CAM cases where diabetic patients and 76.9% where patients had previous corticosteroid treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Mucormycosis most frequently occurs in patients with hematological disorders especially malignancies, diabetes mellitus or patients treated with steroids. (9)(10)(11)(12) It might be transmitted through unsterilized oxygen lines and ventilators or even hospital bed linen (13). The inhaled spores can form hyphae that attack the paranasal sinuses and spread further through anatomical sites and blood circulation within the skull triggering rhino-orbital or rhino-cerebral infection (14) A resurrection of the fungal infection has been documented during the pandemic, either in parallel or after the recovery from the viral infection, mitigating what's known as: COVID-associated mucormycosis (CAM).…”

Section: Introductionmentioning

confidence: 99%

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Retention and Quality of life of Different manufacturing techniques of palatal obturator for acquired palatal defect in treatment of post COVID-19 Associated Mucormycosis (CAM)

fayad

Mohammed

2023

Egyptian Dental Journal

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Introduction:In Egypt mucormycosis post COVID-19 recovery affected mainly patients on steroid therapy & uncontrolled diabetes .Maxillary defect after fungal deprinment required a proper prosthetic rehabilitation with properly designed obturator which can be assessed by obturator function scale The aim of this study was to evaluate the quality of life and retention evaluation of two different manufacturing techniques of palatal obturator for acquired palatal defect in treatment of post COVID-19 Associated Mucormycosis (CAM)Materials and methods: For each of twelve patients enrolled in this study, two CoCr alloy frameworks were constructed by two different manufacturing techniques: conventional lost wax tech (group I) and selective laser melting printing technique SLM (group II). Retention was evaluated for both obturators at delivery using digital force gauge. Patient satisfaction was evaluated for both groups after 1 month usage of each obturator with two weeks gap in between by Obturator Functioning Scale (OFS). Data were collected & statistically analyzed to compare both groups by independent t-test, the p-value was considered significant at the level of <0.05. Results:The two studied groups showed statistically insignificant difference in retention but highly statistically significant in OFS where group (II) showed high improvement in obturation function with 100%-75% than group (I) . Conclusion:The (SLM) for fabrication of palatal obturator of acquired palatal defect in treatment of post (CAM) provided a better quality of life than those fabricated with conventional lost wax technique. Retention of obturator fabricated with SLM showed no difference from those fabricated with conventional lost wax technique

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retention and Quality of life of Different manufacturing techniques of palatal obturator for acquired palatal defect in treatment of post COVID-19 Associated Mucormycosis (CAM)

fayad

Mohammed

2023

Egyptian Dental Journal

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“…This seriously impairs the patient's ability to chew, swallow and various functions of stomatognathic system. Therefore, to protect and obturate the palatal deformities following resection, prosthodontic rehabilitation is necessary to improves the psychological aspect of the patient 4 …”

Section: Discussionmentioning

confidence: 99%

Prosthetic rehabilitation of mucormycosis patients using DMLS fabricated cast partial denture with semi‐precision attachments—A case series

Rathee¹,

Divakar²,

Jain

et al. 2023

Special Care in Dentistry

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BackgroundThe rehabilitation of maxillectomy defects is a challenging endeavour that necessitates customizing the procedure for each patient. The successful treatment for these patients requires a combined conventional and contemporary treatment options. The high‐tech prosthodontic treatment option for these defects and distal extension cases are combining fixed and removable partial dentures with precision/semi‐precision attachments. It will enhance retention, stability, esthetics and functional ability of the prosthesis.MethodsThree post‐Covid Mucormycosis patients reported after localised debridement and partial maxillectomy for definitive rehabilitation. For partial Maxillectomy patients, DMLS designed cast partial denture along with semi‐precision attachments (Preci‐vertix and OT strategy Rhein For patient with localized defect, DMLS designed cast partial denture was planned. For both patients the defect area was kept as hollow cavity (Closed or Open), in order to reduce the weight of the prosthesis.Results and ConclusionThe prosthodontic rehabilitation of these patient can be a simple and economical treatment options and it improves the stomatognathic functions and quality of life of the patient. The major hurdles during rehabilitation are retention and stability as there is no basal seat and hard tissue support. Hence, we tried a combined conventional and digital techniques in order to provide prosthesis with precise fit and accuracy as well as reducing the treatment time and visits of the patients.

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“…The literature suggests that in people with COVID-19, Mucorales spores germinate more easily due to high glucose, high iron levels, hypoxia, metabolic acidosis, and decreased phagocytic activity of white blood cells due to immunosuppression. [ 1 2 ]…”

Section: Introductionmentioning

confidence: 99%

Post maxillectomy rehabilitation and amelioration of quality of life of post-COVID rhinocerebral mucormycosis patients using obturator: A case series

Divakar¹,

Rathee²,

Jain³

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Mucormycosis, a rare fungal infection seen in diabetes, is now very frequent owing to the deadly triad of COVID-19 infection, diabetes, and rampant use of corticosteroids. Early diagnosis and treatment can reduce the mortality and morbidity of this lethal fungal infection. Treatment principles may include antifungal agents along with surgical debridement or resection. The surgically removed palate can have a devastating effect on the appearance and speech of the patient. Obturators allow patients to eat and drink without any suspicion of food entering the oroantral cavities/pharynx during mastication. This case series presented the prosthodontic rehabilitation of nine post-COVID rhinocerebral mucormycosis-infected patients with complete or partial defects.

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“Reconstruction and Rehabilitation of Maxillary Defects Secondary to Mucormycosis”

Cited by 12 publications

References 0 publications

Retention and Quality of life of Different manufacturing techniques of palatal obturator for acquired palatal defect in treatment of post COVID-19 Associated Mucormycosis (CAM)

Retention and Quality of life of Different manufacturing techniques of palatal obturator for acquired palatal defect in treatment of post COVID-19 Associated Mucormycosis (CAM)

Prosthetic rehabilitation of mucormycosis patients using DMLS fabricated cast partial denture with semi‐precision attachments—A case series

Post maxillectomy rehabilitation and amelioration of quality of life of post-COVID rhinocerebral mucormycosis patients using obturator: A case series

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