DOI QR코드

DOI QR Code

REHABILITATION OF A PATIENT WITH A POST RADIOTHERAPY TRISMUS WITH AN OBTURATOR AND A MAXILLARY DENTURE USING MAGNET ATTACHMENTS

  • Published : 2008.12.31

Abstract

Construction of an obturator for rehabilitation of a patient who underwent a maxillectomy is vital. Routinely a constructed obturator includes denture portion. A patient who may present anatomical limitations due to surgical or radiotherapy complications often challenges the clinician. Purpose: This clinical report describes a patient with severe trismus after surgical resection and radiotherapy treatment of a tumor in the upper left maxilla. Conclusion: This report describes the concepts of using a rotational path insertion for an obturator and a separately constructed maxillary denture. The stability and retention of the obturator were obtained from anatomical features. Where as these were achieved through magnetic attachments and the remaining edentulous ridge to ensure esthetic and function of the prosthesis.

Keywords

References

  1. Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: Design principles. 1978 [classical article]. J Prosthet Dent 2001;86:562-8 https://doi.org/10.1067/mpr.2001.121619
  2. Brown KE. Peripheral consideration in improving obturator retention. J Prosthet Dent 1968;20:176-81 https://doi.org/10.1016/0022-3913(68)90143-1
  3. Kademani D, Bell RB, Schmidt BL, Blanchaert R, Fernandes R, Lambert P, Tucker WM. Oral and maxillofacial surgeons treating oral cancer: a preliminary report from the American Association of Oral and Maxillofacial Surgeons Task Force on Oral Cancer. J Oral Maxillofac Surg 2008;66:2151-7 https://doi.org/10.1016/j.joms.2008.06.030
  4. Sciubba JJ, Goldenberg D. Oral complications of radiotherapy. Lancet Oncol 2006;7:175-83 https://doi.org/10.1016/S1470-2045(06)70580-0
  5. Wang CJ, Huang EY, Hsu HC, Chen HC, Fang FM, Hsiung CY. The degree and time-course assessment of radiation- induced trismus occurring after radiotherapy for nasopharyngeal cancer. Laryngoscope 2005;115:1458-60 https://doi.org/10.1097/01.mlg.0000171019.80351.46
  6. Dijkstra PU, Kalk WW, Roodenburg JL. Trismus in head and neck oncology: a systematic review. Oral Oncol 2004;40:879-89 https://doi.org/10.1016/j.oraloncology.2004.04.003
  7. Boucher LJ, Heupel EM. Prosthetic restoration of a maxilla and associated structures. J Prosthet Dent 1966;16:154-68 https://doi.org/10.1016/0022-3913(66)90124-7
  8. Javid N. The use of magnets in a maxillofacial prosthesis. J Prosthet Dent 1971;25:334-41 https://doi.org/10.1016/0022-3913(71)90196-X
  9. Tokuhisa M, Matsushita Y, Koyano K. In vitro study of a mandibular implant overdenture retained with ball, magnet, or bar attachments: comparison of load transfer and denture stability. Int J Prosthodont 2003;16:128-34
  10. Gillings BR, Samant A. Overdentures with magnetic attachments. Dent Clin North Am 1990;34:683-709
  11. Thean HP, Khor SK, Loh PL. Viability of magnetic denture retainers: a 3-year case report. Quintessence Int 2001;32:517-20
  12. Beumer J, Curtis D, Firtell D. Restoration of acquiredhard palatal defects: etiology, disability and rehabilitation. In: Maxillofacial rehabilitation: prosthodontics and surgical considerations. Beumer J III, Curis TA, Marunick MT. St. Louis: Medico Dental Media Int 1996;225-84

Cited by

  1. A Noval Approach of Altered Cast Technique in Bilateral Partial Maxillectomy Patient with Severely Restricted Mouth Opening vol.2011, pp.2090-438X, 2011, https://doi.org/10.5402/2011/607175