The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Use of artificial palate for improving facial support in the fabrication of a maxillary obturator: A case report

상악골 부분 절제술 시행한 환자에서 Artificial Palate로 안모지지를 재현한 폐색장치를 이용한 수복 증례

  • Yoon, Hee-Kyoung (Department of Prosthodontics, Dong-a University) ;
  • Hwang, Hee-Seong (Department of Prosthodontics, Dong-a University) ;
  • Kim, Chul-Hoon (Department of Oral and Maxillofacial Surgery, Implant Clinics, Dong-a University) ;
  • Kim, Jung-Han (Department of Oral and Maxillofacial Surgery, Implant Clinics, Dong-a University) ;
  • Kim, Bok-Joo (Department of Oral and Maxillofacial Surgery, Implant Clinics, Dong-a University)
  • 윤희경 (동아대학교 의료원 치과보철학교실) ;
  • 황희성 (동아대학교 의료원 치과보철학교실) ;
  • 김철훈 (동아대학교 의료원 구강악안면외과학교실) ;
  • 김정한 (동아대학교 의료원 구강악안면외과학교실) ;
  • 김복주 (동아대학교 의료원 구강악안면외과학교실)
  • Received : 2017.03.18
  • Accepted : 2017.06.19
  • Published : 2017.07.31
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Abstract

Patients with maxillectomy defects predisposed to not only difficulty in deglutition, mastication, speech but also psychological depression from impaired facial esthetics that affect life quality. Obturator prostheses play a important role in restoring the lost form, function and the quality of life for patients with maxillectomy defects. This clinical report presents the simplified approach to predict the degree of adequate facial support by Artificial palate which reflected from a maxillary interim obturator during the stabilization period after maxillectomy.

상악골 부분 절제술을 시행한 많은 환자에서 안모의 변형으로 심리적 우울감에 취약할 뿐만 아니라 연하, 저작 기능이 저하되며 발음 장애가 발생한다. 폐색장치를 통한 악안면 보철적 치료는 저작, 연하, 발음 기능의 회복뿐 아니라 적절한 안모로 회복시켜주며 장치를 사용하는 환자들의 삶의 질을 향상해준다. 본 증례는 상악골 부분 절제술 시행한 환자에서 수술 부위 안정화 기간 사용한 임시 폐색장치로 적절한 안면 지지의 정도를 예측할 수 있었고 이를 반영하여 artificial palate를 제작하였다. 이는 적절한 안면 지지를 재현하여 최종 폐색장치를 제작하는 간단한 접근법을 제시하였고 기능적, 심미적 부분에서 만족할 만한 결과를 얻어 이를 보고하고자 한다.

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References

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