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Prosthetic Treatment with Palatal Obturator for the Patient who had Hemimaxillectomy: Case Report  

Choi, Su-Jeong (Dept. of Prosthodontics, College of Dentistry, Kyung-Pook National University)
Jo, Kwang-Hun (Dept. of Prosthodontics, College of Dentistry, Kyung-Pook National University)
Lee, Kyu-Bok (Dept. of Prosthodontics, College of Dentistry, Kyung-Pook National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.27, no.3, 2011 , pp. 337-342 More about this Journal
Abstract
Congenital or traumatic loss on the oral and maxillary area or the loss of jaws due to the surgical excision of a tumor causes functional problems, such as masticatory and swallowing disorders, phonetic problems and psychological disorders in patients. In most cases, a prosthetic restoration is needed to resolve these problems and restore the damaged tissue and function. When loss occurs on the maxilla, foods and liquids leak into the nasal cavity, and a nasal sound can be heard due to air leakage into the removed area. In these cases, the palatal obturator can be used to improve the esthetic and functional aspects because it restores the removed area of the maxilla and closes the opened route between the oral cavity and maxillary sinus or nasal cavity. In this case report, a palatal obturator was applied to patients who had a hemimaxillectomy due to the occurrence of squamous cell carcinoma on the right maxillary area. Therefore, fundamental functions, such as phonetic and swallowing functions were restored, and the esthetic aspects of the facial profile were improved.
Keywords
Palatal obturator; Hemimaxillectomy; Open type hollow obturator;
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1 Fattore LD, Edmonds DC. A technique for the obturation of anterior maxillary defects with accompanying mid facial loss. J Prosthet Dent 1987;58:203-205   DOI   ScienceOn
2 Balbulian AH. Maxillofacial prosthetics: Evolution and practical application in patient rehabilitation. J Prosthet Dent 1965;15:554-568   DOI
3 Brown KE. Fabrication of a hollow bulb obturator. J Prosthet Dent 1969;21:97-103   DOI   ScienceOn
4 Chalian et al, Maxillofacial prosthetiecs multidisciplenary practice. Balimore 1972. The willian and wilkins co.
5 El mahdy AS. Processing a hollow obturator. J Prosthet Dent 1969;22:683-686
6 Minsley GE, Nelson DR, Rothenberger SL. An alternative method for fabrication of a closed hollow obturator. J Prosthet Dent 1986;55:485-489   DOI   ScienceOn
7 Hahn GW. A comfortable silicone bulb obturator with or without denture. J Prosthet Dent 1972;28:313-317   DOI   ScienceOn
8 Ohyama T, Gold HO, Pruzansky S. Maxillary obturator with silicon lined hollow extension. J Prosthet Dent 1975;34:336-341   DOI   ScienceOn
9 Taicher S. et al. A technique for fabrication of polydimethyl siloxane-acrylic resin obturator. J Prosthet Dent 1983;50:65-68   DOI   ScienceOn
10 Nidiffer TJ, Shipmon TH. The hollow bulb obturator for aquired palatal openings. J Prosthet Dent 1957;7:126-134   DOI
11 Desjardins RP. Obturator prosthesis design for acquired maxillary defects. J Prosthet Dent 1978;39:424-435   DOI   ScienceOn
12 Gay WD, King GE. Applying basic prosthodontic principles in the dentulous maxillectomy patients. J Prosthe Dent 1980;43:433-435   DOI   ScienceOn
13 Martin JW, King GE. Framework retention for maxillary obturator prostheses. J Prosthet Dent 1984;51:669-672   DOI   ScienceOn
14 Beumer III J, Curtis TA, Firtell DN. Maxillofacial rehabilitation. Prosthodontic and surgical considerations, pp. 188-243. The D. B. mosby co., St Louis, Toronto, London.
15 Coffey KW. Obturation of congenital or aquired intra oral anatomic defects. J Prosthet Dent 1984;52:559-561   DOI   ScienceOn
16 Oral K. Construction of a buccal flange obturator. J Prosthet Dent 1979;41:193-197   DOI   ScienceOn
17 Chalian VA. Maxillofacial Prosthetics: An althernative to plastic surgery. Proceedings of the second international prosthetic congress 1979. The D.V. Mosby Co. St. Louise p.242
18 Oral K., Aramany MA, Mc Willians BJ. Speech intelligibility with the buccal flange obturator. J Prosthet Dent 1979;41:323-328   DOI   ScienceOn