Treatment Outcome with Delayed Maxillary Obturator Prosthesis: Case Series of Four Patients. 2016

Sushil Kar, and Arvind Tripathi
Department of Prosthodontics, Saraswati Dental College and Research Center, Lucknow, India.

A series of four patients is presented to indicate the possibility of success with delayed prosthodontic rehabilitation of acquired maxillary defects. Four patients with a history of hemi-maxillectomy in the past 3 to 5 years were rehabilitated with definitive obturator prostheses. All had partial maxillectomy on the right side. Because of delayed referral to the prosthodontic facility, immediate surgical and interim obturation was not planned. Definitive obturator prostheses were fabricated following the necessary steps and delivered to the patients. Prosthesis function was subsequently reassessed in these patients every fortnight for the first 3 months then once every quarter for the next 3 years, followed by once a year. Individual patient responses were evaluated at regular intervals. Components of prosthesis function assessed were esthetics, speech, mastication, and salivary control, all of which were restored to satisfactory levels by the definitive obturators. Thus, optimal restoration of esthetics and function is achievable despite a time lag in prosthodontic therapy after surgery.

UI MeSH Term Description Entries
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D008441 Maxillary Neoplasms Cancer or tumors of the MAXILLA or upper jaw. Maxillary Neoplasm,Neoplasm, Maxillary,Neoplasms, Maxillary
D008447 Maxillofacial Prosthesis A prosthetic appliance for the replacement of areas of the maxilla, mandible, and face, missing as a result of deformity, disease, injury, or surgery. When the prosthesis replaces portions of the mandible only, it is referred to as MANDIBULAR PROSTHESIS. Maxillary Prosthesis,Maxillary Prostheses,Maxillofacial Prostheses,Prostheses, Maxillary,Prostheses, Maxillofacial,Prosthesis, Maxillary,Prosthesis, Maxillofacial
D010158 Palatal Obturators Appliances that close a cleft or fissure of the palate. Cleft Palate Prosthesis,Nasoalveolar Molding Devices,Obturators, Palatal,Cleft Palate Prostheses,Device, Nasoalveolar Molding,Devices, Nasoalveolar Molding,Molding Device, Nasoalveolar,Molding Devices, Nasoalveolar,Nasoalveolar Molding Device,Obturator, Palatal,Palatal Obturator,Palate Prostheses, Cleft,Palate Prosthesis, Cleft,Prostheses, Cleft Palate,Prosthesis, Cleft Palate
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes

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