Prosthetic Rehabilitation Of Hemimaxillectomy Patient: A Case Report

Rehabilitation of hemimaxillectomy patients can be challenging. The most common problem with prosthetic treatment in such patients is in getting adequate retention, stability, and support. Maxillary obturator prosthesis is most commonly fabricated for patient's undergone surgical maxillectomy. It helps in mastication, deglutition and aids in speech. Various methods have been described in literature to make it hollow for reduction of weight of prosthesis. This case report describes another method of making a hollow prosthesis.

Prosthetic rehabilitation for a maxillectomy patient using 3D printing assisted closed hollow bulb obturator: a case report

This case report presents a closed hollow bulb obturator made by 3D printing for a maxillectomy patient. Final impression was taken according to the instructions and impression trays provided by the Magic denture™ system. Vertical dimension, facial appearance, and retention had been checked with the try-in denture. The try-in denture was corrected and adjusted to fulfill the demand of the patients, then these were reflected to the final design of the denture. The defect area was designed as a closed hollow bulb shape to reduce the weight and to provide uniform thickness of the denture. The patient satisfied with the esthetics and function of the denture.

Prosthetic rehabilitation of a patient with near total maxillectomy using a hollow bulb obturator: a case report

Aim: To prosthetically rehabilitate maxillary defect in a patient with near total maxillectomy using hollow bulb obturator. Case description: Authors report a case of 64-year-old male patient with near total maxillectomy with respect to the left side who was referred for the prosthetic rehabilitation. Conclusions: The hollow bulb definitive obturator prosthesis rehabilitated the patient in terms of masticatory function, phonetics and esthetics. The hollow bulb design ensured patient comfort due to its decreased weight.

Fabrication of Hollow Bulb Obturator with Maxillary Partial Denture for Congenital Cleft Palate Defect.

Rehabilitation of congenital cleft palate defect improves the quality of life for the patient as normal as possible. Obturator size depends on defect’s size and volume. The prosthesis should be easy to handle, simple to maintain, biocompatible, light in weight and conventional for future adjustments. This case report describes a cleft palate patient, which was rehabilitated with a hollow bulb obturator.

Modified snap-on attachment with 'O-ring' for two piece hollow bulb obturator.

Restoration of near normal functions in patients who have been treated with hemimaxillectomy is generally difficult, in view of the restriction in mouth opening following healing of large surgical wound. Further, the extent and nature of the surgical defect differ from patient to patient. Thus, design of an obturator needs to be patient oriented. In this report, we describe a novel snap-on attachment with O-ring in a conventional two piece hollow bulb obturator for a 70-year-old male treated for carcinoma of the left maxilla and sinus.

Prosthodontic rehabilitation of hemimaxillectomy patient with hollow bulb obturator.

Abstracts: One of the most rapidly growing areas of dentistry from the standpoint of both interest and need is maxillofacial prosthetics. The research on cancer has made understanding and treatment of this dreadful disease a possibility, still the rehabilitation of these patients is a daunting job, and is more so in post-surgical cases. With the advent of new materials and techniques, vast improvement in rehabilitation of maxillofacial patients has been realized. The objective of this case report was to obturate acquired palatal defects and allowing the restoration of functions such as esthetics, mastication, deglutition and speech. This report throws light on the simplified technique to prepare hollow bulb obturator using shim fabrication. This technique results in a prosthesis which is light in weight and aids in better retention and patient’s comfort.

Two-piece hollow bulb obturator.

There are various types of obturator fabrication achievable by prosthodontist. Maxillectomy, which is a term used by head and neck surgeons and prosthodontists to describe the partial or total removal of the maxilla in patients suffering from benign or malignant neoplasms is a defect for which to provide an effective obturator is a difficult task for the maxillofacial prosthodontist. Multidisciplinary treatment planning is essential to achieve adequate retention and function for the prosthesis. Speech is often unintelligible as a result of the marked defects in articulation and nasal resonance. This paper describes how to achieve the goal for esthetics and phonetics and also describes the fabrication of a hollow obturator by two piece method, which is simple and maybe used as definitive obturator for maximum comfort of the patient.