Rehabilitación de pacientes con prótesis dental durante la segunda fase de recuperación poscovid-19 / Rehabilitation of patients with dental prosthesis during the second phase of recovery poscovid-19

Introducción: La rehabilitación de pacientes con prótesis dental es una necesidad de primer orden y, durante la segunda fase de recuperación poscovid-19, constituye un gran reto la prestación de este servicio. Objetivo: Caracterizar a pacientes con rehabilitación de prótesis dental según variables de interés. Métodos: Se realizó un estudio observacional, descriptivo y transversal de 991 pacientes con rehabilitación protésica, atendidos en el Departamento de Prótesis de la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba, desde junio hasta julio de 2020, periodo correspondiente a la segunda fase de recuperación poscovid-19. Se analizaron las siguientes variables: edad, sexo, tipos de tratamiento y urgencias. Resultados: Predominaron las féminas (57,8 %), el grupo etario de 60 años y más (52,1 %), el seguimiento (58,6 %) como proceder clínico, seguido de las urgencias (41,4 %). Conclusiones: Durante la segunda fase de recuperación poscovid-19 se continuó la rehabilitación de pacientes con prótesis dental, para lo cual se cumplieron las medidas de bioseguridad establecidas. Asimismo, se garantizó la atención al seguimiento y las reparaciones constituyeron la urgencia en esta especialidad.

Introduction: The rehabilitation of patients with dental prosthesis is a first order necessity and, during the second phase of recovery poscovid-19, the provision of this service constitutes a great challenge. Objective: To characterize patients with rehabilitation of dental prosthesis according to variables of interest. Methods: An observational, descriptive and cross-sectional study of 991 patients with prosthetic rehabilitation who were assisted in the Prosthesis Department of Mártires del Moncada Teaching Provincial Stomatologic Clinic in Santiago de Cuba was carried out, from June to July, 2020, period corresponding to the second phase of recovery poscovid-19. The following variables were analyzed: age, sex, types of treatment and emergencies. Results: There was a prevalence of females (57.8 %), the 60 years and over age group (52.1 %), the follow up (58.6 %) as clinical procedure, followed by the emergencies (41.4 %). Conclusions: During the second phase of recovery poscovid-19 the rehabilitation of patients with dental prosthesis continued, for which the established biosafety measures were fulfilled. Also, care to follow up was guaranteed and the repairs constituted the emergency in this specialty.

Morbilidad en ancianos con pérdida dentaria / Morbidity in elderly with dental loss

Introducción: La pérdida dentaria tiene consecuencias en la apariencia y en la función fisiológica general del adulto mayor, lo cual constituye un problema aún no resuelto en la República Bolivariana de Venezuela. Objetivo: Describir la morbilidad en adultos mayores con pérdida de dientes permanentes. Método: Se realizó un estudio descriptivo, observacional y de corte transversal en la Clínica Simón Bolívar del municipio de Diego Ibarra, perteneciente al estado venezolano de Carabobo, desde enero hasta junio del 2016. El universo estuvo constituido por 100 adultos mayores de 60 años y más, ambos sexos y desdentados parciales o totales. Las variables analizadas fueron edad, sexo, higiene bucal, número de dientes permanentes perdidos, así como el tipo de aparatología protésica requerida. Se emplearon las frecuencias relativa y absoluta como medidas de resumen. Resultados: Se encontró que 73,0 % de los ancianos perdieron sus dientes por caries dental, siendo las féminas y el grupo de 60-64 años de edad el más afectado. Asimismo, predominaron la higiene bucal deficiente y la necesidad de prótesis parcial. Conclusiones: Existió una elevada morbilidad en los adultos mayores con pérdida dentaria, lo cual afectó su funcionalidad, estética y autoestima, que de no ser corregida pudiera provocar consecuencias importantes en la cavidad bucal y en el resto del cuerpo, sin olvidar la prevención o detección precoz de cualquier otra enfermedad bucal que la genere.

Introduction: Dental loss has consequences in the elderly general physiologic function and appearance, that constitutes an unsolved problem in the Bolivian Republic of Venezuela. Objective: To describe the morbidity in elderly with loss of permanent teeth. Method: A descriptive, observational and cross-sectional study was carried out in Simón Bolívar Clinic from Diego Ibarra municipality, belonging to Carabobo in Venezuela, from January to June, 2016. The universe was constituted by 100 elderly of 60 years and more from both sexes and partially or totally toothless. The analyzed variables were age, sex, oral hygiene, number of lost permanent teeth, as well as the type of prosthesis required. The relative and absolute frequencies were used as summary measures. Results: It was found that 73.0 % of the elderly lost their teeth due to dental decay, being women and the 60-64 age group the most affected one. Also, the poor oral hygiene and the necessity of partial prosthesis prevailed. Conclusions: A high morbidity existed in elderly with dental loss, which affected their functionality, aesthetics and self-esteem that could cause important consequences in the oral cavity and in the rest of the body if it is not corrected, without forgetting the prevention or early detection of any other oral disease that generates it.

Multi-purpose Use of Nasal Stents for Prosthetic Rehabilitation of Facial Defect: A Case Report

@#Basal cell carcinoma is the most common cause of nasal defects. For large lesions with deep tissue extensions a total rhinectomy may be indicated followed by adjunctive therapies, such as radiotherapy or chemotherapy. Subsequent surgical reconstruction of these defects poses a challenge due to the compromised tissue bed and may require rehabilitation with facial prosthesis. In current case report, patient had basal cell carcinoma, which had involved the nasal cartilages, right inferior turbinate, nasolabial fold, upper lip and adjacent vascular and perineural tissues. Basal cell carcinoma was surgically excised, followed by postoperative radiotherapy. The resulted nasal defect was closed by forehead pedicle flap. Nasal stents were inserted postoperatively to prevent stenosis of nostrils. Prosthetic rehabilitation of a complete nasal defect was done by utilising nasal stents to prevent nasal stenosis, improved stability and precision, in placement of prosthesis over flat nasal defect. Skin adhesive was applied on margins to enhance the retention of prosthesis and to blend the margins of prosthesis with adjacent skin.

Cbct Analysis Of Alveolar Bone Dimensions In Mandibular Posterior Teeth: A Preliminary Study

OBJECTIVES: Extraction of mandibular posterior teeth followed by immediate implant placement is considered as an optimal technique of immediate prosthetic rehabilitation. The analysis of alveolar bone dimensions with Cone Beam Computerized Tomography prior to implant placement is a prime determinant in treatment planning. Hence this preliminary study was conducted to analyze the alveolar bone dimensions in dentate mandibular posterior teeth to evaluate the available bone which can be utilized for immediate implant placements. MATERIALS AND METHODS: Retrospective data of 200 cases of full volume CBCT was procured from Riyadh Elm University (REU) database and reviewed for eligibility. Atotal of 10 cases were included in the study. Scans were assessed for thickness of buccal and lingual walls at 4mm below the CEJ (MP1) and at midroot level (MP2). Alveolar width was assessed at most coronal point on alveolar bone (BW1) and at superior border of mandibular canal (BW2). The height was be calculated by measuring the vertical distance between BW1 and BW2. Data was tabulated and statistically analyzed using unpaired t-test. RESULTS: The results of our study indicates that dimensions of buccal and lingual bone walls of all teeth at MP1 and MP2 in PM1, PM2 and M1 were statistically significant. Also only the 1st premolar (PM1) showed statistical significance with regard to dimensions at BW1 and BW2. CONCLUSION: The present study highlights the need for further studies with larger samples which can impact the immediate implant success rates in mandibular posterior teeth

Quality of life among Filipino amputees after prosthetic rehabilitation at the UERMMMCI Philippine School of Prosthetics and Orthotics Charity Clinic / The Health Sciences Journal

INTRODUCTION: Amputation is often associated with depression, isolation and anxiety, resulting in changesin the functioning and quality of life of an individual. This study aimed to compare the quality of life ofamputees before and after prosthetic rehabilitation and to determine the level of satisfaction with theservices provided by the rehabilitation team.METHODS: This was a longitudinal study conducted at the Philippine School of Prosthetics and Orthoticsfrom 2016 to 2017. Quality of life was measured at baseline and at the end of prosthetic rehabilitationusing the Short Form-36 version 2 Philippines (Tagalog) and compared. Patient satisfaction was determinedusing the UERMMMCI Out-Patient Satisfaction Survey. Statistical analysis was done using paired t-testand stratified analysis.RESULTS: Twelve participants were included; majority were adult males and all were unemployed. Therewere no statistically significant changes in the quality of life of amputees after prosthetic rehabilitation.Stratification analysis revealed significant decreases in scores in bodily pain and general health scales forfemales. On the other hand, males had statistically significant increases in vitality scores. Participantswere generally satisfied with the services they received.CONCLUSION: While no significant changes were observed for overall quality of life, certain aspects may berelated to factors such as sex, comorbidities, and type of caregiver. Recommendations include further studiesto explore other factors affecting quality of life among Filipino amputees after prosthetic rehabilitation.

Oral and masticatory rehabilitation using osseointegrated dental implants after resective treatment of multicystic ameloblastoma in the lower jaw with a fibula graft

Ameloblastoma is an aggressive odontogenic tumor which typically occurs between third and fourth decade of life that often needs resective approach. Immediate reconstruction may show better results. The treatment of multicystic ameloblastoma in the mandible being a rare case that occurred in the late second decade of life, which was surgically removed along with the affected teeth with safety margins, and the region was immediately reconstructed using a vascularized graft, removed from the fibula. Its integration, in combination with osseointegrated dental implants and fixed implant-supported prostheses, restored chewing function and esthetics. After 6 years from fibular graft and 24 months of dental implants, an excellent outcome was observed, with oral health and normal functions properly restored, and the immediate reconstruction of the mandible in resective cases, associated with oral rehabilitation with dental implants, may be considered a suitable treatment option.

Necesidad real y sentida de prótesis estomatológica en pacientes mayores de 15 años / Real and Perceived Need for Dental Prosthesis in Patients Older than 15 Years

Introducción: la rehabilitación protésica se extiende más allá del diente individual o del área desdentada única, comprende la restauración de la normalidad de las relaciones de los músculos y dientes, de modo que se devuelva la salud bucal, tiene como objetivo la sustitución de los dientes, cuando se encuentran perdidos o ausentes, por medios artificiales capaces de restablecer la función masticatoria, estética y fonética. Objetivos: identificar la necesidad real y sentida de prótesis estomatológica en pacientes mayores de 15 años del Policlínico Universitario III René Vallejo Ortiz. Métodos: se realizó un estudio descriptivo transversal donde del universo de 19 760 personas se examinaron 500 personas que representaron la muestra la cual se escogió de forma aleatoria; se realizó el examen bucal y formulario, se contó con el consentimiento de todos los pacientes seleccionados. Resultados: el sexo femenino representó el 60% de los examinados y el grupo de 35-59 años el 45%. El 56% de los examinados necesitó tratamiento, las prótesis parciales fueron las más necesitadas con 62,5%, el sexo femenino mostró una necesidad real del 64,3% y la necesidad sentida de prótesis estomatológica fue del 51,8%, mayor en el sexo femenino con el 68,9% y en el grupo de edad de 35-59 años con el 56,7%. Conclusiones: más de la mitad de la población examinada necesitó tratamiento protésico de tipo parcial, la necesidad real y sentida de tratamiento fue más notoria en el sexo femenino y en el grupo de edad de 35 a 59 años.

Introduction: prosthetic rehabilitation extends beyond the individual tooth or the single area without teeth, which includes restoring the normality of the relations of muscles and teeth, as well as the proper oral health, substituting the teeth absent by artificial means and achieving the masticatory, aesthetics and phonetics function. Objective: to identify the real need for stomatology prosthesis in patients older than 15 years of René Vallejo Ortiz University Polyclinic III Method: a cross-sectional descriptive study was done. Of a total of 19.760 individuals, 500 of them were randomly selected, representing the sample. The oral examination was performed considering the informed consent of all patients. Results: the female sex represented 60% and the group of 35-59 years 45%; 56% of the patients needed treatment, partial dentures were the most needed with 62.5%, the female sex showed a real need of 64.3% and the felt need for the prosthesis represented 51.8%, higher in the female sex with 68.9% and in the age group between 35-59 (56.7%). Conclusions: more than half of the population required partial-type prosthetic treatment, the real and felt need for treatment was more evident in the female sex and in the age group between 35-59.

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.

A technique utilising cobalt-chromium framework as a key in master cast preparation for removable prosthesis in microstomia patients: A case report

Prosthodontic rehabilitation and management of microstomia patient presents challenges at all stages during prosthesis fabrication; from making primary impressions to the prostheses insertion. These patients have reduced mouth opening, and hence it can be extremely challenging to make impressions and to fabricate dentures using the conventional methods. The present case report describes prosthodontic management of a partially dentate patient with microstomia that developed secondary to surgical resection and radiation therapy of head and neck cancer. A simplified novel approach has been advocated using the patient’s existing metal removable partial denture as a key in master cast preparation.

Rehabilitación protésica en pacientes fisurados con fístula buconasal / Prosthetic rehabilitation in patients with cleft lip and buconasal fistula

La fisura labiopalatina consiste en la falta de fusión de los procesos palatinos y labial durante el desarrollo embrionario. Estos pacientes presentan una comunicación buconasal, alteraciones dentarias de forma, tamaño y posición, y un deficiente desarrollo del maxilar. Su tratamiento requiere un trabajo de equipo multidisciplinar, ya que afecta funciones básicas que comprometen su calidad de vida, como comer, hablar o relacionarse socialmente. Aunque la cirugía primaria soluciona mayormente esta anomalía, algunas veces persiste la comunicación entre las cavidades bucal y nasal, lo que se conoce como comunicación o fístula buconasal. Esto supone una mayor dificultad en el cierre quirúrgico, siendo a veces imposible de cerrar a través de la cirugía. En tales casos, la obturación de dicha fístula a través de una prótesis otorga una solución de bajo costo para el paciente y con resultados óptimos a corto y mediano plazo. El objetivo de este artículo es exponer casos de rehabilitación protésica en pacientes con fisura labiopalatina y fístula buconasal posterior al tratamiento quirúrgico.

Cleft lip and palate is the lack of fusion of the palatal and labial processes during embryonic development. Patients are characterised by the presence of buconasal communication, dental alterations, and poor development of the maxilla. Treatment requires multidisciplinary team work, due to the impact on basic functions such as eating, talking or interacting with other people, and even compromising their quality of life. Although primary surgery mostly solves this anomaly, sometimes communication between the oral and nasal cavity persists (called communication or buconasal fistula). This leads to greater difficulty to surgically close it, being impossible in some cases. In these cases, the closure using a prosthesis provides a low-cost solution for the patient, with an optimal result in the short and medium term. The aim of this article is to present cases of prosthetic rehabilitation in patients with cleft lip and buconasal fistula after surgical treatment.

Immediate Prosthetic Rehabilitation of Surgically Enucleated Pindborg tumour: A case report.

Treatment of patients with maxillofacial defects is one of the most challenging tasks. Prosthetic reconstruction of maxillomandibular defects may be achieved with the help of removable and fixed prosthesis to restore the lost form, function and speech. The purpose of this article is to describes a case of CEOT (Calcifying Epithelial Odontogenic Tumor) in left mandibular body region managed with a treatment obturator, which allowed closure of the defect by secondary healing through granulation tissue maturation and associated bone fill. A 19 guage wire was used to stabilize the appliance, and provide retentive properties. The obturator allowed decrease in size of defect and enhanced comfort and overall wellbeing of the patient.

Posterior maxillary segmental osteotomy for management of insufficient intermaxillary vertical space and intermolar width discrepancy: a case report / 대한악안면성형재건외과학회지

BACKGROUNDS: Insufficient intermaxillary space is caused by non-restoration following tooth extraction in the past, and this involves eruption of the opposing teeth and changes of the arch structure. Such cases are difficult just by a simple prosthetic approach, and diversified treatment plans should be established. Among these, posterior maxillary segmental osteotomy (PMSO) is an efficient treatment option than extraction of opposing teeth as it surgically repositions multiple erupted teeth and alveolar bone. PMSO can preserve the natural teeth; therefore, it is being regarded as a treatment method which can improve insufficient intermaxillary space significantly. CASE PRESENTATION: In this case report, the first patient received PMSO in order to place an implant in the mandibular edentulous space after decreased vertical dimension is restored, and the second patient received PMSO along with orthodontic treatment to obtain the intermaxillary space and balance the interarch molar width. CONCLUSION: PMSO is the treatment of choice when occlusion is compromised in the presence of decreased vertical dimension or arch length discrepancy.

Terapéutica holística en una paciente con gingivitis descamativa crónica / Holistic therapy in a patient with chronic desquamative gingivitis

Se describe el caso clínico de una paciente con gingivitis descamativa crónica, atendida en el Departamento de Periodoncia de la Clínica Estomatológica Provincial Docente "Mártires del Moncada" de Santiago de Cuba, en quien el tratamiento convencional no proporcionó resultados favorables, por lo cual se recurrió a la combinación de las terapias neural, acupuntural y periodontal y la aplicación de hipnosis, cuya combinación solucionó tan grave proceso inflamatorio, además de elevar la autoestima y la calidad de vida de la afecta.

The case report of a patient with chronic desquamative gingivitis, assisted in the Department of Periodontics of "Martires del Moncada" Teaching Provincial Stomatological Clinical in Santiago de Cuba is described, in whom the conventional treatment provided no favourable results, reason why it was decided to combine the neural, acupunctural and periodontal therapies and the hypnosis which combined could solved such a serious inflammatory process, besides raising the self-esteem and the life quality of the one affected patient.

Craniomandibular Disorders and Burning Mouth Syndrome in Removable Denture Wearers.

Objectives: The frequent finding of craniomandibular disorders (CMD) in burning mouth syndrome (BMS) patients has led the scientific community to hypothesize that the two diseases have common aspects that require further examination. Some authors have evaluated the presence of CMD in patients with BMS. No studies have limited the investigation to denture patients affected by BMS. The aim of the study is to estimate signs and symptoms of Craniomandibular Disorders (CMD) in patients with BMS and to investigate for the existence of a possible association between CMD and BMS in removable denture wearers. Materials and Methods: From April 2010 to March 2012 we enrolled forty-eight patients affected by BMS, of which 24 wearing removable denture and 24 without denture, in accordance with the inclusion/exclusion criteria. A clinical-gnathological evaluation and a prosthodontic examination were performed and the results were compared. Results and Discussion: Nineteen patients of the sample showed disorders classified as primary signs and symptoms of CMD on the basis of Research Diagnostic Criteria of Temporomandibular Disorders (RDC/TDM), compared with ten patients of the control group. Most common disorders were disc displacement and muscle pain. The chi-square test was statistically significant (p <.05) for 6 of the 10 relationships studied. Conclusion: A higher number of CMD cases was observed in the original sample compared with the control group. In BMS patients therefore being a denture-wearer may contribute to the onset of CMD.

Reconstrução imediata de fenestração peri-implantar por meio de enxerto autógeno em bloco obtido do ramo mandibular / Immediate reconstruction of peri-implant fenestration with autogenous block grafts harvested from mandibular ramus

As fenestrações das paredes alveolares são relativamente comuns durante o procedimento cirúrgico para instalação de implantes. O objetivo do presente trabalho foi relatar um caso clínico de reconstrução de fenestração peri-implantar imediatamente após a instalação de implante osseointegrável, através de enxerto ósseo autógeno em bloco obtido do ramo mandibular. Paciente do sexo masculino procurou o Departamento de Cirurgia e Clínica Integrada para trocar sua prótese parcial removível classe IV de Kennedy por prótese parcial fixa implantossuportada. Foram instalados dois implantes nos espaços protéticos correspondente aos dentes 12 e 21. Houve uma fenestração peri-implantar da parede vestibular durante a instalação do implante correspondente ao dente 12, que foi reconstruídapor meio de enxerto autógeno em bloco obtido do ramo mandibular e fixado por meio de parafuso bicortical. Após seis meses de concomitante período de incorporação do enxerto ósseo autógeno e osseointegração, iniciou-se o processamento para confecção da prótese parcial fixa implantossuportada. Diante da reabilitação protética alcançada, concluiu-se que o enxerto ósseo autógeno obtido da área doadora ramo mandibular constitui uma alternativa segura e eficaz para reconstrução de defeitos peri-implantares em forma de fenestração óssea...

Alveolar wall fenestrations are common during implant placement. The aim of this paper is to report a case where a peri-implant bone fenestration was reconstructed immediately after implant placement by an autogenous mandibular bone block. A male patient was referred to the Department of Surgical and Integrated Clinics to substitute his Kennedy´s Class IV removable partial denture for an implantsupported fixed prosthesis. A peri-implant bone fenestration at the buccal wall was seen at the region of 12, being reconstructed by a mandibular bone block secured by a bicortical screw. Six months later the surgical procedures, an implant-supported complete fixed partial prosthesis was developed. The autogenous bone block harvested from the mandibular ramus was a safe alternative to reconstruct the peri-implant bone defect such as fenestration types...

Prosthetic rehabilitation for a patient with CO-MI discrepancy

Centric occlusion-maximum intercuspation (CO-MI) discrepancy is one of main causes of evoking premature contact and resultant mandibular shift. These non-physiological conditions can induce temporomandibular disease, periodontitis, and non-carious cervical lesion. Therefore, if CO-MI discrepancy exists in patients who need extensive prosthetic rehabilitation, it must be corrected and then physiological occlusion must be restored. This report describes the treatment procedure of removing CO-MI discrepancy and prosthetic rehabilitation in a patient with 3.5 mm discrepancy, multiple caries and periodontitis. Proper mandibular position and modified opening & closing movement were confirmed by ARCUSdigma II and transcranial radiograph.

Prosthetic management of a growing patient with Russell-Silver syndrome: a clinical report

Russell-Silver syndrome (RSS) is a congenital disease characterized by short stature due to growth hormone deficiency, physical asymmetry, inverted triangular face, micrognathia, prominent forehead, and hypodontia. This case report presents a prosthetic management of a 6-year-old patient with Russell-Silver syndrome treated with overdentures on the maxilla and the mandible using the remaining primary teeth. Subsequent and comprehensive dental management considering the growth and development of a young patient will be necessary.

Intrusões dentárias - quando, como e porque fazer / Dental intrusions – when, how and why perform it

A intrusão dentária é um movimento extremamente requisitado na Ortodontia, quando um dente apresenta-se extruído em relação aos seus adjacentes por perda de antagonista, por desgaste dentário ou fratura e também nos casos de mordidas abertas, nas quais se deseja a intrusão de todo o bloco posterior com a intenção de fechar a mordida aberta anterior. Esse artigo visa estabelecer critérios de escolha para a eleição de procedimentos clínicos baseados na fisiologia do periodonto e na mecânica empregada, ficando restrito aos movimentos individuais ou de dois dentes, não tendo, portanto, o objetivo de se aprofundar nos tratamentos de mordidas abertas, assunto esse com vasto material disponível na literatura.

The dental intrusion is extremely required in Orthodontics, when a tooth presents extruded in relation to its adjacent caused due the loss of antagonist, tooth wear or even fracture, and also in cases of open bite in which the intrusion of posterior block may help closing the anterior open bite. This article aims to establish selection criteria for the election of clinical procedures based on the physiology of the periodontium and mechanics employed, being restricted to individual movements or two teeth, therefore not having the purpose of delving into the open bite treatments, which has dense report in the literature.

Prosthetic rehabilitation of an edentulous Veau's class II -A Case report.

Patients with acquired defects or congenital malformations of the palate exhibit disturbances in speech including hypernasality, nasal emission and decreased intelligibility of speech. Maxillofacial prosthesis is an art and science which not only replaces the lost structure but also sometimes restores the function.obturator is a prosthesis which closes the palate and pharyngeal defects and improving the speech and other function. This article presents a case report of a completely edentulous patient with palatal insufficiency rehabilitated prosthodontically with a hollow bulb obturator and a procedure for fabrication of closed hollow bulb obturator prosthesis.

Prosthetic rehabilitation of an edentulous Veau's class II -A Case report.

Patients with acquired defects or congenital malformations of the palate exhibit disturbances in speech including hypernasality, nasal emission and decreased intelligibility of speech. Maxillofacial prosthesis is an art and science which not only replaces the lost structure but also sometimes restores the function.obturator is a prosthesis which closes the palate and pharyngeal defects and improving the speech and other function. This article presents a case report of a completely edentulous patient with palatal insufficiency rehabilitated prosthodontically with a hollow bulb obturator and a procedure for fabrication of closed hollow bulb obturator prosthesis.