International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 9 , ISSUE 4 ( October-December, 2019 ) > List of Articles


Rehabilitation of Partial Maxillectomy Patient with a Bar and Stud Retained Hollow Bulb Obturator: A Case Report

Paresh Gandhi

Keywords : Bar stud attachment, Maxillectomy, Obturator, Retention

Citation Information : Gandhi P. Rehabilitation of Partial Maxillectomy Patient with a Bar and Stud Retained Hollow Bulb Obturator: A Case Report. Int J Prosthodont Restor Dent 2019; 9 (4):134-138.

DOI: 10.5005/jp-journals-10019-1250

License: CC BY-NC 4.0

Published Online: 23-07-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Rehabilitation of the maxillectomy defects is a challenge in terms of retention, stability, mastication, and speech. Conventional clasp designs sometimes fail to provide adequate retention, stability, and support in cases of large defects, and precision attachments are good alternatives. The use of precision attachments in partially dentate maxillectomy patients can significantly improve the functions of speech and mastication, also maintaining Esthetics. The present clinical report describes the interdisciplinary approach in rehabilitation of a partially dentate maxillectomy patient using a precision attachment retained hollow bulb definitive obturator prosthesis.

  1. Bidra AS, Jacob RF, Taylor TD. Classification of maxillectomy defects: a systematic review and criteria necessary for a universal description. J Prosthet Dent 2012;107(4):261–270. DOI: 10.1016/S0022-3913(12)60071-7.
  2. The glossary of prosthodontic terms. J Prosthet Dent 2005;94(1):10–92. DOI: 10.1016/j.prosdent.2005.03.013.
  3. Okay DJ, Genden E, Buchbinder D, et al. Prosthodontic guidelines for surgical reconstruction of the maxilla: A classification system of defects. J Prosthet Dent 2001;86(4):352–363. DOI: 10.1067/mpr.2001.119524.
  4. Etienne OM, Taddei CA. Use of bar-clip attachments to enhance the retention of a maxillofacial prosthetic obturator: a clinical report. J Oral Rehabil 2004;31(6):618–622. DOI: 10.1111/j.1365-2842.2004.01380.x.
  5. Curtis TA, Beumer J. Restoration of acquired hard palate defects: etiology, disability, and rehabilitation. In: Beumer J, Curtis TA, Marunick MT, ed. Maxillofacial rehabilitation: prosthodontic and surgical considerations, 1st ed., St Louis: Ishiyaku Euro-America; 1996. pp. 225–284.
  6. Key F. Obturator prostheses for hemimaxillectomy patients. J Oral Rehabil 2001;28(9):821–829. DOI: 10.1046/j.1365-2842.2001.00754.x.
  7. Ortegon SM, Martin JW, Lewin JS. A hollow delayed surgical obturator for a bilateral subtotal maxillectomy patient: a clinical report. J Prosthet Dent 2008;99(1):14–18. DOI: 10.1016/S0022-3913(08) 60003-7.
  8. Brown KE. Fabrication of a hollow-bulb obturator. J Prosthet Dent 1969;21(1):97–103. DOI: 10.1016/0022-3913(69)90035-3.
  9. Palmer B, Coffey KW. Fabrication of the hollow bulb obturator. J Prosthet Dent 1985;53:595–596. DOI: 10.1016/0022-3913(85) 90658-4.
  10. Chalian VA, Barnett MO. A new technique for constructing a one-piece hollow obturator after partial maxillectomy. J Prosthet Dent 1972;28(4):448–453. DOI: 10.1016/0022-3913(72)90250-8.
  11. Payne AG, Welton WG. An inflatable obturator for use following maxillectomy. J Prosthet Dent 1965;15:759–763. DOI: 10.1016/0022-3913(65)90049-1.
  12. Cheng AC, Somerville DA, Wee AG. Altered prosthodontic treatment approach for bilateral complete maxillectomy: a clinical report. J Prosthet Dent 2004;92(2):120–124. DOI: 10.1016/j.prosdent.2004.04.020.
  13. Brudvik JS, Taylor TD. Resin bonding for maxillofacial patient. In: Taylor TD, ed. Clinical maxillofacial prosthetics. Chicago: Quintessence; 2000. pp. 53–62.
  14. Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: Classification. J Prosthet Dent 1978;40(5):554–557. DOI: 10.1016/0022-3913(78)90092-6.
  15. Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: design principles. J Prosthet Dent 2001;86(6):562–568. DOI: 10.1067/mpr.2001.121619.
  16. Krishna C, Babu JK, Fathima T, et al. Fabrication of a hollow bulb prosthesis for the rehabilitation of an acquired total maxillectomy defect. BMJ Case Rep 2014;2014:1–4. Doi: 10.1136/bcr-2013-201400.
  17. Tak HR, Waknis AP, Kulkarni SP. Perceptual and instrumental analysis of hypernasality in children with repaired cleft palate. J Cleft Lip Palate Craniofac Anomal 2016;3(2):67–72. DOI: 10.4103/2348-2125.1 87508.
  18. Johnson DL. Retention for a removable partial denture. J Prosthodont. 1992;1(1):11–17. DOI: 10.1111/j.1532-849X.1992.tb00420.x.
  19. Parr GR, Tharp GE, Pahn AO. Prosthetic principle of the framework design of maxillary obturator prostheses. J Prosthet Dent 1989;62(2):205–212. DOI: 10.1016/0022-3913(89)90315-6.
  20. Vallittu PK, Kokkonen M. Deflection fatique of cobalt-chromium, titanium, and gold alloy cast denture clasp. J Prosthet Dent 1995;74(4):412–419. DOI: 10.1016/S0022-3913(05)80384-1.
  21. Williamson RT. Removable partial denture fabrication using extracoronal resilient attachments: A clinical report. J Prosthet Dent 1993;70(4):285–287. DOI: 10.1016/0022-3913(93)90208-6.
  22. Andrews JA. The Andrew's Bridge: A Clinical Guide. Covington, LA: Institute of Cosmetic Dentistry; 1976. pp. 3, 7.
  23. Walid MS. Bone anchored Andrew's Bar system a prosthetic alternative. Cairo Dent J 1995;11(1):11–15.
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