International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 4 , ISSUE 4 ( October-December, 2014 ) > List of Articles

CASE REPORT

A Comprehensive Prosthodontic Management of Subtotal Maxillectomy

Manoj Kumar Sundar, Shruti Lakhanpal

Citation Information : Sundar MK, Lakhanpal S. A Comprehensive Prosthodontic Management of Subtotal Maxillectomy. Int J Prosthodont Restor Dent 2014; 4 (4):120-126.

DOI: 10.5005/jp-journals-10019-1118

Published Online: 00-12-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Patient

A 21-year-old female patient was diagnosed with intraosseous mucoepidermoid carcinoma on the left side of maxilla, which was planned for subtotal maxillectomy involving the left maxillary sinus.

Discussion

Prosthodontic rehabilitation of patients with maxillectomy is a challenge as it involves restoring speech, deglutition, mastication and respiration. This clinical report describes a comprehensive prosthodontic management of a young girl treated for a subtotal maxillectomy due to intraosseous mucoepidermoid carcinoma. The prosthodontic manage- ment that was carried out right from the surgical obturator to a definitive prosthesis with a two-piece closed hollow bulb, magnet-retained obturator shows the ease and simplicity in the management of a case with subtotal maxillectomy.

Conclusion

Subtotal maxillectomy defects represent a complex challenge for the maxillofacial prosthodontist. The comprehensive technique described in this clinical report can be employed in any similar case.

How to cite this article

Sundar MK, Kumar GPS, Lakhanpal S. A Comprehensive Prosthodontic Management of Subtotal Maxillectomy. Int J Prosthodont Restor Dent 2014;4(4):120-126.


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  1. A hollow delayed surgical obturator for a bilateral subtotal maxillectomy patient: a clinical report. J Prosthet Dent 2008;99(1):14-18.
  2. Trismus appliances and indications for their use. Quintessence Int 1993;24:275-227.
  3. Assessing effective obturation. J Prosthet Dent 1985;54(1):88-93.
  4. Fabrication of a hollow-bulb obturator. J Prosthet Dent 1969 Jan;21(1):97-103.
  5. Fabrication of the hollow bulb obturator. J Prosthet Dent 1985;53(4):595-596.
  6. An inflatable obturator for use following maxillectomy. J Prosthet Dent 1965 Jul-Aug;15: 759-763.
  7. Altered prosthodontic treatment approach for bilateral complete maxillectomy: a clinical report. J Prosthet Dent 2004;92(2):120-124.
  8. Central mucoepidermoid tumors of the jaw: report of nine cases and review of the literature. Oral Surg Oral Med Oral Pathol 1975;40(5):631-643.
  9. Intraosseous mucoepidermoid carcinoma of the maxilla in a teenager: a case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 Dec;100(6):E93-96.
  10. Clinical management of the edentulous maxil- lectomy patient. In: Taylor TD, editor. Clinical maxillofacial prosthetics. Chicago: Quintessence; 2000. p. 85-87.
  11. Rehabilitation of a partial maxillary defect with magnet retained two-piece hollow bulb obturator. Eur J Prosthodont 2014;2:62-66.
  12. Efficacy of mouth opening exercises in treating trismus after maxillectomy. Chin Med J (Engl) 2013 Jul;126(14):2666-2669.
  13. A removable partial denture using an esthetically designed round-rest distal clasp on maxillary anterior abutment teeth: a clinical report. J Prosthet Dent 2009 Nov;102(5):286-289.
  14. Hollow maxillary complete denture. J Ind Prosthodont Soc 2011 Dec;11(4):246-249.
  15. Dental implant-assisted prosthetic rehabilitation of a patient with a bilateral maxillectomy defect secondary to mucormycosis. J Prosthet Dent 2006;96(2): 88-95.
  16. Magnet- retained facial prosthesis combined with maxillary obtu- rator. Case Reports in Dentistry 2013; Article ID 406410:5. DOI:10.1155/2013/406410.
  17. Magnetically retained extraoral prosthesis and maxillary interim obturator. Eur J Prosthodont 2014;2:37-40.
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