Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report

Nancy Raj; Rajesh Bansal

doi:doi:10.11648/j.ijcda.20190502.11

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Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report

Nancy Raj, Rajesh Bansal

Published in International Journal of Clinical and Developmental Anatomy (Volume 5, Issue 2)

Received: 24 January 2019 Accepted: 28 March 2019 Published: 24 December 2019

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Abstract

Rehabilitation of hemimaxillectomy defects with prosthetic obturator can be challenging in term of providing adequate retention, support and stability to the prosthesis and expected outcome. Nasal reflux and hypernasal voice are the two major sequel after surgery that can affect patient social involvement and can have great psychological impact. The prosthodontist is limited by the properties of the materials available for facial restorations, the mobility of soft tissue surrounding the defects, the difficulty of establishing retention for large prosthesis, and the patient ability to accept the outcome. The outcome of prosthesis can be improved remarkably due to better coordination between surgeon and prosthodontist and careful designing of prosthesis. Dramatic improvement in the acceptance of prosthesis is seen if the prosthodontist participation can begin early in the course of patient care which ultimately will increase the quality of life (QOL) of the patient.

Published in	International Journal of Clinical and Developmental Anatomy (Volume 5, Issue 2)
DOI	10.11648/j.ijcda.20190502.11
Page(s)	8-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Subtotal Maxillectomy, Obturator, Cast Partial, Phonetics, Quality of Life

References

[1]	Beumer J, Curtis D, Firtell D. Restoration of acquired hard palate defects: etiology, disability and rehabilitation. In: Maxillofacial rehabilitation: prosthodontic and surgical considerations. Beumer J III, Curtis TA, Marunick MT. St. Louis: Medico Dental Media Intl; 1996. P. 225-84.
[2]	Huryn JM, Piro JD. The maxillary immediate surgical obturator prosthesis. J Prosthet Dent. 1989; 61: 343–7.
[3]	Armany MA. Basic principles of obturator design for partially edentulous patients. Part I: Classification. J Prosthet Dent. 1978; 40: 554–7.
[4]	Armany MA. Basic principles of obturator design for partially edentulous patients. Part II: Design principles. J Prosthet Dent. 1978; 40: 656–62.
[5]	Maxillofacial Prosthesis – Chalian.
[6]	Nidiffer TJ, Shipmon TH. The hollow bulb obturator for acquired palatal openings. J Prosthet Dent. 1957; 7: 126.
[7]	Jacob FJ. Clinical management of the edentulous maxillectomy patient. In: Taylor TD (editor). Clinical maxillofacial prosthetics. Chicago: Quintessence; 2000. P. 85-7.
[8]	Myers R and Mitchell D: A photoelastic study of stress induced by framework design in a maxillary resection. J Prosthet Dent 61: 509 -4, 1989.
[9]	Parr G et al Prosthodontics principles in framework design of maxillary obturator prosthesis. J Prosthet Dent 62: 205-212, 1989.
[10]	Desjardins RP. Obturator prosthesis design for acquired maxillary defects. J Prosthet Dent. 1978; 39: 424–35.

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Nancy Raj, Rajesh Bansal. (2019). Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report. International Journal of Clinical and Developmental Anatomy, 5(2), 8-10. https://doi.org/10.11648/j.ijcda.20190502.11

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ACS Style

Nancy Raj; Rajesh Bansal. Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report. Int. J. Clin. Dev. Anat. 2019, 5(2), 8-10. doi: 10.11648/j.ijcda.20190502.11

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AMA Style

Nancy Raj, Rajesh Bansal. Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report. Int J Clin Dev Anat. 2019;5(2):8-10. doi: 10.11648/j.ijcda.20190502.11

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@article{10.11648/j.ijcda.20190502.11,
  author = {Nancy Raj and Rajesh Bansal},
  title = {Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report},
  journal = {International Journal of Clinical and Developmental Anatomy},
  volume = {5},
  number = {2},
  pages = {8-10},
  doi = {10.11648/j.ijcda.20190502.11},
  url = {https://doi.org/10.11648/j.ijcda.20190502.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcda.20190502.11},
  abstract = {Rehabilitation of hemimaxillectomy defects with prosthetic obturator can be challenging in term of providing adequate retention, support and stability to the prosthesis and expected outcome. Nasal reflux and hypernasal voice are the two major sequel after surgery that can affect patient social involvement and can have great psychological impact. The prosthodontist is limited by the properties of the materials available for facial restorations, the mobility of soft tissue surrounding the defects, the difficulty of establishing retention for large prosthesis, and the patient ability to accept the outcome. The outcome of prosthesis can be improved remarkably due to better coordination between surgeon and prosthodontist and careful designing of prosthesis. Dramatic improvement in the acceptance of prosthesis is seen if the prosthodontist participation can begin early in the course of patient care which ultimately will increase the quality of life (QOL) of the patient.},
 year = {2019}
}

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TY  - JOUR
T1  - Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report
AU  - Nancy Raj
AU  - Rajesh Bansal
Y1  - 2019/12/24
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcda.20190502.11
DO  - 10.11648/j.ijcda.20190502.11
T2  - International Journal of Clinical and Developmental Anatomy
JF  - International Journal of Clinical and Developmental Anatomy
JO  - International Journal of Clinical and Developmental Anatomy
SP  - 8
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PB  - Science Publishing Group
SN  - 2469-8008
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AB  - Rehabilitation of hemimaxillectomy defects with prosthetic obturator can be challenging in term of providing adequate retention, support and stability to the prosthesis and expected outcome. Nasal reflux and hypernasal voice are the two major sequel after surgery that can affect patient social involvement and can have great psychological impact. The prosthodontist is limited by the properties of the materials available for facial restorations, the mobility of soft tissue surrounding the defects, the difficulty of establishing retention for large prosthesis, and the patient ability to accept the outcome. The outcome of prosthesis can be improved remarkably due to better coordination between surgeon and prosthodontist and careful designing of prosthesis. Dramatic improvement in the acceptance of prosthesis is seen if the prosthodontist participation can begin early in the course of patient care which ultimately will increase the quality of life (QOL) of the patient.
VL  - 5
IS  - 2
ER  -

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Author Information

Nancy Raj

Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
Rajesh Bansal

Commonwealth Fellow, Faculty of Dental Sciences, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India

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Plain Text BibTeX RIS

APA Style

Nancy Raj, Rajesh Bansal. (2019). Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report. International Journal of Clinical and Developmental Anatomy, 5(2), 8-10. https://doi.org/10.11648/j.ijcda.20190502.11

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ACS Style

Nancy Raj; Rajesh Bansal. Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report. Int. J. Clin. Dev. Anat. 2019, 5(2), 8-10. doi: 10.11648/j.ijcda.20190502.11

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AMA Style

Nancy Raj, Rajesh Bansal. Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report. Int J Clin Dev Anat. 2019;5(2):8-10. doi: 10.11648/j.ijcda.20190502.11

Copy | Download

@article{10.11648/j.ijcda.20190502.11,
  author = {Nancy Raj and Rajesh Bansal},
  title = {Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report},
  journal = {International Journal of Clinical and Developmental Anatomy},
  volume = {5},
  number = {2},
  pages = {8-10},
  doi = {10.11648/j.ijcda.20190502.11},
  url = {https://doi.org/10.11648/j.ijcda.20190502.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcda.20190502.11},
  abstract = {Rehabilitation of hemimaxillectomy defects with prosthetic obturator can be challenging in term of providing adequate retention, support and stability to the prosthesis and expected outcome. Nasal reflux and hypernasal voice are the two major sequel after surgery that can affect patient social involvement and can have great psychological impact. The prosthodontist is limited by the properties of the materials available for facial restorations, the mobility of soft tissue surrounding the defects, the difficulty of establishing retention for large prosthesis, and the patient ability to accept the outcome. The outcome of prosthesis can be improved remarkably due to better coordination between surgeon and prosthodontist and careful designing of prosthesis. Dramatic improvement in the acceptance of prosthesis is seen if the prosthodontist participation can begin early in the course of patient care which ultimately will increase the quality of life (QOL) of the patient.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Rehabilitation of Phonetic, Esthetics and Function in Subtotal Maxillectomy Defect by Cast Partial Obturator: A Case Report
AU  - Nancy Raj
AU  - Rajesh Bansal
Y1  - 2019/12/24
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcda.20190502.11
DO  - 10.11648/j.ijcda.20190502.11
T2  - International Journal of Clinical and Developmental Anatomy
JF  - International Journal of Clinical and Developmental Anatomy
JO  - International Journal of Clinical and Developmental Anatomy
SP  - 8
EP  - 10
PB  - Science Publishing Group
SN  - 2469-8008
UR  - https://doi.org/10.11648/j.ijcda.20190502.11
AB  - Rehabilitation of hemimaxillectomy defects with prosthetic obturator can be challenging in term of providing adequate retention, support and stability to the prosthesis and expected outcome. Nasal reflux and hypernasal voice are the two major sequel after surgery that can affect patient social involvement and can have great psychological impact. The prosthodontist is limited by the properties of the materials available for facial restorations, the mobility of soft tissue surrounding the defects, the difficulty of establishing retention for large prosthesis, and the patient ability to accept the outcome. The outcome of prosthesis can be improved remarkably due to better coordination between surgeon and prosthodontist and careful designing of prosthesis. Dramatic improvement in the acceptance of prosthesis is seen if the prosthodontist participation can begin early in the course of patient care which ultimately will increase the quality of life (QOL) of the patient.
VL  - 5
IS  - 2
ER  -

Copy | Download