Journal List > J Korean Acad Prosthodont > v.55(1) > 1034962

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J Korean Acad Prosthodont. 2017 Jan;55(1):88-93. Korean.
Published online Jan 25, 2017.  https://doi.org/10.4047/jkap.2017.55.1.88
© 2017 The Korean Academy of Prosthodontics
Prosthetic rehabilitation of a fully edentulous patient after maxillectomy: A case report
Jung-Hoon Yoon,1 Jong-Jin Kim,1 Jin Baik,1 Hyun-Suk Cha,2 and Joo-Hee Lee2
1Divison of Prosthodontics, Department of Dentistry, Asan Medical Center, Seoul, Republic of Korea.
2Divison of Prosthodontics, Department of Dentistry, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Republic of Korea.

Corresponding Author: Joo-Hee Lee. Division of Prosthodontics, Department of Dentistry, College of Medicine, University of Ulsan, Asan Medical Center, 88 Olympicro 43-gil, Songpa-gu, Seoul 05505, Republic of Korea. +82 (0)2 3010 3850: Email: ljhl11911@hanmail.net
Received July 27, 2016; Revised August 31, 2016; Accepted September 02, 2016.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Most patients with acquired maxillary surgical defects have difficulties such as functional impairments of mastication, speech, and deglutition as well as various degrees of facial deformity. The purpose of a prosthetic approach is to restore function and appearance with an obturator as normal as possible. This goal can be achieved when there is thoughful preoperative communication between a prosthodontist and a surgeon regarding a rehabilitation. In this case report, prosthetic rehabilitation was planned before the surgery for the patient diagnosed with squamous cell carcinoma in the right maxillary sinus with careful oral examination. Four months after maxillectomy, a definitive obturator was fabricated following the surgical and interim obturation phase. The objective of this case report is to describe the satisfactory results of the patient with improved rehabilitation of mastication, speech, deglutition, and appearance.

Keywords: Maxillary defect; Obturator; Squamous cell carcinoma; Complete edentulous

Figures


 Fig. 1
Preoperative intraoral photographs. (A) Maxillary occlusal view (B) Mandibular occlusal view (C) Frontal view with old prostheses.
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Fig. 2
Postoperative intraoral photographs 2 weeks after maxillectomy. (A) Maxillary occlusal view (B) Frontal view with surgical obturator.
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Fig. 3
Postoperative intraoral photographs 8 weeks after maxillectomy. (A) Maxillary occlusal view, (B) Modification of surgical obturator, (C) Extraoral photograph with modified surgical obturator.
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Fig. 4
Postoperative intraoral photograph 4 months after maxillectomy.
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Fig. 5
Postoperative panorama (A) and CT image (B) show the loss of the right maxillary sinus floor and nasal turbinates.
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Fig. 6
(A) Border molding of the non-defect side and the lateral, posterior and anterior aspects of the defect, (B) Final impression completed with polyvinylsiloxane.
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Fig. 7
(A) Wax rim marking the distorted lip line, (B) Wax obturator.
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Fig. 8
Definitive obturator (A) Frontal view, (B) Posterior view.
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Fig. 9
Placement of definitive obturator. (A) Intraoral frontal view, (B) Extraoral photograph.
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References
1. Beumer J, Marunick MT, Esposito SJ. In: Maxillofacial rehabilitation: prosthodontic and surgical management of cancer-related, acquired, and congenital defects of the head and neck. 3rd ed. Chicago: Quintessence Pub; 2011. pp. 155-212.
2. Lang BR, Bruce RA. Presurgical maxillectomy prosthesis. J Prosthet Dent 1967;17:613–619.
3. Beumer J, Curtis TA, Firtell D. In: Maxillofacial rehabilitation. St. Louis: Mosby; 1979. pp. 188-243.
4. King GE, Martin JW. Complete dentures for the obturator patient. Dent Clin North Am 1996;40:217–237.
5. Brown KE. Clinical considerations improving obturator treatment. J Prosthet Dent 1970;24:461–466.
6. Devlin H, Barker G. Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy. J Prosthet Dent 1992;67:223–227.
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ORCID iDs

Jung-Hoon Yoon
https://orcid.org/http://orcid.org/0000-0002-6443-0304

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