Journal List > J Korean Acad Prosthodont > v.56(4) > 1106324

Kim, Lee, Ko, Park, Cho, and Huh: Prosthetic rehabilitation of a patient with tongue cancer using palatal augmentation prosthesis and mandibular implant-retained overdenture: A case report

Abstract

The tongue, especially its lateral part, is the most common site of oral tumors. Patients who undergo glossectomy for the treatment of tongue cancer may experience difficulty in proper functioning for pronunciation, chewing, swallowing, and oral hygiene maintenance; therefore, a palatal augmentation prosthesis can be used to restore function of the tongue. In this case, an implant overdenture was used in a patient who had residual ridge resorption and obliteration of alveololingual sulcus after undergoing glossectomy for tongue cancer treatment. In addition, a palatal augmentation prosthesis with a metal framework, support, and retention part was fabricated. The palatal vault was reduced, so that even with limited tongue movement, adequate tongue-palate contact could be achieved. After placement of the definitive prostheses, the patient showed improvement in the functions of chewing, swallowing, and pronunciation.

Figures and Tables

Fig. 1

Panoramic radiograph before treatment.

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Fig. 2

Intraoral photograph before treatment. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Scar tissue on tongue, (F) Lower.

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Fig. 3

Mandibular occlusal view after implant surgery.

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Fig. 4

Panoramic radiograph after implant surgery.

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Fig. 5

Definitive prosthesis, (A) Frontal view, (B), (C) Processing locator attachment into overdenture.

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Fig. 6

Palatal augmentation prosthesis, (A) Framework, (B) Record movement of tongue with Coe-soft, (C) definitive palatal augmentation prosthesis.

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Fig. 7

Palatal Space, (A) – (D) With prosthesis, (E) – (H) Without prosthesis.

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Table 1

Classification of consonants

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*Improved articulation

References

1. Davis JW, Lazarus C, Logemann J, Hurst PS. Effect of a maxillary glossectomy prosthesis on articulation and swallowing. J Prosthet Dent. 1987; 57:715–719.
crossref
2. Chi AC. Neville BW, Damm DD, Allen CM, Bouquot JE, editors. Epithelial pathology in oral and maxillofacial pathology. 3rd ed. Noida: Elsevier;2009. p. 433–439.
3. Yoon J, Lee S, Lee J, Oh N. Prosthetic rehabilitation for a glossectomy patient - a clinical report. J Korean Acad Prosthodont. 2013; 51:347–352.
crossref
4. Marunick M, Tselios N. The efficacy of palatal augmentation prostheses for speech and swallowing in patients undergoing glossectomy: a review of the literature. J Prosthet Dent. 2004; 91:67–74.
crossref
5. Sabouri AA, Safari A, Gharechahi J, Esmailzadeh S. Prosthodontic rehabilitation for total glossectomy with a magnetic detachable mandibular tongue prosthesis: a clinical report. J Prosthodont. 2012; 21:404–407.
crossref
6. Kwon KR, Kwon HB, Kim MJ, Kim HJ, Moon HS, Park SW, Park CJ, Song KY, Lee JS, Lee SH, Lee CH, Lim YJ, Jung MG, Jung JH, Jung CM, Jo IH, Jo HW, Han JH. Prosthodontic treatment for edentulous patient. 2nd ed. Seoul: Dental wisdom;2014. p. 120–121.
7. Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Heydecke G, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais JA, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology. 2002; 19:3–4.
crossref
8. Thomason JM, Lund JP, Chehade A, Feine JS. Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery. Int J Prosthodont. 2003; 16:467–473.
crossref
9. Fröschl T, Kerscher A. The optimal vestibuloplasty in preprosthetic surgery of the mandible. J Craniomaxillofac Surg. 1997; 25:85–90.
crossref
10. Kim JW, Choi EC, Cha IH, Kim YH, Kim YM, Shin JW, Kim SH, Kim TY. Postoperative assessment of speech and swallowing functions in oral tongue cancer. Korean J Otolaryngol-Head Neck Surg. 2004; 47:340–348.
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ORCID iDs

Kyung-Ho Ko
https://orcid.org/0000-0002-1260-8844

Chan-Jin Park
https://orcid.org/0000-0003-4734-214X

Lee-Ra Cho
https://orcid.org/0000-0003-3989-2870

Yoon-Hyuk Huh
https://orcid.org/0000-0003-4072-5199

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