Prosthodontic management of subtotal maxillectomy with minimally invasive interim obturator: a case report


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Published: Dec 31, 2023
DOI: https://doi.org/10.37983/IJDM.2023.5403
Keywords:
Interim obturator, Intra oral defects, Maxillectomy, Squamous cell carcinoma
Section
Case Reports
Statistic

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Duggineni Sreenivasulu
G Pulla Reddy Dental College
N Simhachalam Reddy
G Pulla Reddy Dental College
Sai Tejaswi Devarapalli
G Pulla Reddy Dental College

Abstract

The interim obturator serves as a pathway between the immediate or surgical obturator and the final prosthesis, offering functional and aesthetic benefits until the delivery of the definitive prosthesis. Furthermore, it acts as a guide during the fabrication of the definitive prosthesis, influencing aspects such as prosthesis extension, teeth arrangement, and the positioning of retentive aids. These aids may encompass orthodontic wiring, surgical suturing, and other non-invasive techniques. This case report details a conservative and less invasive method for retaining an interim obturator in maxillectomy patients, providing an alternative approach in prosthodontic care.

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How to Cite
Sreenivasulu, D., Reddy, N. S., & Devarapalli, S. T. (2023). Prosthodontic management of subtotal maxillectomy with minimally invasive interim obturator: a case report. International Journal of Dental Materials, 5(4), 108–110. https://doi.org/10.37983/IJDM.2023.5403
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biographies

Duggineni Sreenivasulu, G Pulla Reddy Dental College

Professor, Department of Prosthodontics, G. Pulla Reddy Dental college and hospital, Kurnool, Andhra Pradesh, India.

N Simhachalam Reddy, G Pulla Reddy Dental College

Professor, Department of Prosthodontics, G. Pulla Reddy Dental college and hospital, Kurnool, Andhra Pradesh, India.

Sai Tejaswi Devarapalli, G Pulla Reddy Dental College

Postgraduate Student, Department of Prosthodontics, G. Pulla Reddy Dental college and hospital, Kurnool, Andhra Pradesh

References

  1. Sankaranarayanan R, Ramadas K, Thomas G, Muwonge R, Thara S, Mathew B, Rajan B. Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial. Lancet. 2005;365(9475):1927-33. https://doi.org/10.1016/S0140-6736(05)66658-5
  2. Moratin J, Fuchs A, Zeidler C, Müller-Richter UD, Brands RC, Hartmann S, Kübler AC, Linz C. Squamous cell carcinoma of the maxilla: analysis of clinicopathological predictors for disease recurrence and metastatic behavior. J Craniomaxillofac Surg. 2018;46(4):611-6. https://doi.org/10.1016/j.jcms.2018.01.002
  3. Shah JP. Head and neck surgery: diagnostic approaches, therapeutic decisions, surgical techniques and results of treatment. 1996, Mosby-Wolfe, England and Wales, 2nd Edition.
  4. Prakash P, Bhandari S K. Maxillectomy-surgical resection and prosthodontic rehabilitation. IP Annals of Prosthodontics and Restorative Dentistry. 2021;7(2):72-78. https://doi.org/10.18231/j.aprd.2021.015
  5. Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: classification. J Prosthetic Dent. 1978;40(5):554-7. https://doi.org/10.1016/0022-3913(78)90092-6
  6. Jiao T, Zhu C, Dong X, Gu X. Rehabilitation of maxillectomy defects with obturator prostheses fabricated using computer-aided design and rapid prototyping: A pilot study. Int J Prosthodont. 2014;27:480–6. https://doi.org/10.11607/ijp.3733
  7. Popli S, Parkash H, Bhargava A, Gupta S, Bablani D, Kar AK. A two-piece sectional interim obturator. A clinical report. J Prosthodont. 2012;21:48-90. https://doi.org/10.1111/j.1532-849X.2012.00849.x
  8. AlKhatib MB, McKinstry RE. Construction of an interim obturator using a microwave-polymerized denture base resin. Int J Prosthodont. 1991;4:524–8.
  9. DaBreo EL. A light-cured interim obturator prosthesis. A clinical report. J Prosthet Dent. 1990;63:371–3. https://doi.org/10.1016/0022-3913(90)90222-X
  10. Sharon-Buller A, Sela M. Provisional silicone obturator for closure of hard and soft palatal defects. Refuat Hapeh Vehashinayim. 2005;22:56–9. 91.