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2014, Annals of Medical and Health Sciences Research
The Journal of Advanced Prosthodontics
Assessment of swallowing and masticatory performance in obturator wearers: a clinical study2015 •
Journal of Plastic Reconstructive and Aesthetic Surgery
Patient satisfaction with maxillofacial prosthesis. Literature review2009 •
Maxillary and mandibular defects due to congenital abnormalities like clefts, acquired-following surgical intervention of neoplasms (either benign or malignant), or due to traumatic injuries. All such defects require prosthetic rehabilitation, either permanent or interim, to reestablish patient's self-esteem to the society maintaining esthetic profile and minimize the difficulties in chewing, swallowing, breathing, and speaking as well.
Maxillofacial disfigurement can be congenital, developmental, traumatic or because of ablative surgery. Such defects compromise appearance, function and render an individual, incapable of leading a relatively normal life and affect his\\her psyche. As the patients quality of life is altered; social integration becomes difficult and the expectation to return to ?normalcy? collapses. The prognosis for a successful treatment outcome is dependent upon making a correct diagnosis and anticipating issues beyond the realm of dentistry alone. Microvascular surgical reconstruction by free flaps is usually the treatment of choice. However, radiation therapy, anatomic complexity, possibility of recurrence, and procedural complexity may exclude it as an option. Prosthetic rehabilitation over the years has proven its mettle when it comes to such situations. It has considerable advantages; for example, observation for recurrence of disease, esthetic superiority, technical simplicity, and inexpensive care. Over decades several prostheses have been developed for this purpose, through this review our aim is to explain the salient features and the purpose of these prostheses.
Journal of Dental Implants
Two implants retained versus soft liner retained maxillary obturators in maxillary edentulous patients with unilateral maxillary defect (Comparison of retention2013 •
Aim: To evaluate the influence of placement two implants on the retention of maxillary obturator. One implant was placed on the resected and one in the non-resected side of the patient. Materials and Methods: Twenty maxillary edentulous patients of both sexes, aged 45-70 years, with unilateral maxillary defects were selected for the study. The patients had completely dentulous mandibular arch. Two implants were placed for each patient: One in the first premolar region of the healthy side and one in the area of second molar of the defect side. For all patients, retention was measured before superstructure placement for the two maxillary osseointegrated implants using soft liner alone, after placement of ball attachments without soft liner, and after placement of superstructure with soft liner. All measures of retention were performed after 3 months of obturator insertion using forcimeter gauge. Results: The results of this study showed that there was a significant difference when using two implants with soft liner in comparison with soft liner or implants alone, with P < 0.05 using one-way analysis of variance (ANOVA) test. Conclusion: The use of only two strategically placed implants in the remaining bone of the resected and non-resected side of unilateral maxillary defect can significantly affect obturator retention.
Purpose: To assess the ability of prosthetic rehabilitation versus surgical rehabilitation in improving the QOL for patients with maxillary defects. Material and methods: A systematic search of PubMed,Scopus data base, Cochrane database,Ovid database and Latin America & Caribbean database for articles published before September 2017 was performed by two independent reviewers. A manual search of articles published from January 2000 to September 2017 was also conducted .Only English studies were included which evaluate the QoL in patients with head and neck cancers .Any confusion between the two independent reviewers was resolved by means of a moderated discussion between the reviewers. Results: Five studies fulfilled the inclusion criteria for this study. Many parameters were used regarding evaluation of QOL as the EORTC Head and Neck 35 assessment , UW-QOL , OHIP?14 , VAS, OFS, MHI ,HAD,Body Satisfaction Scale,Oral symptom check list, Swallowing, Diet consist, Pain control,Postoertive complication and Speech . Two studies supported the surgical line of treatment for improving the QOL as compared to the prosthetic one ,another two studies showed a statistically insignificant improvement in the patients? QOL with the surgical line , while only one revealed insignificant difference in QoL with both lines of treatment. Conclusions: Surgical rehabilitation provide a better line of treatment in improving the QOL for patients with maxillary defects , On the other hand prosthetic has proved effectiveness in the immediate post-surgical times as temporary strategy, and it has represented a good alternative when the surgical obturation is compromised .
Plastic and Aesthetic Research
Aesthetic rehabilitation of a patient with an anterior maxillectomy defect, using an innovative single-step, single unit, plastic-based hollow obturatorWhat could be better than improving the comfort and quality of life of a patient with a life-threatening disease? Maxillectomy, the partial or total removal of the maxilla in patients suffering from benign or malignant neoplasms, creates a challenging defect for the maxillofacial prosthodontist when attempting to provide an effective obturator. Although previous methods have been described for rehabilitation of such patients, our goal should be to devise one stage techniques that will allow the patient an improved quality of life as soon as possible. The present report describes the aesthetic rehabilitation of a maxillectomy patient by use of a hollow obturator. The obturator is fabricated through a processing technique which is a variation of other well-known techniques, consisting of the use of a single-step flasking procedure to fabricate a single-unit hollow obturator using the lost salt technique. As our aim is to aesthetically and functionally rehabilitate the patient as soon as possible, the present method of restoring the maxillectomy defect is cost-effective, time-saving and beneficial for the patient.
The Journal of Advanced Prosthodontics
Assessment of the quality of life in maxillectomy patients: A longitudinal study2013 •
Prosthodontic rehabilitation of patient who have underwent maxillectomy surgery is a challenging task. Achieving optimum stability, retention and support are the major problems. An obturator with cast partial design is used to rehabilitate maxillectomy defect. The primary goals of the obturator prosthesis are to preserve the remaining teeth and tissues and to provide comfort, function, and aesthetics to the patients. This case report describes several steps of fabrication of a definitive obturator.
The Journal of Prosthetic Dentistry
Zygoma implant-supported prosthetic rehabilitation after partial maxillectomy using surgical navigation: A clinical report2007 •
Case Reports in Dentistry
A Direct Investment Method of Closed Two-Piece Hollow Bulb Obturator2013 •
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
Comparison of speech and aesthetic outcomes in patients with maxillary reconstruction versus maxillary obturators after maxillectomy2011 •
IOSR Journals
Fabrication of Cast metal Closed Hollow Bulb Obturator for Partial-maxillectomy Patient: A Case Report2019 •
2009 •
2002 •
Journal of Applied Oral Science
Speech evaluation with and without palatal obturator in patients submitted to maxillectomyJournal of Prosthetic Dentistry
Prosthodontic guidelines for surgical reconstruction of the maxilla: A classification system of defects2001 •
Journal of Prosthodontics
Implant-Supported Obturator Overdenture for Extensive Maxillary Resection Patient: A Clinical Report2010 •
Current opinion in otolaryngology & head and neck surgery
Palatal reconstruction2012 •
Head & Neck
Reconstruction of the hard palate using the radial forearm free flap: Indications and outcomes2004 •
Journal of Prosthodontics
A Two-Piece Sectional Interim Obturator. A Clinical Report2012 •
Journal of the College of Physicians and Surgeons--Pakistan: JCPSP
Maxillofacial rehabilitation of a large cleft palate using fixed-removable prosthesisJournal of Oral and Maxillofacial Surgery
Implant-supported edentulous maxillary obturators with milled bar attachments after maxillectomy2004 •
Madridge Journal of Dentistry and Oral Surgery
Immediate Obturator with Airway for Maxillary Resection Surgery: A Case Report2018 •
International Medical Journal (1994)
Management of a Maxillectomy Patient by Definitive ObturatorThe Journal of Indian Prosthodontic Society
Rehabilitation of an acquired maxillary defect2005 •
ISRN Dentistry
A Noval Approach of Altered Cast Technique in Bilateral Partial Maxillectomy Patient with Severely Restricted Mouth Opening2011 •
IOSR Journals
Rehabilitation of Patients with Acquired Maxillary Defects to Enhance the Oral Health Related Quality of Life: Case Series2019 •
The Laryngoscope
An Algorithm for Maxillectomy Defect Reconstruction1998 •
Journal of Prosthodontics
Relevant Anatomic and Biomechanical Studies for Implant Possibilities on the Atrophic Maxilla: Critical Appraisal and Literature Review: Anatomic and Biomechanical Studies on Atrophic Maxilla2010 •
Maxillofacial plastic and reconstructive surgery
Maxillary resection for cancer, zygomatic implants insertion, and palatal repair as single-stage procedure: report of three cases2017 •
Head & Neck
Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects2009 •
The American Journal of Surgery
Restoration of oral function after maxillectomy with osseous integrated implant retained maxillary obturators1994 •