CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2013; 03(02): 091-094
DOI: 10.1055/s-0040-1703661
Case Report

FABRICATION OF SINGLE PIECE HOLLOW BULB INTERIM OBTURATOR WITH PALATAL RAMP FOR TREATMENT OF HEMIMAXILLECTOMY AND HEMIMANDIBULECTOMY - A CASE REPORT

Anupama Prasad D.
1   Lecturer, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018
,
Krishna Prasad D.
2   Professor and H.O.D., A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018
,
Chethan Hegde
3   Professor Department of Prosthodontics and Crown & Bridge, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018
› Author Affiliations

Abstract

A male patient aged 45 years reported with squamous cell carcinoma of palate. Patient was seen presurgically and an immediate surgical obturator provided followed by an interim maxillary obturator by a novel method wherein hollowing the obturator bulb was planned which also had a palatal ramp to correct jaw relation lost due to hemimandibulectomy.The treatment was done in sequential order to correct the deviation of mandible to provide aesthetics to the subject and also for a comfortable social life with improved mastication and appearance.



Publication History

Article published online:
27 April 2020

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  • References

  • 1 Atkinson HF, Shepherd RW. The masticatory movements of patients after major oral surgery. J Prosthet Dent 1969; 21:86-91
  • 2 Cantor R, Curtis TA, Shipp T, Beumer J 3rd, Vogel BS. Maxillary speech prostheses for mandibular surgical defects. J Prosthet Dent 1969; 22:253-60
  • 3 Cantor R, Curtis TA. Prosthetic management of edentulous mandibulectomy patients. I. Anatomic, physiologic and psychologic considerations. J Prosthet Dent 1971; 25(4):446-57
  • 4 Oral K, Aramany MA, McWilliams BJ. Speech intelligibility with buccal flange obturator. J Prosthet Dent 1979; 41:323-8
  • 5 Beumer J 3rd, Curtis TA, Marunick MT. Maxillo Facial Rehabilitation – Prosthodontic and surgical consideration: Ishiyaku Euro America, Inc;1996
  • 6 Chalian VA, Barnett MO.A new technique for constructing a one- piece hollow obturator after partial maxillectomy. J Prosthet Dent 1972; 28:448-53
  • 7 Cantor R, Curtis TA. Prosthetic management of edentulous mandibulectomy patients. II. Clinical procedures. J Prosthet Dent 1971; 25; 546-55
  • 8 Phankosol P, Martin JW. Hollow obturator with removable lid. J Prosthet Dent 1985; 54:98-100
  • 9 Lauciello FR, Casey DM, Crowther DS. Flexible temporary obturators for patients with severely limited jaw opening. J Prosthet Dent. 1983 Apr; 49:523-6