Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports

Maxillectomy for malignant tumor often results in a maxillary defect and serious oral dysfunction. A prosthesis is usually provided for postoperative oral rehabilitation of such patients with maxillary defects. However, the further the resected region extends, the less stable the prosthesis becomes,...

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Main Authors: Hisashi Ozaki, Hiromasa Sakurai, Yukie Yoshida, Hideyuki Yamanouchi, Mitsuyoshi Iino
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2018/1694063
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author Hisashi Ozaki
Hiromasa Sakurai
Yukie Yoshida
Hideyuki Yamanouchi
Mitsuyoshi Iino
author_facet Hisashi Ozaki
Hiromasa Sakurai
Yukie Yoshida
Hideyuki Yamanouchi
Mitsuyoshi Iino
author_sort Hisashi Ozaki
collection DOAJ
description Maxillectomy for malignant tumor often results in a maxillary defect and serious oral dysfunction. A prosthesis is usually provided for postoperative oral rehabilitation of such patients with maxillary defects. However, the further the resected region extends, the less stable the prosthesis becomes, due to insufficient bone and tooth support. Therefore, in many cases, conventional resection dentures may not be adequate to restore the oral function. Effective utilization of dental and zygomatic implants may help to restore oral function in patients with severe maxillary defects. This clinical report describes the management of three patients with severe maxillary defects following cancer ablative surgery who were rehabilitated using maxillary prostheses with magnetic attachments supported by dental and zygomatic implants. Occlusal reconstruction was performed with removable prostheses supported with two or four implants and magnetic attachment. The oral function was evaluated before and after prosthodontic treatment with implants using the Oral Health Impact Profile (OHIP-14) and functional chewing score. Results indicated improvement in all cases. These findings show that quality of life (QOL) and oral function were improved.
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institution Kabale University
issn 2090-6447
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publishDate 2018-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-13576266d4664e3da38c425ad1902ee92025-02-03T01:01:43ZengWileyCase Reports in Dentistry2090-64472090-64552018-01-01201810.1155/2018/16940631694063Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case ReportsHisashi Ozaki0Hiromasa Sakurai1Yukie Yoshida2Hideyuki Yamanouchi3Mitsuyoshi Iino4Department of Dentistry, Oral and Maxillofacial Surgery, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Dentistry, Oral and Maxillofacial Surgery, Nihonkai General Hospital, Yamagata Prefectural and Sakata Municipal Hospital Organization, Sakata, JapanDepartment of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, JapanDepartment of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, JapanDepartment of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, JapanMaxillectomy for malignant tumor often results in a maxillary defect and serious oral dysfunction. A prosthesis is usually provided for postoperative oral rehabilitation of such patients with maxillary defects. However, the further the resected region extends, the less stable the prosthesis becomes, due to insufficient bone and tooth support. Therefore, in many cases, conventional resection dentures may not be adequate to restore the oral function. Effective utilization of dental and zygomatic implants may help to restore oral function in patients with severe maxillary defects. This clinical report describes the management of three patients with severe maxillary defects following cancer ablative surgery who were rehabilitated using maxillary prostheses with magnetic attachments supported by dental and zygomatic implants. Occlusal reconstruction was performed with removable prostheses supported with two or four implants and magnetic attachment. The oral function was evaluated before and after prosthodontic treatment with implants using the Oral Health Impact Profile (OHIP-14) and functional chewing score. Results indicated improvement in all cases. These findings show that quality of life (QOL) and oral function were improved.http://dx.doi.org/10.1155/2018/1694063
spellingShingle Hisashi Ozaki
Hiromasa Sakurai
Yukie Yoshida
Hideyuki Yamanouchi
Mitsuyoshi Iino
Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports
Case Reports in Dentistry
title Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports
title_full Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports
title_fullStr Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports
title_full_unstemmed Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports
title_short Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports
title_sort oral rehabilitation of oral cancer patients using zygomatic implant supported maxillary prostheses with magnetic attachment three case reports
url http://dx.doi.org/10.1155/2018/1694063
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AT yukieyoshida oralrehabilitationoforalcancerpatientsusingzygomaticimplantsupportedmaxillaryprostheseswithmagneticattachmentthreecasereports
AT hideyukiyamanouchi oralrehabilitationoforalcancerpatientsusingzygomaticimplantsupportedmaxillaryprostheseswithmagneticattachmentthreecasereports
AT mitsuyoshiiino oralrehabilitationoforalcancerpatientsusingzygomaticimplantsupportedmaxillaryprostheseswithmagneticattachmentthreecasereports