Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia

Patient. A 68-year-old man was operated on for squamous cell carcinoma (T3N3M0) of the maxilla creating the hemimaxillary surgical defect on right side. The remaining arch was completely edentulous. There was remarkable limitation in the oral opening with reduced perimeter of the oral cavity due to...

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Main Authors: Pravinkumar G. Patil, Smita Nimbalkar-Patil
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/4618510
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author Pravinkumar G. Patil
Smita Nimbalkar-Patil
author_facet Pravinkumar G. Patil
Smita Nimbalkar-Patil
author_sort Pravinkumar G. Patil
collection DOAJ
description Patient. A 68-year-old man was operated on for squamous cell carcinoma (T3N3M0) of the maxilla creating the hemimaxillary surgical defect on right side. The remaining arch was completely edentulous. There was remarkable limitation in the oral opening with reduced perimeter of the oral cavity due to radiation and surgical scar contracture. This article describes prosthetic rehabilitation by modifying the design of the obturator and achieving the retention with dental implant. Discussion. Severe limitation in the oral opening may occur in clinical situations following the postsurgical management of oral and maxillofacial defects. The prosthetic rehabilitation of the surgical defect in such patients becomes a challenging task due to limited access to the oral cavity. This challenge becomes even more difficult if the patient is edentulous and there are no teeth to gain the retention, stability, and support. Conclusion. In severe microstomia prosthesis insertion and removal can be achieved with modification of the maximum width of the prosthesis. Dental implant retention is useful treatment option in edentulous patients with maxillary surgical defect provided that sufficient bone volume and accessibility are there for implant placement.
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spelling doaj-art-a5de45e9e91f494282fbda54d8a5192c2025-02-03T01:24:38ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/46185104618510Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with MicrostomiaPravinkumar G. Patil0Smita Nimbalkar-Patil1Division of Clinical Dentistry, School of Dentistry, International Medical University, Kuala Lumpur, MalaysiaDepartment of Orthodontics, Faculty of Dentistry, MAHSA University, Kuala Lumpur, MalaysiaPatient. A 68-year-old man was operated on for squamous cell carcinoma (T3N3M0) of the maxilla creating the hemimaxillary surgical defect on right side. The remaining arch was completely edentulous. There was remarkable limitation in the oral opening with reduced perimeter of the oral cavity due to radiation and surgical scar contracture. This article describes prosthetic rehabilitation by modifying the design of the obturator and achieving the retention with dental implant. Discussion. Severe limitation in the oral opening may occur in clinical situations following the postsurgical management of oral and maxillofacial defects. The prosthetic rehabilitation of the surgical defect in such patients becomes a challenging task due to limited access to the oral cavity. This challenge becomes even more difficult if the patient is edentulous and there are no teeth to gain the retention, stability, and support. Conclusion. In severe microstomia prosthesis insertion and removal can be achieved with modification of the maximum width of the prosthesis. Dental implant retention is useful treatment option in edentulous patients with maxillary surgical defect provided that sufficient bone volume and accessibility are there for implant placement.http://dx.doi.org/10.1155/2016/4618510
spellingShingle Pravinkumar G. Patil
Smita Nimbalkar-Patil
Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia
Case Reports in Dentistry
title Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia
title_full Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia
title_fullStr Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia
title_full_unstemmed Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia
title_short Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia
title_sort implant retained obturator for an edentulous patient with a hemimaxillectomy defect complicated with microstomia
url http://dx.doi.org/10.1155/2016/4618510
work_keys_str_mv AT pravinkumargpatil implantretainedobturatorforanedentulouspatientwithahemimaxillectomydefectcomplicatedwithmicrostomia
AT smitanimbalkarpatil implantretainedobturatorforanedentulouspatientwithahemimaxillectomydefectcomplicatedwithmicrostomia