Etik E., Öztürk Muhtar M., Demir G., Çeki Ç. A., Keskin Yalçın B.
FDI World Dental Congress 2024, İstanbul, Türkiye, 12 - 15 Eylül 2024, cilt.74, ss.250-251, (Özet Bildiri)
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Yayın Türü:
Bildiri / Özet Bildiri
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Cilt numarası:
74
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Doi Numarası:
10.1016/j.identj.2024.07.144
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Basıldığı Şehir:
İstanbul
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Basıldığı Ülke:
Türkiye
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Sayfa Sayıları:
ss.250-251
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İstanbul Üniversitesi Adresli:
Evet
Özet
INTRODUCTION
Partial maxillectomy's frequently necessary in cases of maxillary tumors to prevent recurrence. Following surgery, most patients've problems in chewing, swallowing, speech articulation, and suffer from respiratory tract infections or upper airway inflammation due to the created connection between the nasal cavity, oral cavity, and the maxillary sinus. The placement with success of an obturator following maxillectomy depends on its retention by either the surrounding dental tissue or dental implants. Dental implants offer a reliable solution, providing the necessary retention and stability for the obturator.
CASE DESCRIPTION
A male patient without any systemic diseases was referred to Istanbul University with the complaining of stabilization problems with his existing obturator. He had undergone hemimaxillectomy due to oral Squamous Cell Carcinoma(SCC).Clinical examination revealed no left hard or soft maxillary palate.3 short implant placement in the patient's right alveolar bone was planned to provide adequate support for a new obturator. For prosthodontic treatment, fixed bridge was placed over the two anterior implants, due to space constraints locater was placed over the posterior implant for the rehabilitation of oronasal fistula.
DISCUSSION
Rehabilitation of maxillectomy patients's challenging for both the patient and clinician.Microvascular free flap(soft tissue or bone flaps) and prosthetic restoration're the available treatment options, each having advantages and disadvantages. Patients frequently encounter challenges with the retention and stability of their prostheses. Use of osseointegrated implants to increase the retention and stability of the obturator plays a significant role in maxillofacial rehabilitation and eliminates the need for invasive surgical procedures.
CONCLUSION/CLINICAL SIGNIFICANCE
Using implant-supported fixed prosthesis to retain an obturator prosthesis presents beneficial treatment alternative, effectively addressing the retention issues commonly associated with traditional obturator prostheses.