Prosthodontic management of partially edentulous Maxillectomy patient: A case report

Abstract

Patient with maxillectomy presents a significant challenge for prosthetic rehabilitation. Difficulty in swallowing, speaking and frequent nasal regurgitation, leads to significant functional, esthetic and social compromises which alters the psychological well-being of the patient. Early rehabilitation with maxillofacial prosthesis plays a significant role, replaces the missing soft and hard tissues. A definitive obturator is fabricated to replace the interim denture. Patient presents only four remaining teeth posteriorly on left side intra-orally with Aramany class IV defect. Keeping patient’s socioeconomic condition in mind, an obturator is fabricated using heat cure polymethylmethacrylate resin. Patient’s satisfaction with absence of any discomfort like nasal regurgitation and hypernasality during functional movements, swallowing, speaking has been given prime importance. The main objective of the article relates to the situation where an obturator can be fabricated using simple conventional technique with water tight seal that enable to restore structure, function and esthetics to a reasonable level.