PROSTHETIC TREATMENT OF A PATIENT WITH A MAXILLARY RESECTION AND ENUCLEATION

Abstract

Introduction: Surgical treatment of tumours in the oral cavity is often associated with damage on the face soft tissues, which makes prosthetic treatment difficult. Aim: The purpose of the clinical case is to investigate the possibility of prosthetic treatment in patients with combined maxillofacial defects. The main goal was to assess the effect of prosthodontics in this case for restoring masticatory and speech function. Materials and methods: The prosthetic treatment of a 68-year-old man with maxilla resection and enucleation is described. The impressions of the two jaws were taken with an irreversible hydrocolloid impression material. The height of the occlusion and the centric relation of the mandible were fixed with wax rims. A buccal flange obturator was made which was held by wire clasps to the retained natural teeth. To ensure optimal sealing, the edges of the obturator part were functionally formed with a wax material which, after moulding, was substituted with acrylic resin. Results: The applied prosthetic treatment allowed good retention and stability of the denture and natural restoration of nutrition, speech and breathing of the patient, as well. Conclusion: The application of special approaches of prosthodontics in patients with combined maxillofacial defects enables normalization of impaired functions.

Keywords

• enucleation
• maxillary resection
• maxillary defect
• obturator
• post-resection denture