Prosthodontic rehabilitation after partial maxillar resection by obturator denture retained with the system of attachments: Case report

Abstract

Introduction. Maxillar resection surgery results in unusual morphology of the remaining maxillary arch and communication between the oral and nasal cavities. Consequences are speech, mastication and swallowing difficulties, impaired face appearance and significant decrease of life quality. For the reconstruction of emerging defects after total or partial maxillar resection, the most suitable solution is prosthetic therapy with obturator dentures. Case Report. This study describes the rehabilitation of a 60-year-old male patient after partial maxillar resection with obturator dentures having radicular attachment. The patient's diagnosis was Planocellular oral carcinoma. Conclusion. Radicular attachment improves retention in comparison with conventional obturator. Successful rehabilitation of the speech and mastication was achieved. The passage of air and fluids between the oral and nasal cavity was disabled and facial asymmetry was corrected. The patient expressed satisfaction with the therapy.

Keywords

• obturator
• denture
• attachment
• maxillectomy
• resection