Optimizing outcomes in oral carcinoma with prosthesis intervention

Abstract

Optimal management of oral carcinoma requires a multidisciplinary approach, particularly in cases involving maxillary gingival carcinoma, where surgical and prosthetic interventions are crucial for restoring function and improving patient quality of life. This case report details the comprehensive treatment of a patient diagnosed with maxillary gingival carcinoma, presenting with pain and discharge. Histopathological examination confirmed carcinoma, necessitating surgical excision. A vascular flap was employed for closure to promote healing and preserve anatomical structures.Post-surgical rehabilitation began with the use of an interim flexible obturator, designed to provide immediate support for speech, swallowing, and soft tissue protection during the initial healing phase. This prosthetic intervention optimized early functional outcomes and patient comfort. As healing progressed, the patient transitioned to a definitive cast partial denture obturator, featuring a cobalt-chromium alloy framework for enhanced durability and stability. The prosthesis was designed with a complete palate major connector, mesh-type denture base, and carefully positioned rest seats and retainers to ensure optimal function, aesthetics, and long-term structural support.Regular follow-ups demonstrated significant improvements in oral functions, psychological well-being, and overall quality of life. This report underscores the vital role of prosthetic interventions in optimizing outcomes for oral carcinoma patients, highlighting the importance of individualized rehabilitation strategies that integrate surgical and prosthetic care for long-term success.