Fabrication of a hollow obturator as a single unit for management of bilateral subtotal maxillectomy |
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Authors: | Patil Pravinkumar G Patil Smita P |
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Institution: | Department of Prosthodontics, Government Dental College & Hospital, Nagpur, Maharashtra, India. pravinandsmita@yahoo.co.in |
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Abstract: | Prosthetic rehabilitation with an obturator for a total or subtotal maxillectomy patient is a challenging task, as there are little or no residual maxillary structures to depend on for support, retention, and stability of the prosthesis. This clinical report describes the prosthodontic management of a patient operated on for a bilateral subtotal maxillectomy secondary to ameloblastoma of the palate with a closed hollow obturator. The processing technique described in this article to fabricate the hollow obturator is a variation of other well-known techniques. The variation comprises the use of a wax bolus to maintain a predictable internal dimension for a hollow obturator. This technique allows fabrication of a complete hollow obturator prosthesis as a single unit in heat-polymerized acrylic resin using a single-step flasking procedure. |
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Keywords: | Prosthodontic rehabilitation processing technique obturator retention |
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