CC BY-NC-ND 4.0 · Eur J Dent 2012; 06(02): 212-217
DOI: 10.1055/s-0039-1698953
Original Article
Dental Investigation Society

Enhanced retention of a maxillofacial prosthetic obturator using precision attachments: Two case reports

Sema Murat
1   Department of Prosthodontics, Faculty of Dentistry, Ankara University
,
Ayhan Gurbuz
1   Department of Prosthodontics, Faculty of Dentistry, Ankara University
,
Abulfaz Isayev
1   Department of Prosthodontics, Faculty of Dentistry, Ankara University
,
Bahadir Dokmez
1   Department of Prosthodontics, Faculty of Dentistry, Ankara University
,
Unsun Cetin
1   Department of Prosthodontics, Faculty of Dentistry, Ankara University
› Author Affiliations
Further Information

Publication History

Publication Date:
30 September 2019 (online)

ABSTRACT

The majority of maxillary defects can be rehabilitated with conventional simple obturator prosthesis. However, inadequate retention, stability and support may be associated with the use of an obturator. Precision attachments have been used to retain obturators for some time. The use of precision attachments in a dentate maxillectomy patient can yield significant functional improvement while maintaining the obturator’s aesthetic advantages. This clinical report describes the prosthetic rehabilitation of two maxillary defects with an obturator retained using extracoronal resilient precision attachments. (Eur J Dent 2012;6:212-217)

 
  • REFERENCES

  • 1 Roumanas ED, Nishimura RD, Davis BK. Clinical evaluation of implants retaining edentulous maxillary obturator prostheses. J Prosthet Dent 1997;77:184-190.
  • 2 Sharma AB, Beumer J. Reconstruction of maxillary defects: the case for prosthetic rehabilitation. J Oral Maxillofac Surg 2005;63:1770-1773.
  • 3 Borlase G. Use of obturators in rehabilitation of maxillectomy defects. Ann R Australas Coll Dent Surg 2000;15:75-89.
  • 4 Ducic Y. An effective, inexpensive, temporary surgical obturator following maxillectomy. Laryngoscope 2001;111:356-358.
  • 5 Curtis TA, Beumer J. Restoration of acquired hard palate defects: etiology, disability, and rehabilitation. In: Beumer J, Curtis TA, Marunick MT, editors. Maxillofacial rehabilitation: prosthodontic and surgical considerations. 1st ed. St Louis: Ishiyaku Euro-America; 1996. p.225-284.
  • 6 Okay DJ, Genden E, Buchbinder D, Urken M. Prosthodontic guidelines for surgical reconstruction of the maxilla: A classification system of defects. J Prosthet Dent 2001;86:352-363.
  • 7 Etienne OM, Taddei CA. Use of bar-clip attachments to enhance the retention of a maxillofacial prosthetic obturator: a clinical report. J Oral Rehabil 2004;31:618-622.
  • 8 Nekora- Azak A, Evlıoglu G, Ozdemir-Karatas M ¸ Keskin H. Use of biofunctional prosthetic system following partial maxillary resection: a clinical report. J Oral Rehabil 2005;32:693-695.
  • 9 Hasanreisoğlu, U, Gürbüz A, Belgin E. Speech intelligibility in various types of obturators constructed after maxillary resections. Ankara Univ Hekim Fak Derg 1989;16:77-86. (Turkish)
  • 10 Devlin H, Barker GR. Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy. J Prosthet Dent 1992;67:223-227.
  • 11 Keyf F. Obturator prostheses for hemimaxillectomy patients. J Oral Rehab 2001;28:821-829.
  • 12 Ortegon SM, Martin JW, Lewin JS. A hollow delayed surgical obturator for a bilateral subtotal maxillectomy patient: a clinical report. J Prosthet Dent 2008;99:14-18.
  • 13 Gürbüz A, Hasanreisoğlu U. Clinical comparison of different types of obturators constructed after maxillary resections. Ankara Univ Hekim Fak Derg 1990;17:103-108. (Turkish)
  • 14 Parr GR, Tharp GE, Pahn AO. Prosthetic principle of the framework design of maxillary obturator prostheses. J Prosthet Dent 1989;62:205-212.
  • 15 Goiato MC, Pesqueira AA, Silva CR, Filho HG, Santos DM. Patient satisfaction with maxillofacial prosthesis: literature review. J Plast Reconstr & Aesthet Surg 2009;62:175-180.
  • 16 Brignoni R, Dominici JT. An intraoral-extraoral combination prosthesis using an intermediate framework and magnets: a clinical report. J Prosthet Dent 2001;85:7-11.
  • 17 Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: Classification. J Prosthet Dent. 1978;40:554–557.
  • 18 Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: design principles. J Prosthet Dent 2001;86:562-568.
  • 19 King GE, Martin JW. Cast circumferential and wire clasps for obturator retention. J Prosthet Dent 1983;49:799-802.
  • 20 Brudvik JS, Taylor TD. Resin bonding for maxillofacial patient. In: Taylor TD, editor. Clinical maxillofacial prosthetics. Chicago: Quintessence; 2000.p.53-62.
  • 21 Gay WD, King GE. Applying basic prosthodontic principles in the dentulous maxillectomy patient. J Prosthet Dent 1980;43:433-435.
  • 22 Johnson DL. Retention for a removable partial denture. J Prosthodont 1992;1:11-17.
  • 23 Alfonso C, Toothaker RW, Wright RF, White GS. A technique to create appropriate abutment tooth contours for removable partial dentures. J Prosthodont 1999;8:273-275.
  • 24 Vallittu PK, Kokkonen M. Deflection fatique of cobalt-chromium, titanium, and gold alloy cast denture clasp. J Prosthet Dent 1995;74:412-419.
  • 25 Grossmann Y, Madjar D. Resin- bonded attachments for maxillary obturator retantion: clinical report. J Prosthet Dent 2004;92:229-232.
  • 26 Williamson RT. Removable partial denture fabrication using extracoronal resilient attachments: A clinical report. J Prosthet Dent 1993;70:285-287.
  • 27 Sigurgeirsdottir E, Minsely GE, Rothenberger SL. Incorporation of an ERA attachment for obturator framework design: a clinical report. J Prosthet Dent 2002;87:477-480.
  • 28 Koyama S, Sasaki K, Inai T, Watanabe M. Effects of defect configuration, size, and remaining teeth on masticatory function in post-maxillectomy patients. J Oral Rehab 2005;32:635-641.
  • 29 Mentag PJ, Kosinski TF: Increased retention of a maxillary obturator prosthesis using osseointegrated intramobile cylinder dental implants: a clinical report. J Prosthet Dent 1988;60:411-415.
  • 30 Izzo SR, Berger JR, Joseph AC, et al: Reconstruction after total maxillectomy using an implant retained prosthesis: A case report. Int J Oral Maxillofac Implants 1994;9:593-595.