Kar Sushil, Tripathi Arvind
Department of Prosthodontics, Saraswati Dental College and Research Center, Lucknow, India.
J Prosthodont. 2016 Feb;25(2):174-7. doi: 10.1111/jopr.12275. Epub 2015 Mar 5.
A series of four patients is presented to indicate the possibility of success with delayed prosthodontic rehabilitation of acquired maxillary defects. Four patients with a history of hemi-maxillectomy in the past 3 to 5 years were rehabilitated with definitive obturator prostheses. All had partial maxillectomy on the right side. Because of delayed referral to the prosthodontic facility, immediate surgical and interim obturation was not planned. Definitive obturator prostheses were fabricated following the necessary steps and delivered to the patients. Prosthesis function was subsequently reassessed in these patients every fortnight for the first 3 months then once every quarter for the next 3 years, followed by once a year. Individual patient responses were evaluated at regular intervals. Components of prosthesis function assessed were esthetics, speech, mastication, and salivary control, all of which were restored to satisfactory levels by the definitive obturators. Thus, optimal restoration of esthetics and function is achievable despite a time lag in prosthodontic therapy after surgery.
本文介绍了四位患者的情况，以表明对上颌后天性缺损进行延迟义齿修复取得成功的可能性。四位在过去3至5年有半侧上颌骨切除术病史的患者接受了定制的封闭器假体修复。所有患者均为右侧部分上颌骨切除术。由于转诊至义齿修复机构较晚，未计划进行即刻手术和临时封闭。按照必要步骤制作了定制的封闭器假体并交付给患者。在最初的3个月里，每两周对这些患者的假体功能进行一次重新评估，随后的3年里每季度评估一次，之后每年评估一次。定期评估个体患者的反应。评估的假体功能组成部分包括美观、言语、咀嚼和唾液控制，所有这些通过定制的封闭器均恢复到了令人满意的水平。因此，尽管手术后义齿治疗存在时间延迟，但仍可实现美观和功能的最佳恢复。
