Rani Sapna, Gupta Sakshi, Verma Mahesh
Department of Prosthodontics, SRCDSR, Faridabad, Haryana, India.
Department of Prosthodontics, MAIDS, New Delhi, India.
Contemp Clin Dent. 2017 Jan-Mar;8(1):167-170. doi: 10.4103/ccd.ccd_887_16.
In maxillary defects, role of a prosthodontist is to rehabilitate the intra- and extra-oral structures and to endow with the normal function of mastication, speech, deglutition, and esthetics. Malignancies are common in the oral region and are treated usually through surgical intervention. Surgical intervention creates anatomical defects creating communication between oral and nasal cavity. Patients pose difficulties while performing normal functions such as swallowing and speaking, due to this communication. To overcome the problems encountered by the patient, obturators are fabricated. The main problem with rehabilitation of large defect is the weight of prosthesis; the prosthesis becomes very bulky and nonretentive due to its weight. Hollow obturators are fabricated to conquer this tribulation by different techniques. This case report describes a simplified method of fabrication of a definitive hollow bulb obturator for rehabilitation of a maxillary defect (Aramany's class I) by insertion of balloon.
在上颌骨缺损中,口腔修复医生的职责是修复口腔内外结构,并赋予其正常的咀嚼、言语、吞咽和美观功能。口腔区域的恶性肿瘤很常见,通常通过手术干预进行治疗。手术干预会造成解剖学缺损,导致口腔与鼻腔相通。由于这种相通,患者在进行吞咽和说话等正常功能时会遇到困难。为了克服患者遇到的问题,需要制作阻塞器。大型缺损修复的主要问题是假体的重量;由于其重量,假体会变得非常笨重且固位不佳。通过不同技术制作中空阻塞器来克服这一难题。本病例报告描述了一种通过插入球囊制作用于上颌骨缺损(阿拉马尼I类)修复的定制中空球阻塞器的简化方法。