Ayinala Mounika, Shetty Gautam
Department of Prosthodontics, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India.
Case Rep Dent. 2021 Oct 13;2021:2391331. doi: 10.1155/2021/2391331. eCollection 2021.
Tumors involving the hard palate, maxillary sinus, or nasal cavity require maxillectomy based on the extent of the lesion. Lack of these boundaries affects the speech, esthetics, and masticatory function. Prosthetic rehabilitation of these defects can be done utilizing zygomatic implants. This present case describes the use of a zygomatic implant to retain a maxillary obturator in a 22-year-old male patient following partial maxillectomy (Brown's Class 2b) due to odontogenic myxoma. A surgical obturator was secured in position subsequent to the implant placement. Following the healing period, an interim obturator using heat cure acrylic was fabricated. Mechanical retention for the definitive obturator was obtained through the ball attachment suspended from the multiunit abutment of the zygomatic implant. The case was followed up closely for a year to evaluate the function of the prosthesis. The prosthetic rehabilitation not only promoted esthetics and function but also improved the patient's quality of life.
累及硬腭、上颌窦或鼻腔的肿瘤需要根据病变范围进行上颌骨切除术。缺乏这些边界会影响言语、美观和咀嚼功能。这些缺损的修复可以使用颧骨种植体来完成。本病例描述了一名22岁男性患者因牙源性黏液瘤行部分上颌骨切除术(Brown 2b类)后,使用颧骨种植体来固定上颌阻塞器的情况。在种植体植入后,将手术阻塞器固定就位。在愈合期过后,制作了一个热凝丙烯酸树脂临时阻塞器。通过悬挂在颧骨种植体多单位基台上的球附着体获得了最终阻塞器的机械固位。对该病例进行了为期一年的密切随访,以评估假体的功能。修复不仅改善了美观和功能,还提高了患者的生活质量。