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采用种植体固位阻塞器义齿修复严重上颌骨切除术后缺损:一例报告

Severe Maxillectomy Defect Rehabilitation with an Implant-Retained Obturator Prosthesis: A Case Report.

作者信息

Niakan Somayeh, Asgari Nafise, Rafeie Niyousha, Barati Solmaz

机构信息

Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Dental Research Center, Dentistry Research Institute, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Front Dent. 2024 Jan 9;21:2. doi: 10.18502/fid.v21i2.14669. eCollection 2024.

Abstract

Conventional obturator prostheses might cause dissatisfaction in patients with hard or soft palate defects due to inadequate retention and function during speech, mastication, and swallowing. Thus, surgical reconstruction and implant-supported obturators are considered as alternative treatments for these patients. This case-report study describes the prosthetic reconstruction of an 88-year-old patient suffering from a hard palate defect after surgical resection of verrucous carcinoma in the left side of the hard palate. Fifteen months after radiotherapy, two implants were placed in the right side of the remaining ridge, in the second and third molar region. After the implant healing period, the implant-supported obturator prosthesis was fabricated. The patient was satisfied with the esthetics and function of the obturator at the 12-month recall visit and radiographs showed normal healing and no bone loss around the implants.

摘要

传统的闭孔器假体可能会使硬腭或软腭缺损患者不满意,因为在言语、咀嚼和吞咽过程中,其固位和功能不足。因此,手术重建和种植体支持的闭孔器被认为是这些患者的替代治疗方法。本病例报告研究描述了一名88岁患者在硬腭左侧疣状癌手术切除后硬腭缺损的假体修复情况。放疗15个月后,在剩余牙槽嵴右侧的第二和第三磨牙区域植入了两颗种植体。在种植体愈合期过后,制作了种植体支持的闭孔器假体。在12个月的回访中,患者对闭孔器的美观和功能感到满意,X线片显示愈合正常,种植体周围无骨质流失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1771/10985513/c5896650b749/FID-21-2-g005.jpg

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