Rehabilitation of Hemimaxillectomy Defect due to Orofacial Mucormycosis
نویسنده
چکیده
Prosthodontic rehabilitation of congenital or acquired maxillofacial defects is always a challenging clinical scenario. These defects pose a major physiological and psychological threat not only to the patients, but to the entire family. A multidisciplinary team approach, thorough investigation, long term follow up, proper counselling and sympathetic attitude may help to bring these suffering patients back to normal life stream. Recent advancements in Dental Materials, CAD CAM and Laser Technology and Ossseo integrated Implants have revolutionized the treatment outcomes. However, Conventional Prosthodontic Principles are still the gold standards. This case reports the rehabilitation of a hemi maxillectomy patient using removable complete overdentures supported by metallic copings on the existing teeth. The difficulties encountered were to manage the bio mechanics and esthetics with the prothesis because of the facial soft tissue contractures. However, our patient was very satisfied with results and was following up all the instructions.
منابع مشابه
Prosthetic rehabilitation of large mid-facial defect with magnet-retained silicone prosthesis
Rehabilitation of maxillofacial defect patients is a challenging task. The most common prosthetic treatment problem with such patients is, getting adequate retention, stability, and support. In cases of large maxillofacial defect, movement of the prosthesis is inevitable. The primary objectives in rehabilitating the maxillofacial defect patients are to restore the function of mastication, deglu...
متن کاملRecurrent Rhino-Ocular-Cerebral Mucormycosis in a Leukemic Child: A Case Report and Review of Pediatric Literature
Mucormycosis is an uncommon but severe fungal infection, typically observed in immunocompromized patients. We report a case of acute lymphoblastic leukemia complicated by rhino-oculo-cerebral mucormycosis in a pediatric patient. Combination lipid polyene-echinocandin therapy, along with surgical debridement appeared to be effective. Nevertheless, a severe relapse occurred during posaconazole pr...
متن کاملReview Obturator prostheses for hemimaxillectomy patients
Maxillary defects are created by surgical treatment of benign or malignant neoplasms, congenital malformation and by trauma. The size and location of the defects in ̄uence the degree of impairment and dif®culty in prosthetic rehabilitation. Lack of support, retention, and stability are common prosthodontic treatment problems for patients who have had a maxillectomy. A prosthesis used to close a ...
متن کاملImplant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia
Patient. A 68-year-old man was operated on for squamous cell carcinoma (T3N3M0) of the maxilla creating the hemimaxillary surgical defect on right side. The remaining arch was completely edentulous. There was remarkable limitation in the oral opening with reduced perimeter of the oral cavity due to radiation and surgical scar contracture. This article describes prosthetic rehabilitation by modi...
متن کاملHollowbulb obturator with cast retainers: a case report.
One of the most rapidly growing areas of dentistry from the stand point of both interest and need is maxillofacial prosthetics. The research of cancer has made understanding and treatment of this dreadful disease a possibility. Still the rehabilitation of these patients is a daunting job. The factors which determine the prognosis of prosthetic reconstruction are size of the defect, ability of t...
متن کامل