Rehabilitation of Aramany Classification I Defect on a Completely Edentulous Patient: A Clinical Case Report.
Abstract
Abstract:
This clinical case report describes a prosthetic rehabilitation for a patient who had partial maxillectomy surgery following the diagnosis of maxillary squamous cell carcinoma in 1991. She was also previously diagnosed with parotid gland pathology on the right and required complete removal of gland along with facial nerve. Her previous prosthesis is 18 years old and claims it not as retentive as before. Intraorally there was a large oval shaped defect on the right side of the maxilla sparing the left alveolus. Defect extends more than 2/3rd of the palatal area with communication to the nasal floor. Presence of buccal frenal pull on the right side on the upper and lower jaws due to the wound contracture on that side of the face. The extraoral facial asymmetry and weakness of facial muscles in this patient may lead to improper denture border seal of the prosthesis. Patient was provided with maxillary acrylic obturator and mandibular acrylic complete denture as a definitive treatment with careful denture extension planning. She was reviewed multiple times till prosthesis stability intraorally was achieved. This improved the prognosis for this patient. The only option for retaining prosthesis in this case, without implants, is optimum engagement of the available soft-tissue undercuts found within the defect space and the non-affected side.
Keywords: Completely Edentulous, Obturator, Facial Nerve, Prognosis, Case Report.
Keywords
Supporting Institution
University Malaya
Thanks
thankyou
References
- 1. Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: retention. The Journal of prosthetic dentistry. 1983 Jan 1;49(1):5-15.
- 2. Cagna DR, Massad JJ, Schiesser FJ. The neutral zone revisited: from historical concepts to modern application. The Journal of prosthetic dentistry. 2009 Jun 1;101(6):405-12.
- 3. Pandey A. Factors Related to Patient Expectation and Satisfaction among New and Existing Denture wearers with Complete Denture therapy. Journal of Nepalese Prosthodontic Society. 2020 Jul 1;3(2):86-91.
- 4. Gowda ME, Mohan MS, Verma K, Roy ID. Implant rehabilitation of partial maxillectomy edentulous patient. Contemporary clinical dentistry. 2013 Jul;4(3):393.
Abstract
References
- 1. Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: retention. The Journal of prosthetic dentistry. 1983 Jan 1;49(1):5-15.
- 2. Cagna DR, Massad JJ, Schiesser FJ. The neutral zone revisited: from historical concepts to modern application. The Journal of prosthetic dentistry. 2009 Jun 1;101(6):405-12.
- 3. Pandey A. Factors Related to Patient Expectation and Satisfaction among New and Existing Denture wearers with Complete Denture therapy. Journal of Nepalese Prosthodontic Society. 2020 Jul 1;3(2):86-91.
- 4. Gowda ME, Mohan MS, Verma K, Roy ID. Implant rehabilitation of partial maxillectomy edentulous patient. Contemporary clinical dentistry. 2013 Jul;4(3):393.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | October 1, 2022 |
| Submission Date | June 5, 2021 |
| Published in Issue | Year 2022 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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