J Interdiscip Dentistry
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CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 3  |  Page : 136-139

Delayed obturator for irradiated maxillectomy patients: Case report of two patients


Department of Prosthodontics, Saraswati Dental College and Hospital, Lucknow, Uttar Pradesh, India

Correspondence Address:
Sushil Kar
Department of Prosthodontics, Saraswati Dental College and Hospital, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5194.181376

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Functional rehabilitation is the sequel to tumor ablation and consequent cancer-free status in most patients. Unfortunately, a plethora of reasons may play a stellar role in delayed rehabilitation. These may range from unsuitability of the remnant tissue bed for prosthesis, prolonged tissue inflammation, postirradiation unfavorable tissue changes, and secondary bacterial or fungal infection in the recipient tissue bed. In some situations, the economic status of the patient may grossly restrict the patient's effort to seek prosthetic service. These unwarranted and undesirable obstacles would lead to gross facial disfigurement and a progressive tissue shrinkage which might render the recipient site nonamenable to the seating of the prosthesis. CLINICAL RELEVANCE TO INTERDISCIPLINARY DENTISTRY
  • When prosthodontic therapy is not conjoint with surgery, the succeeding tissue contracture, and soft tissue collapse can lead to irreversible unesthetic, and contorted facial contours
  • Components of prosthesis function assessed were esthetics, speech, mastication, all of which were restored to satisfactory levels by the interim obturators. Thus, optimal restoration of esthetics and function is achievable despite a time lag in prosthodontic therapy after surgery.


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