Rehabilitation of a mid-facial defect using maxillary obturator with a maxillary expansion device and orbital prosthesis

Midfacial defects are defined as congenital or acquired defects in the horizontal plane at the middle third of the face and communicate with intraoral maxillary defects. These defects lead to speaking difficulty, difficulty in saliva control and deglutition, mastication, and esthetics. Prosthetic re...

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Bibliographic Details
Published in:The journal of Indian Prosthodontic Society 2022-07, Vol.22 (3), p.294-299
Main Authors: Parameswari, B, Konwar, Annesha, Hariharan, Annapoorni
Format: Article
Language:English
Subjects:
Case Report
Dental Implants
Esthetics, Dental
Humans
Implants, Artificial
Mastication
Maxilla
maxillary expansion screw
maxillary obturator
Maxillofacial
Maxillofacial Prosthesis
orbital prostheses
Palatal Expansion Technique
Palatal Obturators
Prosthesis
Prosthetics
Prosthodontics
Rehabilitation
Saliva
Silicones
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Description
Summary:Midfacial defects are defined as congenital or acquired defects in the horizontal plane at the middle third of the face and communicate with intraoral maxillary defects. These defects lead to speaking difficulty, difficulty in saliva control and deglutition, mastication, and esthetics. Prosthetic rehabilitation of such defects with maxillofacial prosthesis is a challenging task. Maxillary defects with bilateral undercuts present are common. This case report explains to achieve retention by engaging the bilateral undercuts with the desired path of insertion and obtaining adequate retention of these prostheses. This clinical case report presents prosthetic rehabilitation of a mid-facial defect involving one orbit and the premaxilla region with the help of silicone orbital prostheses and magnets along with an expansion device. This dramatically improved the patient's speech, mastication, deglutition, esthetics, and self-confidence.
ISSN:0972-4052
1998-4057
DOI:10.4103/jips.jips_527_21