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Implant‐Supported Obturator Overdenture for Extensive Maxillary Resection Patient: A Clinical Report

Identifieur interne : 001D36 ( Istex/Checkpoint ); précédent : 001D35; suivant : 001D37

Implant‐Supported Obturator Overdenture for Extensive Maxillary Resection Patient: A Clinical Report

Auteurs : Cláudio Rodrigues Leles [Brésil] ; José Luiz Rodrigues Leles [Brésil] ; Carlos De Paula Souza [Brésil] ; Rafael Ragonezi Martins [Brésil] ; Elismauro Francisco Mendonça [Brésil]

Source :

RBID : ISTEX:9F7D4CC042A4D6C9695B57EC74E40F0456F32361

English descriptors

Abstract

This clinical report presents an implant‐retained obturator overdenture solution for a Prosthodontic Diagnostic Index Class IV maxillectomy patient with a large oronasal communication and severe facial asymmetry, loss of upper lip and midfacial support, severe impairment of mastication, deglutition, phonetics, and speech intelligibility. Due to insufficient bone support to provide satisfactory zygomaticus implant anchorage, conventional implants were placed in the body of the left zygomatic arch and in the right maxillary tuberosity. Using a modified impression technique, a cobalt‐chromium alloy framework with three overdenture attachments was constructed to retain a complete maxillary obturator. Patient‐reported functional and quality of life measure outcomes were dramatically improved after treatment and at the two‐year follow‐up.

Url:
DOI: 10.1111/j.1532-849X.2009.00545.x


Affiliations:


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ISTEX:9F7D4CC042A4D6C9695B57EC74E40F0456F32361

Le document en format XML

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<name sortKey="Mendonca, Elismauro Francisco" sort="Mendonca, Elismauro Francisco" uniqKey="Mendonca E" first="Elismauro Francisco" last="Mendonça">Elismauro Francisco Mendonça</name>
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<title level="j" type="main">Journal of Prosthodontics</title>
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<term>Posterior transpalatal autopolymerizing acrylic resin</term>
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<div type="abstract" xml:lang="en">This clinical report presents an implant‐retained obturator overdenture solution for a Prosthodontic Diagnostic Index Class IV maxillectomy patient with a large oronasal communication and severe facial asymmetry, loss of upper lip and midfacial support, severe impairment of mastication, deglutition, phonetics, and speech intelligibility. Due to insufficient bone support to provide satisfactory zygomaticus implant anchorage, conventional implants were placed in the body of the left zygomatic arch and in the right maxillary tuberosity. Using a modified impression technique, a cobalt‐chromium alloy framework with three overdenture attachments was constructed to retain a complete maxillary obturator. Patient‐reported functional and quality of life measure outcomes were dramatically improved after treatment and at the two‐year follow‐up.</div>
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