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Prosthodontic rehabilitation for edentulous patients with palatal defect: report of two cases.

Identifieur interne : 004046 ( Main/Exploration ); précédent : 004045; suivant : 004047

Prosthodontic rehabilitation for edentulous patients with palatal defect: report of two cases.

Auteurs : Fen-Huey Lin [Taïwan] ; Tsung-Chih Wang

Source :

RBID : pubmed:21377067

Descripteurs français

English descriptors

Abstract

Cancer resection is the most common cause of acquired palatal defects, whereas cleft palate is the main cause of congenital defects. Palatal defect can be repaired by reconstructive surgery and/or a dental prosthesis. We present prosthodontic rehabilitation of two maxillary edentulous patients, one with a surgically induced palatal defect and the other with congenital cleft palate. In case 1, an 86-year-old man underwent surgical removal of soft-palate squamous cell carcinoma. The acquired palatal defect was repaired by a maxillary complete denture with a posteriorly extended speech bulb. The final prostheses provided good chewing and speech functions. In case 2, a congenital cleft palate in a 65-year-old man was repaired by a maxillary complete denture with superior extension of the obturator, which was designed to improve retention and stability of the upper single denture. He was satisfied with the upper denture after prosthesis placement. Conventional maxillary complete denture with a posteriorly extended speech bulb or modified obturator provides a good chance to restore oral functions in patients with palatal defects. The patients' skill and previous experience of denture wearing might have been important in their successful treatment. However, different patients present with unique problems and need to be treated individually.

DOI: 10.1016/S0929-6646(11)60019-3
PubMed: 21377067


Affiliations:


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Le document en format XML

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<nlm:affiliation>Division of Prosthetic Dentistry, Department of Dentistry, National Taiwan University Hospital, 1 Chang-Te Street, Taipei, Taiwan. fhlin@ntuh.gov.tw</nlm:affiliation>
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<term>Carcinoma (surgery)</term>
<term>Cleft Palate (complications)</term>
<term>Cleft Palate (rehabilitation)</term>
<term>Cleft Palate (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Maxillary Neoplasms (complications)</term>
<term>Maxillary Neoplasms (surgery)</term>
<term>Mouth, Edentulous (complications)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Palatal Obturators</term>
<term>Palate, Soft (surgery)</term>
<term>Postoperative Complications</term>
<term>Prosthodontics</term>
<term>Speech Disorders (etiology)</term>
<term>Speech Disorders (rehabilitation)</term>
<term>Treatment Outcome</term>
<term>Velopharyngeal Insufficiency (etiology)</term>
<term>Velopharyngeal Insufficiency (therapy)</term>
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<term>Bouche édentée ()</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Carcinomes ()</term>
<term>Complications postopératoires</term>
<term>Fente palatine ()</term>
<term>Fente palatine (rééducation et réadaptation)</term>
<term>Humains</term>
<term>Insuffisance vélopharyngée ()</term>
<term>Insuffisance vélopharyngée (étiologie)</term>
<term>Mâle</term>
<term>Obturateurs palatins</term>
<term>Palais mou ()</term>
<term>Prosthodontie</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<term>Troubles de la parole (étiologie)</term>
<term>Tumeurs du maxillaire supérieur ()</term>
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<term>Carcinoma</term>
<term>Cleft Palate</term>
<term>Maxillary Neoplasms</term>
<term>Mouth, Edentulous</term>
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<term>Speech Disorders</term>
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<term>Cleft Palate</term>
<term>Mouth, Edentulous</term>
<term>Speech Disorders</term>
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<term>Bouche édentée</term>
<term>Fente palatine</term>
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<term>Carcinoma</term>
<term>Cleft Palate</term>
<term>Maxillary Neoplasms</term>
<term>Mouth, Edentulous</term>
<term>Palate, Soft</term>
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<term>Aged</term>
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<term>Humans</term>
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<term>Palatal Obturators</term>
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<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">Cancer resection is the most common cause of acquired palatal defects, whereas cleft palate is the main cause of congenital defects. Palatal defect can be repaired by reconstructive surgery and/or a dental prosthesis. We present prosthodontic rehabilitation of two maxillary edentulous patients, one with a surgically induced palatal defect and the other with congenital cleft palate. In case 1, an 86-year-old man underwent surgical removal of soft-palate squamous cell carcinoma. The acquired palatal defect was repaired by a maxillary complete denture with a posteriorly extended speech bulb. The final prostheses provided good chewing and speech functions. In case 2, a congenital cleft palate in a 65-year-old man was repaired by a maxillary complete denture with superior extension of the obturator, which was designed to improve retention and stability of the upper single denture. He was satisfied with the upper denture after prosthesis placement. Conventional maxillary complete denture with a posteriorly extended speech bulb or modified obturator provides a good chance to restore oral functions in patients with palatal defects. The patients' skill and previous experience of denture wearing might have been important in their successful treatment. However, different patients present with unique problems and need to be treated individually.</div>
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