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Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy

Identifieur interne : 00B182 ( Main/Exploration ); précédent : 00B181; suivant : 00B183

Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy

Auteurs : H. Devlin [Royaume-Uni] ; G. R. Barker [Royaume-Uni]

Source :

RBID : ISTEX:B2392B92D390B75B77570051D241664D1CF9BB91

Descripteurs français

English descriptors

Abstract

Abstract: A variety of problems faces the prosthodontist attempting reconstruction of maxillary defects. This article reviews developments in materials and techniques of obturator prosthesis design for patients experiencing maxillectomy. The size of the maxillectomy defect is one of the main factors governing the prognosis for treatment. Many patients require special prosthodontic techniques. However, routine attention to extension of the prosthesis and balanced occlusion is essential. Obtaining satisfactory retention and stability in the definitive obturator prosthesis can be elusive. Resilient denture base materials are extremely useful in retaining the prosthesis, which obturates small defects. However, the flexibility of these materials makes them unsuitable in large maxillectomy cavities because of the deformation that occurs during mastication. Alternative forms of retention, eg., osseointegrated implants and sectional prostheses retained by magnets, are discussed.

Url:
DOI: 10.1016/0022-3913(92)90458-M


Affiliations:


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Le document en format XML

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<term>Acrylic resin base</term>
<term>Albrektsson</term>
<term>Animals</term>
<term>Defect</term>
<term>Definitive obturator prosthesis</term>
<term>Dent</term>
<term>Dent clin</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture Design</term>
<term>Graft</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant insertion</term>
<term>Impression material</term>
<term>Insertion</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Magnet</term>
<term>Maxilla (surgery)</term>
<term>Maxillary</term>
<term>Maxillary implants</term>
<term>Maxillary resection</term>
<term>Maxillectomy</term>
<term>Maxillectomy cavities</term>
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<term>Multicenter</term>
<term>Obturator</term>
<term>Obturator prostheses</term>
<term>Obturator prosthesis</term>
<term>Obturator prosthesis design</term>
<term>Osseointegrated</term>
<term>Osseointegrated fixtures</term>
<term>Palatal</term>
<term>Palatal Obturators</term>
<term>Partial maxillectomy</term>
<term>Prosthesis</term>
<term>Prosthesis Design</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthodontic</term>
<term>Prosthodontic principles</term>
<term>Putty</term>
<term>Resilient</term>
<term>Resilient denture base materials</term>
<term>Sectional</term>
<term>Sectional impression technique</term>
<term>Sectional prostheses</term>
<term>Silicone</term>
<term>Silicone obturator prosthesis</term>
<term>Silicone putty</term>
<term>Soft palate</term>
<term>Special tray</term>
<term>Success rate</term>
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<term>Surgical</term>
<term>Surgical planning</term>
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<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Obturateurs palatins</term>
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<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Acrylic resin base</term>
<term>Albrektsson</term>
<term>Animals</term>
<term>Defect</term>
<term>Definitive obturator prosthesis</term>
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<term>Dentistry</term>
<term>Denture</term>
<term>Denture Design</term>
<term>Graft</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant insertion</term>
<term>Impression material</term>
<term>Insertion</term>
<term>Magnet</term>
<term>Maxillary</term>
<term>Maxillary implants</term>
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<term>Obturator</term>
<term>Obturator prostheses</term>
<term>Obturator prosthesis</term>
<term>Obturator prosthesis design</term>
<term>Osseointegrated</term>
<term>Osseointegrated fixtures</term>
<term>Palatal</term>
<term>Palatal Obturators</term>
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<term>Prosthetic rehabilitation</term>
<term>Prosthodontic</term>
<term>Prosthodontic principles</term>
<term>Putty</term>
<term>Resilient</term>
<term>Resilient denture base materials</term>
<term>Sectional</term>
<term>Sectional impression technique</term>
<term>Sectional prostheses</term>
<term>Silicone</term>
<term>Silicone obturator prosthesis</term>
<term>Silicone putty</term>
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<term>Special tray</term>
<term>Success rate</term>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical planning</term>
<term>Titanium implants</term>
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<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse</term>
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<term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<div type="abstract" xml:lang="en">Abstract: A variety of problems faces the prosthodontist attempting reconstruction of maxillary defects. This article reviews developments in materials and techniques of obturator prosthesis design for patients experiencing maxillectomy. The size of the maxillectomy defect is one of the main factors governing the prognosis for treatment. Many patients require special prosthodontic techniques. However, routine attention to extension of the prosthesis and balanced occlusion is essential. Obtaining satisfactory retention and stability in the definitive obturator prosthesis can be elusive. Resilient denture base materials are extremely useful in retaining the prosthesis, which obturates small defects. However, the flexibility of these materials makes them unsuitable in large maxillectomy cavities because of the deformation that occurs during mastication. Alternative forms of retention, eg., osseointegrated implants and sectional prostheses retained by magnets, are discussed.</div>
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