Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy
Identifieur interne : 00B182 ( Main/Exploration ); précédent : 00B181; suivant : 00B183Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy
Auteurs : H. Devlin [Royaume-Uni] ; G. R. Barker [Royaume-Uni]Source :
- The Journal of Prosthetic Dentistry [ 0022-3913 ] ; 1992.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Acrylic resin base, Albrektsson, Animals, Defect, Definitive obturator prosthesis, Dent, Dent clin, Dentistry, Denture, Denture Design, Graft, Humans, Implant, Implant insertion, Impression material, Insertion, Jaw, Edentulous (surgery), Magnet, Maxilla (surgery), Maxillary, Maxillary implants, Maxillary resection, Maxillectomy, Maxillectomy cavities, Maxillectomy cavity, Maxillectomy defect, Maxillofac, Multicenter, Obturator, Obturator prostheses, Obturator prosthesis, Obturator prosthesis design, Osseointegrated, Osseointegrated fixtures, Palatal, Palatal Obturators, Partial maxillectomy, Prosthesis, Prosthesis Design, Prosthet, Prosthet dent, Prosthetic, Prosthetic rehabilitation, Prosthodontic, Prosthodontic principles, Putty, Resilient, Resilient denture base materials, Sectional, Sectional impression technique, Sectional prostheses, Silicone, Silicone obturator prosthesis, Silicone putty, Soft palate, Special tray, Success rate, Surg, Surgical, Surgical planning, Titanium implants.
- MESH :
- surgery : Jaw, Edentulous, Maxilla.
- Teeft :
- Acrylic resin base, Albrektsson, Animals, Defect, Definitive obturator prosthesis, Dent, Dent clin, Dentistry, Denture, Denture Design, Graft, Humans, Implant, Implant insertion, Impression material, Insertion, Magnet, Maxillary, Maxillary implants, Maxillary resection, Maxillectomy, Maxillectomy cavities, Maxillectomy cavity, Maxillectomy defect, Maxillofac, Multicenter, Obturator, Obturator prostheses, Obturator prosthesis, Obturator prosthesis design, Osseointegrated, Osseointegrated fixtures, Palatal, Palatal Obturators, Partial maxillectomy, Prosthesis, Prosthesis Design, Prosthet, Prosthet dent, Prosthetic, Prosthetic rehabilitation, Prosthodontic, Prosthodontic principles, Putty, Resilient, Resilient denture base materials, Sectional, Sectional impression technique, Sectional prostheses, Silicone, Silicone obturator prosthesis, Silicone putty, Soft palate, Special tray, Success rate, Surg, Surgical, Surgical planning, Titanium implants.
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>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>
<term>Maxillectomy cavity</term>
<term>Maxillectomy defect</term>
<term>Maxillofac</term>
<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>
<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>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Obturateurs palatins</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<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>Magnet</term>
<term>Maxillary</term>
<term>Maxillary implants</term>
<term>Maxillary resection</term>
<term>Maxillectomy</term>
<term>Maxillectomy cavities</term>
<term>Maxillectomy cavity</term>
<term>Maxillectomy defect</term>
<term>Maxillofac</term>
<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>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical planning</term>
<term>Titanium implants</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Animaux</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Obturateurs palatins</term>
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<front><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>
</front>
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