Prosthetic reconstruction with an obturator using swing-lock attachment for a patient underwent maxillectomy: A clinical report
Identifieur interne : 002F19 ( Pmc/Curation ); précédent : 002F18; suivant : 002F20Prosthetic reconstruction with an obturator using swing-lock attachment for a patient underwent maxillectomy: A clinical report
Auteurs : Dong-Jae Seong [Corée du Sud] ; Seoung-Jin Hong [Corée du Sud] ; Seung-Ryong Ha [Corée du Sud] ; Young-Gi Hong [Corée du Sud] ; Hyo-Won Kim [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2016.
Abstract
Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth.
Url:
DOI: 10.4047/jap.2016.8.5.411
PubMed: 27826392
PubMed Central: 5099134
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<front><div type="abstract" xml:lang="en"><p>Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth.</p>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27826392</article-id>
<article-id pub-id-type="pmc">5099134</article-id>
<article-id pub-id-type="doi">10.4047/jap.2016.8.5.411</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Prosthetic reconstruction with an obturator using swing-lock attachment for a patient underwent maxillectomy: A clinical report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-0423-4755</contrib-id>
<name><surname>Seong</surname>
<given-names>Dong-Jae</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="author-notes" rid="FN1">a</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-7460-8487</contrib-id>
<name><surname>Hong</surname>
<given-names>Seoung-Jin</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="author-notes" rid="FN1">a</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-4176-6865</contrib-id>
<name><surname>Ha</surname>
<given-names>Seung-Ryong</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-1356-8274</contrib-id>
<name><surname>Hong</surname>
<given-names>Young-Gi</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-5318-821X</contrib-id>
<name><surname>Kim</surname>
<given-names>Hyo-Won</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Dentistry, Ajou University School of Medicine, Suwon, Republic of Korea.</aff>
<aff id="A2"><label>2</label>
Department of Prosthodontics, Graduate School, Kyung Hee University, Seoul, Republic of Korea.</aff>
<author-notes><corresp>Corresponding author: Seung-Ryong Ha. Department of Dentistry, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon 16499, Republic of Korea. Tel. 82312195869: <email>dragon_001@hanmail.net</email>
</corresp>
<fn id="FN1" fn-type="equal"><p><sup>a</sup>
These authors contributed equally to this work.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>8</volume>
<issue>5</issue>
<fpage>411</fpage>
<lpage>416</lpage>
<history><date date-type="received"><day>29</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="rev-recd"><day>20</day>
<month>7</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>08</day>
<month>8</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© 2016 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth.</p>
</abstract>
<kwd-group><kwd>Palatal obturators</kwd>
<kwd>Denture precision attachment</kwd>
<kwd>Melanoma</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label>
<caption><title>Panoramic view.</title>
</caption>
<graphic xlink:href="jap-8-411-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label>
<caption><title>Intraoral Photos. (A) Maxillary occlusal, (B) Right, (C) Frontal, (D) Left, (E) Mandibular occlusal view.</title>
</caption>
<graphic xlink:href="jap-8-411-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label>
<caption><title>Surgical obturator. (A) Occlusal surface, (B) Intaglio surface.</title>
</caption>
<graphic xlink:href="jap-8-411-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label>
<caption><title>Diagnostic cast. (A) Maxillary arch, (B) Mandibular arch.</title>
</caption>
<graphic xlink:href="jap-8-411-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label>
<caption><title>Surveyed crown with rest seat prepared.</title>
</caption>
<graphic xlink:href="jap-8-411-g005"></graphic>
</fig>
<fig id="F6" orientation="portrait" position="float"><label>Fig. 6</label>
<caption><title>Border molding and functional impression taking.</title>
</caption>
<graphic xlink:href="jap-8-411-g006"></graphic>
</fig>
<fig id="F7" orientation="portrait" position="float"><label>Fig. 7</label>
<caption><title>Framework and wax rim made. (A) Occlusal, (B) Labial, (C) Left, (D) Right side.</title>
</caption>
<graphic xlink:href="jap-8-411-g007"></graphic>
</fig>
<fig id="F8" orientation="portrait" position="float"><label>Fig. 8</label>
<caption><title>Face-bow transfer.</title>
</caption>
<graphic xlink:href="jap-8-411-g008"></graphic>
</fig>
<fig id="F9" orientation="portrait" position="float"><label>Fig. 9</label>
<caption><title>Articulator mounting and teeth setting. (A) Occlusal, (B) Right, (C) Left side view.</title>
</caption>
<graphic xlink:href="jap-8-411-g009"></graphic>
</fig>
<fig id="F10" orientation="portrait" position="float"><label>Fig. 10</label>
<caption><title>Final seating. (A) Occlusal, (B) Frontal view.</title>
</caption>
<graphic xlink:href="jap-8-411-g010"></graphic>
</fig>
</floats-group>
</pmc>
</record>
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