J Korean Acad Prosthodont. 2016 Jan;54(1):35-40. Korean.
Published online Jan 29, 2016.
Copyright © 2016 The Korean Academy of Prosthodontics
Case Report

Maxillofacial rehabilitation of hemi-maxillectomy patient using a closed hollow bulb obturator fabricated by one-step polymerization technique: a clinical report

Jae-Hyuk Sim, Min-Kyoo Kim, Jung-Suk Han, Jai-Bong Lee, Sung-Hun Kim and In-Sung Yeo
    • Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
Received July 15, 2015; Revised August 13, 2015; Accepted August 25, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The maxillary defects lead to anatomical and functional deformity of the maxillofacial region. As far as functions are concerned, such defects can produce difficulty in speech, mastication, and deglutition. Obturator prostheses play a very important role in functional recovery for post-maxillectomy patients. To achieve rigidity of the obturator, appropriate retention should be given, and the weight of the prosthesis be reduced. There are two types of hollow bulb obturator: open and closed. A closed type has many advantages. Nevertheless, some problems, including complexity of fabrication and water leakage into the bulb, have the closed hollow obturator not be widely used. The one-step polymerization technique described in this case overcomes the shortcomings by easily constructing a small hollow bulb with two thermoplastic resin sheets.

Keywords
Maxillary defect; Maxillectomy; Obturator; Closed hollow obturator

Figures

Fig. 1
Initial photographs. (A) Intraoral maxillary occlusal view, (B) Frontal view, (C) Post-operative panoramic radiograph, (D) Post-operative CT image.

Fig. 2
(A) Master cast, (B) Individual tray for secondary impression, (C) Altered cast fabrication, (D) Recording base and wax-rim.

Fig. 3
The hollow body fabrication. (A) Attaching paraffin wax for relief (lower investment), (B) Placed thermoplastic resin sheet(lower part), (C) Trimming of lower thermoplastic resin sheet, (D) Placed thermoplastic resin sheet(upper part), (E) The hollow body made by bonding two thermoformed resin sheets, (F) The hollow body placed into the lower investment.

Fig. 4
Intraoral photographs after placement of definitive prosthesis. (A) Definitive closed hollow obturator, (B) Intraoral maxillary occlusal view, (C) Frontal view.

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