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All Journal Indonesian Journal of Prosthodontics
Fransiscus Wihan Pradana
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Dentistry

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Obturator with hollow bulb after hemimaxillectomy – A Case Report Gunawan, Cynthia; Fransiscus Wihan Pradana; Endang Wahyuningtyas; Intan Ruspita
Indonesian Journal of Prosthodontic Vol 5 No 2 (2024): December 2024
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v5i2.195

Abstract

Hemimaxillectomy will create oro-nasal communication which can affect the function of swallowing, masticatory, speech, aesthetic and psychological. This case report describes a method of prosthodontic management of maxillary defects using an obturator prosthesis with a hollow bulb. A 15-year-old male patient was diagnosed with central giant cell granuloma, therefore hemimaxillectomy was performed by ENT doctors at RSUP Dr. Sardjito. He has a surgical obturator that was inserted by a prosthodontist immediately after the surgery. Three weeks after surgery, soft tissues were ready to be made an interim obturator. Seven months later, he came to RSGM Prof. Soedomo with a complaint the old obturator is difficult to adapt. Intraoral examination revealed a large palate defect in the right palate durum segment (Aramany's class II type maxillary defect) and half of the right maxilla is missing. A definitive obturator using metal combination acrylic with a hollow bulb was made to cover the maxillofacial defect and replaced missing teeth. That prosthesis can cover the defects of the maxilla so the patient can speak well, and the function of masticating and swallowing can be restored. Keywords: surgical obturator, definitive obturator, hollow bulb
Prosthetic rehabilitation of nasomaxillary defect with TAD retained surgical obturator followed by hollow bulb definitive obturator and immediate lower denture Wijaya, Agustinus Kenny; Barunawati, Sri Budi; Fransiscus Wihan Pradana; Suparyono Saleh
Indonesian Journal of Prosthodontic Vol 5 No 2 (2024): December 2024
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v5i2.217

Abstract

The integrity and functionality of the oral cavity may be compromised by nasomaxillary defects, such as speech, mastication, deglutition, and esthetics. Early prosthodontic rehabilitation can improve quality of life and lessen the psychological harm caused by the surgical treatment. A 70-years-old female patient was referred to the Department of Prosthodontics RSUP Dr. Sardjito Yogyakarta with chief complaints of nasal obstruction, and right-side swelling of the face. Extraoral examination revealed facial asymmetry due to swelling of the right buccal region. On intraoral examination, showing a large, firm mass extending from right palate to the midline. A multidisciplinary approach with ENT is required for the surgical treatment. A surgical obturator was made before the surgery, and immediately inserted after with TAD as a retention device. Three months later, a hollow bulb obturator and immediate lower denture was fabricated so the functional capabilities of speech, mastication, deglutition, and esthetics can be restored. Keywords: surgical obturator, maxillofacial prostheses, definitive obturator, hollow bulb
Co-Authors Endang Wahyuningtyas Gunawan, Cynthia Intan Ruspita Sri Budi Barunawati Suparyono Saleh Wijaya, Agustinus Kenny