Prosthetic Treatment of a Patient with Maxillary Defect

Ivan Gerdzhikov, Mariana Dimova-Gabrovska

Abstract: Introduction Prosthetic methods of treatment are of prime importance in complex treatment and rehabilitation in patients with maxillary resection. Aim the aim of this clinical case description is to present the prosthetic rehabilitation with post-resection partial prosthesis in a patient with maxillary resection and the possibility for restoration of occlusal relationships. Material and methods The described clinical case follows the prosthetic rehabilitation of a 62-year old patient, operated on the occasion of osteoblastoclastoma of the upper jaw. The treatment plan included closing of the passage defect in the traditional way, by fabricating a post-resection prosthesis from Meliodent HC- a heat-polymerizing acrylic plastic with low residual monomer content. For objectifying and assessing the achieved occlusion-articulation relationships, a computerized occlusal analysis was performed with the T-SCAN 8 system. Results The results of the conducted prosthetic rehabilitation showed good retention and stability of the prosthesis. Optimal defect hermetization was achieved, with a stable barrier between the oral and the nasal cavity, which helped to restore speech and masticatory function and facilitate swallowing. Conclusions Prosthetic rehabilitation methods for patients with maxillary defects ensure successful recovery of occlusal relationships.

Keywords: maxillary defect, maxillary resection, obturator, post-resection prosthesis, T SCAN