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The evolution of the obturator framework design
Gregory R Parr1, L Kirk Gardner
1Department of Oral Rehabilitation, School of Dentistry, Medical College of Georgia, Augusta, GA 30912, USA. gparr@mail.mcg.edu
The Journal of Prosthetic Dentistry
|June 20, 2003
Summary
This review traces the evolution of obturator framework designs from 1530 to the present, highlighting key advancements in maxillofacial prosthetics. It covers historical designs, specialty development, and modern surgical-prosthetic coordination with implants.
Area of Science:
- Maxillofacial Prosthetics
- Dental Implantology
- Surgical Reconstruction
Background:
- The history of obturator framework design is traced from early rudimentary devices to modern complex prostheses.
- The evolution reflects advancements in materials science, surgical techniques, and understanding of anatomical defects.
Purpose of the Study:
- To provide a historical overview of the progress and evolution of obturator framework designs.
- To contextualize the development of maxillofacial prosthetics as a specialty.
- To discuss contemporary approaches in surgical-prosthetic coordination.
Main Methods:
- Historical literature review, including manual searches and Medline database utilization.
- Chronological analysis of key milestones in obturator design and maxillofacial prosthetics.
Main Results:
- The earliest documented obturator design dates back to Ambrose Paré in 1530.
- The establishment of the American Academy of Maxillofacial Prosthetics marked a significant development in the specialty.
- Modern approaches integrate complex surgical techniques, such as vascularized free flaps and osseointegrated dental implants.
Conclusions:
- Obturation has a long history, evolving significantly over centuries.
- The field of maxillofacial prosthetics has matured into a specialized discipline.
- Current practices emphasize interdisciplinary collaboration for optimal patient outcomes.
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