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Transitional prosthesis for a dentulous hemimaxillectomy patient.

Ajay Singh¹, Neeraj Kumar, Vibha Singh

¹Department of Prosthodontics, Sardar Patel PG Institute of Dental and Medical Sciences, Lucknow, India.

National Journal of Maxillofacial Surgery

|March 24, 2012

Summary

Maxillectomy rehabilitation requires early intervention. Transitional prostheses with tissue conditioners improve function and reduce discomfort for patients undergoing hemimaxillectomy.

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Area of Science:

Oral and Maxillofacial Surgery
Prosthodontics
Reconstructive Dentistry

Background:

Hemimaxillectomy significantly impacts oral function and aesthetics.
Patients experience anxiety due to impaired mastication, speech, and deglutition.
Early postoperative rehabilitation is crucial for patient recovery.

Observation:

A patient underwent right-sided hemimaxillectomy for alveolar carcinoma.
A multidisciplinary approach involving surgery and prosthodontics was employed.
A transitional prosthesis incorporating tissue conditioners was utilized.

Findings:

Tissue conditioners' viscoelastic properties ensured continuous adaptation.
The prosthesis achieved a peripheral seal and improved retention.

Keywords:

Hypernasal speech maxillectomy nasal reflux presurgical planning transitional prosthesis wrought wire clasp

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Significant reduction in patient discomfort and nasal reflux was observed.

Speech intelligibility and deglutition were notably improved.

Implications:

Early rehabilitation with tailored prostheses can restore function after hemimaxillectomy.
Tissue conditioners offer a viable solution for managing post-surgical oral defects.
This approach enhances patient quality of life by addressing functional and aesthetic deficits.