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Application of the Basic Tenants of Restorative Dentistry in the Management of a Patient Post-Maxillectomy
Purpose:
The purpose of this case report is to demonstrate how the basic tenants of restorative dentistry can be applied to effectively and comprehensively treat a prosthetic rehabilitation after left maxillectomy for a maxillary squamous cell carcinoma.
Materials And Methods:
A 55-year-old female presenting with a T1 NOMO left maxillary squamous cell carcinoma was treated surgically and restored over a 3-year period.
Results:
Restorative treatment involved treatment planning with mounted diagnostic casts and diagnostic wax-up to aid sequencing and execution of treatment, including the placement of surgical and interim obturators, endodontic therapy, fixed prosthodontic restorations, and placement of a definitive obturator.
Conclusion:
By using the basic principles of restorative dentistry including occlusion and prosthodontics, the restorative rehabilitation of a patient presenting with extensive restorative needs in addition to an acquired maxillary defect was successful in re-establishing esthetics and function.
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