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Prosthetic Rehabilitation of a Nasomaxillary Defect Utilizing a two-Component Prosthesis: a Clinical Report
Mahesh Gandhewar1, Tejaswini A Bankar2, Audrey Selecman3
1Dept. of Prosthodontics, ACPM Dental College, Dhule, India.
Journal of Dentistry (Shiraz, Iran)
|October 16, 2020
Summary
Nasomaxillary defects impact function and quality of life. This case report details a novel two-component magnetic prosthesis for rehabilitating a patient with a significant nasomaxillary defect, improving function and esthetics.
Area of Science:
- Oral and Maxillofacial Surgery
- Prosthodontics
- Biomedical Engineering
Background:
- Nasomaxillary defects significantly impair speech, mastication, swallowing, breathing, and overall quality of life.
- Restoration often requires a multidisciplinary approach involving surgical reconstruction and prosthetic rehabilitation.
- Prosthesis design (size, weight, contour) is critical for patient comfort, retention, and function.
Observation:
- A partially edentulous patient presented with an Aramany class VI nasomaxillary defect.
- The defect presented challenges related to prosthesis comfort, retention, and functional integration.
- Conventional prosthetic solutions may not adequately address the complexities of such defects.
Findings:
- A novel two-component prosthesis was designed and fabricated for the patient.
- Magnets were utilized to join the two components of the prosthesis, facilitating insertion and removal.
- The magnetic linkage aimed to improve prosthesis stability and patient handling.
Implications:
- This approach offers a potential solution for complex nasomaxillary defects, enhancing patient outcomes.
- Magnetic attachments may improve the retention and ease of use for maxillofacial prostheses.
- Further research into magnetic prostheses could advance the field of maxillofacial rehabilitation.

