Occlusally oriented impressions for large maxillary stomas.

Area of Science:

• Dentistry
• Prosthodontics
• Maxillofacial Rehabilitation

Background:

• Accurate centric jaw relation records are crucial for fabricating functional and stable dental prostheses.
• Achieving a stable record base relies on criteria including base adaptation, alveolar bone support, and tissue integrity.
• These criteria are often unachievable in patients with bilateral subtotal maxillectomy.

Purpose of the Study:

• To present an alternative method for obtaining accurate jaw relation records in patients with bilateral subtotal maxillectomy.
• To introduce the combination jaw relation record-impression technique as a viable solution.

Main Methods:

• The study focuses on the combination jaw relation record-impression technique.
• This method utilizes the patient's pre-existing occlusion.
• It is designed for patients who cannot meet standard record base stability criteria.

Main Results:

• The combination technique has been evaluated in multiple maxillofacial prosthodontic centers.
• The method proved to be a realistic approach for managing patients with bilateral subtotal maxillectomy.
• It facilitates the fabrication of stable prostheses in challenging cases.

Conclusions:

• The combination jaw relation record-impression technique is a successful alternative for patients with bilateral subtotal maxillectomy.
• This technique ensures the fabrication of stable prostheses when traditional methods fail.
• It represents a significant advancement in maxillofacial prosthodontic management.