Swing-lock design considerations for obturator frameworks

The conventional and swing-lock (S/L) obturator prostheses can be highly effective in restoring maxillary defects when careful attention is paid to the principles of framework design. Although the S/L modality has been available since the mid 1960s, its use in maxillofacial prosthetics has been limited, and little information is available in the literature to guide the practitioner. This modality offers a conservative design option that lies somewhere between the conventionally designed obturator prosthesis and the prosthesis designed to use extensive fixed reconstruction or endosseous implants. When the S/L obturator is considered, single, double, or dual labial bar designs are possible and may be required by the length and complexities of the arc of closure. Such designs provide a flexible labial bar that transmits less stress to abutment teeth. This article reviewed conventional obturator framework designs and compared them with S/L designs for similar patient categories.