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Maxillary definitive obturators: rationale of design
W A Rogers1, T J Salinas, A Novoselsky
1Department of Prosthodontics, Louisiana State University School of Dentistry, USA.
Journal of Dental Technology : the Peer-Reviewed Publication of the National Association of Dental Laboratories
|November 1, 1996
Summary
Maxillary obturators restore function and well-being for patients with acquired defects. This article details fabricating obturators for optimal retention, stability, and support.
Area of Science:
- Prosthodontics
- Biomaterials Science
- Oral and Maxillofacial Surgery
Background:
- Acquired maxillary defects significantly impact speech, swallowing, mastication, and psychological well-being.
- Maxillary obturators are crucial prosthetic devices for restoring lost function and improving quality of life.
- Current fabrication methods aim to achieve optimal retention, stability, and vertical support.
Purpose of the Study:
- To provide a comprehensive, step-by-step guide for fabricating maxillary definitive obturators.
- To outline methods for achieving adequate retention, increased stability, and strong vertical support in obturator prostheses.
- To address the functional and esthetic rehabilitation of patients with acquired maxillary defects.
Main Methods:
- Detailed description of the impression and cast fabrication process for the defect area.
- Techniques for designing and fabricating the obturator prosthesis, including material selection.
- Methods for ensuring proper fit, retention, stability, and occlusion of the definitive obturator.
Main Results:
- A reproducible step-by-step protocol for maxillary obturator fabrication.
- Demonstration of achieving key goals: retention, stability, and vertical support.
- Improved patient outcomes in speech, swallowing, mastication, and esthetics.
Conclusions:
- The described fabrication technique provides a reliable method for creating effective maxillary obturators.
- Properly fabricated obturators significantly enhance patient function and psychological well-being.
- This approach ensures the restoration of essential oral functions following acquired maxillary defects.