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Full Mouth Reconstruction of a Skeletal Class II Division 1 Patient with Adenoid Cystic Carcinoma Using an Interim Immediate Obturator and a Definitive Obturator
Joint Authors
Falahchai, Mehran
Bahrami, Mehran
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-04
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 61-year-old female patient with adenoid cystic carcinoma (ACC) of the right maxilla and Angle class II division 1 malocclusion had received a subtotal maxillectomy in right side and used a conventional clasp-retained obturator.
After implants placement, a maxillary interim immediate obturator (IIO) and then a definitive obturator using six endosseous implants were fabricated.
During one-year follow-up, the patient was completely satisfied.
Ideally, after implants placement in edentulous patients suffering from hemimaxillectomy, an implant-supported obturator (ISO) is designed in order to prevent nasal reflux and to improve speech and swallowing.
However, in the following case, because of skeletal class II division 1 malocclusion and implants insertion in the premaxilla, using an ISO was impossible because it would cause excessive upper lip protrusion and lack of anterior teeth contact.
Therefore, a five-unit implant-supported fixed partial denture (FPD) was fabricated in the maxillary anterior segment so that anterior teeth contacts were possible and the patient’s normal lip support was achieved.
A bar and three ball attachments were used in the maxillary posterior segment.
A closed-hollow-bulb ISO was preferred.
Conventional ISO in these patients results in several problems.
Using a maxillary anterior FPD along with ISO caused satisfactory results in the current patient.
American Psychological Association (APA)
Bahrami, Mehran& Falahchai, Mehran. 2017. Full Mouth Reconstruction of a Skeletal Class II Division 1 Patient with Adenoid Cystic Carcinoma Using an Interim Immediate Obturator and a Definitive Obturator. Case Reports in Dentistry،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144703
Modern Language Association (MLA)
Bahrami, Mehran& Falahchai, Mehran. Full Mouth Reconstruction of a Skeletal Class II Division 1 Patient with Adenoid Cystic Carcinoma Using an Interim Immediate Obturator and a Definitive Obturator. Case Reports in Dentistry No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1144703
American Medical Association (AMA)
Bahrami, Mehran& Falahchai, Mehran. Full Mouth Reconstruction of a Skeletal Class II Division 1 Patient with Adenoid Cystic Carcinoma Using an Interim Immediate Obturator and a Definitive Obturator. Case Reports in Dentistry. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144703
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144703