[EP-31] Case Report: Definitive Obturator for Trismus Patient undergoing Maxillectomy Utilising Modified Altered Cast Impression Technique
[Abstract]
Case Report Case Report: Definitive Obturator for Trismus Patient undergoing Maxillectomy Utilising Modified Altered Cast Impression Technique
Triani Umaiyah1, Syafrinani*2, Putri Welda Utami Ritonga2
1Resident, Postgraduate Program in Prosthodontic, Faculty of Dentistry, Universitas Sumatera Utara, Indonesia
2 Lecturer, Postgraduate Program in Prosthodontic, Faculty of Dentistry, Universitas Sumatera Utara, Indonesia
*Corresponding Author: syafrinani31@gmail.com
Abstract
Introduction
Trismus has been reported as a side effect after hemimaxillectomy. Research reports that as many as 40% of patients experience trismus, and 10% experience severe trismus after tumor surgical removal . This condition causes difficulties to take impression for prosthetic rehabilitation of patients who experience orofacial defects due to removal of tumors in the maxillary sinus. Pre-prosthodontic treatment as well as modification of the impression technique determines the success of the treatment. This paper describes the prosthetic rehabilitation of Aramani Class IV post-hemimaxillectomy patients.
Case Summary and Treatment Details
A male patient came to RSGM USU with complaints of difficulty speaking, his voice was not clear, and difficulty eating. He had a maxillary tumor removed and wanted to have dentures made to support his life. Treatment before prosthetic rehabilitation is in the form of infrared therapy and physical exercise to increase mouth size. Modified altered-cast impression technique with will maximize the results.
Progress and Discussion
Treatment success is determined by TMD management and modifications in the prosthesis manufacturing process.
References:
1. Aramany, A. (1978). Basic principles of obturator design for partially edentulous patients. Part I: Classification. The Journal of Prosthetic Dentistry, 40(5), 554–557.
2. Tannamala PK, et al. Flexible resins in the rehabilitation of maxillectomy patient. Indian J Dent Res 2012; 23:97-100.
3. Vojvodic, D., & Kranjcic, J. (2013). A two-step (altered cast) impression technique in the prosthetic rehabilitation of a patient after a maxillectomy: A clinical The Journal of Prosthetic Dentistry, 110(3), 228–231.
4. Buzayan, M. (2017). The Hollow Bulb Obturator Fabrication, Where do We Stand. Periodontics Prosthodont, 03(02):1–3.
5. Kanakaraj, et (2021). Fabrication of an obturator using altered cast technique. International Journal of Scientific Study,11(09).
Case Report Case Report: Definitive Obturator for Trismus Patient undergoing Maxillectomy Utilising Modified Altered Cast Impression Technique
Triani Umaiyah1, Syafrinani*2, Putri Welda Utami Ritonga2
1Resident, Postgraduate Program in Prosthodontic, Faculty of Dentistry, Universitas Sumatera Utara, Indonesia
2 Lecturer, Postgraduate Program in Prosthodontic, Faculty of Dentistry, Universitas Sumatera Utara, Indonesia
*Corresponding Author: syafrinani31@gmail.com
Abstract
Introduction
Trismus has been reported as a side effect after hemimaxillectomy. Research reports that as many as 40% of patients experience trismus, and 10% experience severe trismus after tumor surgical removal . This condition causes difficulties to take impression for prosthetic rehabilitation of patients who experience orofacial defects due to removal of tumors in the maxillary sinus. Pre-prosthodontic treatment as well as modification of the impression technique determines the success of the treatment. This paper describes the prosthetic rehabilitation of Aramani Class IV post-hemimaxillectomy patients.
Case Summary and Treatment Details
A male patient came to RSGM USU with complaints of difficulty speaking, his voice was not clear, and difficulty eating. He had a maxillary tumor removed and wanted to have dentures made to support his life. Treatment before prosthetic rehabilitation is in the form of infrared therapy and physical exercise to increase mouth size. Modified altered-cast impression technique with will maximize the results.
Progress and Discussion
Treatment success is determined by TMD management and modifications in the prosthesis manufacturing process.
References:
1. Aramany, A. (1978). Basic principles of obturator design for partially edentulous patients. Part I: Classification. The Journal of Prosthetic Dentistry, 40(5), 554–557.
2. Tannamala PK, et al. Flexible resins in the rehabilitation of maxillectomy patient. Indian J Dent Res 2012; 23:97-100.
3. Vojvodic, D., & Kranjcic, J. (2013). A two-step (altered cast) impression technique in the prosthetic rehabilitation of a patient after a maxillectomy: A clinical The Journal of Prosthetic Dentistry, 110(3), 228–231.
4. Buzayan, M. (2017). The Hollow Bulb Obturator Fabrication, Where do We Stand. Periodontics Prosthodont, 03(02):1–3.
5. Kanakaraj, et (2021). Fabrication of an obturator using altered cast technique. International Journal of Scientific Study,11(09).