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Prosthetic Rehabilitation of a Congenital Soft Palate Defect

  • Clinical Report
  • Published:
The Journal of Indian Prosthodontic Society

Abstract

Obturator is derived from the Latin verb obturate which means to close or to shut off. This definition provides an appropriate description of the objective of obturation in patients with palatal defects. The obturator is often helpful in improving the speech of individuals with partial or total velar defects i.e. cleft of soft palate. Soft palate cleft is one of the most common cause of velopharyngeal incompetence, which is the functional inability of the soft palate to effectively seal with the posterior and or lateral pharyngeal walls. In maxillofacial prosthesis the clinician may have the responsibility for reestablishing palatopharyngeal integrity to provide the potential for acceptable speech. Here a case report has been presented in which palatal plate with a solid one piece pharyngeal obturator prosthesis has been used for rehabilitation of a dentulous patient having congenital soft palate defect using functional impression technique.

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References

  1. Thomas CA, Beumer J III (1979) Maxillofacial rehabilitation prosthodontic and surgical considerations, Ishiyaku EuroAmerica, St. Louis, pp 244–291

  2. Stewart KL, Rudd KD, Kubekar WA (2004) Clinical removable partial prosthodontics, 2nd edn. Ishiyaku EuroAmerica, Inc, Publishers, Tokyo, St. Louis, pp 635–665

  3. Aramany MA (1978) Basic principles of obturator design for partially edentulous patients. Part I. Classification. J Prosthet Dent 40:54

    Google Scholar 

  4. Paul G, Harlan B (1958) A supportive type prosthetic speech aid. J Prosthet Dent 8:362–369

    Article  Google Scholar 

  5. Warren D (1965) A physiologic approach to cleft palate prostheses. J Prosthet Dent 15:770–778

    Article  PubMed  Google Scholar 

  6. Wood MT, Warren DW (1971) Effect of cleft palate prostheses on respiratory effort. J Prosthet Dent 26:213–218

    Article  PubMed  Google Scholar 

  7. Marshell RC, Jones RN (1971) Effects of palatal lift prostheses upon speech intelligibility of dysarthric patients’. J Prosthet Dent 25:327–333

    Article  Google Scholar 

  8. Beumer J, Brady F (1978) Dental management of the irradiated patient. Int J Oral Surg 7:208

    Article  PubMed  Google Scholar 

  9. Zarb GA, Blonder CL (2004) Prosthodontic treatment for edentulous patient: complete dentures and implant-supported prostheses. In: Jacob RF (ed) Maxillofacial prosthodontics for the edentulous patient. Mosby Inc, St. Louis, pp 449–470

    Google Scholar 

  10. Skolnick L, McCall GN, Barnes M (1973) The sphincter mechanism of velopharyngeal closure. Cleft Palate J 10:286–305

    PubMed  Google Scholar 

  11. Wolfaardt JF, Wilson FB, Rochet A, McPhee L (1993) An appliance based approach to the management of palatopharyngeal incompetency: a clinical pilot project. J Prosthet Dent 69:186–195

    Article  PubMed  Google Scholar 

  12. Chambers MS, Lemon JC, Martin JW (2004) Obturation of partial soft palate defect. J Prosthet Dent 91:75–79

    Article  PubMed  Google Scholar 

  13. Sheldon W (2009) Essentials of complete denture prosthodontics, 2nd edn. AITBS publishers, India, pp 81–87

  14. Gonzalez JB, Laney WR (1996) Resilient materials for denture prostheses. J Prosthet Dent 16:438–444

    Article  Google Scholar 

  15. Anusavice (2004) Philip’s science of dental materials, 11th edn. Saunders, St. Louis, Missouri, pp 721–757

  16. Sprintzen RJ, Bardach J (eds) (1995) Cleft palate speech management. CV Mosby, St Louis

    Google Scholar 

  17. Shelton RL, Lindquist AF (1968) Effect of speech bulb reduction on articulation, cleft palate. J Prosthet Dent 5:195

    Google Scholar 

  18. Aran A, Subhtenly JD (1959) Velopharyngeal function and cleft palate prostheses. J Prosthet Dent 9:149

    Article  Google Scholar 

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Correspondence to Kurien Varghese.

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Varghese, K. Prosthetic Rehabilitation of a Congenital Soft Palate Defect. J Indian Prosthodont Soc 14 (Suppl 1), 181–186 (2014). https://doi.org/10.1007/s13191-012-0225-7

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  • DOI: https://doi.org/10.1007/s13191-012-0225-7

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