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Rehabilitation of a Maxillectomy Case with Telescopic Crowns: A Case Report

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  • Published:
The Journal of Indian Prosthodontic Society

Abstract

Prosthodontic rehabilitation of acquired defects of the maxilla is a challenge in terms of reestablishing oronasal separation. Most of the times these goals are met by means of obturator prosthesis. Preservation of the remaining hard and soft tissues in such patients is very much essential in order to have a good retention, stability and support for the prosthesis. It is very much imperative to fabricate a prosthesis to provide proper function to the patient. Various techniques have been developed to enhance the retention and stability of the prosthesis, some of them being extension of the obturator bulb into the undercuts within the defect, use of magnets, implants etc. Telescopic crowns have been an adjunctive utility to prosthetic dentistry since a very long time. The biomechanics of telescopic crowns aid in providing a good retention and stability to the prosthesis. In the following clinical report a patient with a status of Subtotal Hemi Maxillectomy is presented in whom telescopic copings were incorporated into the cast hollow bulb obturator to enhance the retention and stability of the prosthesis.

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References

  1. Taylor TD (2000) Clinical maxillofacial prosthetics. Quintessence, Chicago, pp 103–120

    Google Scholar 

  2. Rogers SN, Lowe D, McNally D, Brown JS, Vaughan ED (2003) Health related quality of life of after Maxillectomy: a comparison between prosthetic obturation and free flap. J Oral Maxillofac Surg 61:174–181

    Article  PubMed  Google Scholar 

  3. Minsley GE, Warren DW, Hinton V (1987) Physiologic responses to maxillary resection and subsequent obturation. J Prosthet Dent 57:338–344

    Article  PubMed  Google Scholar 

  4. Devlin H, Barker GR (1992) Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy. J Prosthet Dent 67:223–227

    Article  PubMed  Google Scholar 

  5. Igarashi Y, Goto T (1997) Ten-year follow-up study of conical crown-retained dentures. Int J Prosthodont 10:149–155

    PubMed  Google Scholar 

  6. Beumer J, Curtis T, Marunick M (1996) Maxillofacial rehabilitation: prosthodontic and surgical considerations. Ishiyaku Euro America, St. Louis, pp 233–237

    Google Scholar 

  7. Reiger J, Wolfaardt J, Seikaly H, Jha N (2002) Speech outcomes in patients rehabilitated with maxillary obturator prostheses after maxillectomy: a prospective study. Int J Prosthodont 15:139–144

    Google Scholar 

  8. Aramany MA (1978) Basic principles of obturator design for partially edentulous patients. Part I: classification. J Prosthet Dent 40:554–557

    Article  PubMed  Google Scholar 

  9. Wagner B, Kern M (2000) Clinical evaluation of removable partial dentures 10 years after insertion: success rates, hygienic problems, and technical failures. Clin Oral Investig 4:74–80

    Article  PubMed  Google Scholar 

  10. Hofmann E, Behr M, Handel G (2002) Frequency and costs of technical failures of clasp and double crown-retained removable partial dentures. Clin Oral Investig 6:104–108

    Article  PubMed  Google Scholar 

Download references

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Correspondence to Anil Kumar Sethuram.

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Sethuram, A.K., Sahoo, N., Sandhu, H. et al. Rehabilitation of a Maxillectomy Case with Telescopic Crowns: A Case Report. J Indian Prosthodont Soc 13, 236–239 (2013). https://doi.org/10.1007/s13191-012-0147-4

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  • DOI: https://doi.org/10.1007/s13191-012-0147-4

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