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Use of a Removable Silicone Bung for Increased Seal and Retention of an Obturator in the Prosthetic Rehabilitation of a Unilateral Maxillary Defect: A Clinical Case Report

Issue: 
DOI: 
10.7727/wimj.2016.135
Pages: 
87-93

ABSTRACT

Patients with acquired maxillary defects differ from those with congenital defects due to the abrupt alteration in physiologic processes associated with surgical resection of the maxillae. The post-surgical effects affect the form and function of the normal stomatognathic system. The quality of life of the patient is therefore reduced as the end state can be particularly severe. An obturator is a prosthesis that closes a palatal defect in both dentate and edentulous patient. Early management with an option such as this is therefore important in retaining function and enhancing aesthetics and thus possibly safeguarding the patient’s self-esteem. The report outlines the fabrication of a maxillary obturation with a removable silicone bung that enables eventual replacement of the bung limiting the exposure to potentially virulent fungal and bacterial growths that can be harmful to immune compromised patients. While not without its disadvantages, this simple addition may make it possible for a better fit of intermediate acrylic obturators in a cost-effective manner. It could be especially useful where the injection moulded polymer obturator is not available or is difficult to obtain due to the prohibitive cost.

Accepted: 
15 Jul, 2016
PDF Attachment: 
e-Published: 20 Jul, 2016
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