American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2014, 2(10), 200-203
DOI: 10.12691/ajmcr-2-10-1
Open AccessCase Report

Rehabilitation of Disfigurement Associated with Maxillectomy by a Cheek Plumper Prosthesis

Khurshid Mattoo1, , Manas Singh2 and Shuja Rahman2

1Prosthodontics, College of dental sciences, Gizan, KSA

2Prosthodontics, Subharti dental college, Meerut, India

Pub. Date: October 09, 2014

Cite this paper:
Khurshid Mattoo, Manas Singh and Shuja Rahman. Rehabilitation of Disfigurement Associated with Maxillectomy by a Cheek Plumper Prosthesis. American Journal of Medical Case Reports. 2014; 2(10):200-203. doi: 10.12691/ajmcr-2-10-1


Patients having undergone maxillectomy as a result of carcinoma in the region or facial trauma are left with severe facial disfigurement that is associated with long term psychosocial effects. As one side of the face loses the crucial support from the maxilla, innovative customized treatment options become the choice of rehabilitation. Ideally, such treatment should be preceded by consultation with a prosthodontist which unfortunately most of the times is not the case. Rehabilitation of maxillectomy patients is not possible without incorporating the dynamics of facial expression. This article discusses a patient having undergone maxillectomy who was successfully rehabilitated with an obturator that had an additional lip/cheek plumper incorporated in its design.

carcinoma sarcoma facial disfigurement cast partial denture

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[1]  Königová R, Pondelícek I. Psychological aspects of burns. Scand J Plast Reconstr Surg Hand Surg. 1987; 21 (3): 311-4.
[2]  Pare A. The works of that famous chirurgion Ambrose Pare. Johnson T, translator. London: Richard Cotes and Willi Du-Gard; 1649.
[3]  Fauchard P. Le chirurgien dentiste; traite des dents. Paris: Jean Mariette; 1728: 62.
[4]  Ring ME. Dentistry: an illustrated history. New York: Abradale Press; 1985:160.
[5]  Ackerman AJ. Maxillofacial prosthesis. Oral Surg Oral Med Oral Pathol 1953; 6: 176-200.
[6]  Ackerman AJ. The prosthetic management of oral and facial defects following cancer surgery. J Prosthet Dent 1955; 5: 413-32.
[7]  Adisman IK. Removable partial dentures for jaw defects of the maxilla and mandible. Dent Clin North Am 1962; 6: 849-70.
[8]  Robinson JE. Prosthetic treatment after surgical removal of the maxilla and floor of the orbit. J Prosthet Dent 1963; 13:178-84.
[9]  Rosenthal LE. The edentulous patient with jaw defects. Dent Clin North Am 1964; 8: 773-9.
[10]  Boucher LJ. Prosthetic restoration of a maxilla and associated structures. J Prosthet Dent 1966; 16: 154-68.
[11]  Rudd KD, O’Leary TJ. Stabilizing periodontally weakened teeth by using guide plane removable partial dentures: a preliminary report. J Prosthet Dent 1966; 16: 721-7.
[12]  Bruno SA. Prosthetic treatment of maxillofacial patients. J Prosthet Dent 1967; 17: 497-508.
[13]  Curtis TA. Treatment planning for intraoral maxillofacial prosthetics for cancer patients. J Prosthet Dent 1967; 18: 70-6.
[14]  Zarb GA. The maxillary resection and its prosthetic replacement. J Prosthet Dent 1967; 18: 268-81.
[15]  Nadeau J. Special prostheses. J Prosthet Dent 1968; 20: 62-76.
[16]  Okay DJ, Genden E, Buchbinder D, Urken M. Prosthodontic guidelines for surgical reconstruction of the maxilla: A classification system of defects. J Prosthet Dent 2001; 86: 352-63.
[17]  Etienne OM, Taddei CA. Use of bar-clip attachments to enhance the retention of a maxillofacial prosthetic obturator: a clinical report. J Oral Rehabil 2004; 31: 618-622.
[18]  Nekora- Azak A, Evlıoglu G, Ozdemir-Karatas M , Keskin H. Use of biofunctional prosthetic system following partial maxillary resection: a clinical report. J Oral Rehabil 2005; 32: 693-95.
[19]  Curtis TA, Beumer J. Restoration of acquired hard palate defects: etiology, disability, and rehabilitation. In: Beumer J, Curtis TA, Marunick MT, editors. Maxillofacial rehabilitation: prosthodontic and surgical considerations. 1st Ed. St Louis: Ishiyaku Euro-America; 1996. p. 225-84.
[20]  Devlin H, Barker GR. Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy. J Prosthet Dent 1992; 67: 223-27.
[21]  Key F. Obturator prostheses for hemimaxillectomy patients. J Oral Rehab 2001; 28: 821-29.
[22]  Ortegon SM, Martin JW, Lewin JS. A hollow delayed surgical obturator for a bilateral subtotal maxillectomy patient: a clinical report. J Prosthet Dent 2008; 99: 14-18.
[23]  Gurbuz A, Hasanreisoğlu U. Clinical comparison of different types of obturators constructed after maxillary resections. Ankara Univ Hekim Fak Derg 1990; 17: 103-8.
[24]  Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: classification. J Prosthet Dent 1978; 40: 554-7.
[25]  Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: design principles. J Prosthet Dent 1978; 40: 656- 62.
[26]  Firtell DN, Grisius RJ. Retention of obturator-removable partial dentures: a comparison of buccal and lingual retention. J Prosthet Dent 1980; 43: 212-7.
[27]  Martin JW, King GE. Framework retention for maxillary obturator prostheses. J Prosthet Dent 1984; 51: 669-72.
[28]  Parr GR, Tharp GE, Pahn AO. Prosthetic principle of the framework design of maxillary obturator prostheses. J Prosthet Dent 1989; 62: 205-212.
[29]  Johnson DL. Retention for a removable partial denture. J Prosthodont 1992; 1: 11-17.
[30]  Alfonso C, Toothaker RW, Wright RF, White GS. A technique to create appropriate abutment tooth contours for removable partial dentures. J Prosthodont 1999; 8: 273-275.
[31]  Schwartzman B, Caputo A, Beumer J. Occlusal force transfer by removable partial denture designs for a radical maxillectomy. J Prosthet Dent 1985; 54: 397-403.
[32]  Watson RM, Gray BJ. Assessing effective obturation. J Prosthet Dent 1985; 54: 88-93.
[33]  Minsley GE, Warren DW, Hinton V. Physiologic responses to maxillary resection and subsequent obturation. J Prosthet Dent 1987; 57: 338-44.
[34]  Goiato MC, Pesqueira AA, Silva CR, Filho HG, Santos DM. Patient satisfaction with maxillofacial prosthesis: literature review. J Plast Reconstr & Aesthet Surg 2009; 62: 175-80.
[35]  Brignoni R, Dominici JT. An intraoral-extraoral combination prosthesis using an intermediate framework and magnets: a clinical report. J Prosthet Dent 2001; 85: 7-11.
[36]  Miller EL. Removable Partial Prosthodontics. Baltimore, 1972. Williams & Wilkins Co.
[37]  Henderson D. and Steffel V. McCracken’s’ Removable Partial Prosthodontics, Ed 4. St. Louis, 1973, C. V. Mosby Co.
[38]  Avant W. Fulcrum and retention lines in planning removable partial dentures. J Prosthet Dent 1971; 25: 162.
[39]  Schugler C. The partial denture as a means of stabilizing abutment teeth. J Am Dent Assoc 1941; 25: 1121.
[40]  Osborne J. and Lammie S. Partial Dentures, Ed 4. Oxford, 1974, Blackwell Scientific Publications.
[41]  Clayton J. and Jaslow C. A measurement of clasp forces on teeth. J Prosthet Dent 1971; 25: 21.
[42]  Krol A. “R.P.I., Rest, Proximal Plate, I Bar, Clasp Retainer and its modification.” Dent Clin North Am. 1973; 17: 631.
[43]  Vrielinck L, Politis C, Schepers S, Pauwels M, Naert I. Image-based planning and clinical validation of the zygoma and pterygoid implant placement in patients with severe bone atrophy using customized drill guides. Preliminary results from a prospective clinical follow-up study. Int J Oral Maxillofac Surg 2003; 32: 7-14.
[44]  Landes CA. Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment of quality of life. Clin Oral Implant Res 2005; 16: 313-25.
[45]  Becktor JP, Isaksson S, Abrahamsson P, Sennerby L. Evaluation of 31 zygomatic implants and 74 regular dental implants used in 16 patients for prosthetic reconstruction of the atrophic maxilla with cross-arch fixed bridges. Clin Implant Dent Relat Res 2005; 7: 159-65.