Removable prosthetic rehabilitation in patient with maxillofacial defects caused by gunshot: A case report.
10.4047/jkap.2017.55.2.198
- Author:
Donggyu LEE
1
;
Jeongkyung KANG
Author Information
1. Department of Prosthodontics, Veteran's Health Service Medical Center, Seoul, Republic of Korea. jkkang76@hanmail.net
- Publication Type:Case Report
- Keywords:
Maxillofacial defect;
Obturator;
Removable partial denture
- MeSH:
Classification;
Congenital Abnormalities;
Deglutition;
Denture, Partial;
Denture, Partial, Removable;
Humans;
Male;
Mandible;
Mastication;
Maxillofacial Prosthesis;
Palate;
Rehabilitation*;
Tooth;
Tooth, Artificial
- From:The Journal of Korean Academy of Prosthodontics
2017;55(2):198-204
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Maxillofacial defect comes from congenital defect, trauma and surgical resection. Patients with intraoral defect are commonly related to maxillary defect and they need prosthetic rehabilitation. Functional reconstruction of partially edentulous mandible has many limitations. However, if both condyles are intact, maxillofacial prosthesis using partial denture give competent results. In this case, a patient of 58 year-old male has a defect on palate and left mandibular posterior teeth from gunshot. The maxillary defect of this patient is Class IV according to Aramany classification and the mandibular one is Type V according to Cantor and Curtis classification. For retention of the obturator, remaining teeth are fully utilized and artificial teeth are arranged harmoniously to provide stable occlusion. Mandibular RPD covered limited range of deformed soft tissue derived from mandibular resection surgery. With these treatments, the patient in this case showed improvements in mastication, swallowing and speech.
