After surgical excision of tumors involving the maxilla, depending on their location and size, maxillary defects can have harmful consequences, both esthetic and functional. These effects disrupt all the functions of the manducatory system, namely breathing, swallowing, and especially phonation, thus affecting negatively the patient’s psychological state. Despite the evolution of reconstructive surgical techniques and the development of microsurgery, conventional obturator prostheses are still relevant. In fact, these prostheses restore the main functions of chewing, phonation, and swallowing. They also provide the patient with a satisfactory esthetic appearance. Moreover, they have an advantage in regard to oncology, making the possibility of surveying much easier. Maxillary defects are characterized by their highly polymorphic aspect, having a great impact on the nature of prosthetic rehabilitation. The aim of this work was to present the different clinical and laboratory steps of prosthetic rehabilitation of an acquired maxillary defect following excision of a mucoepidermoid carcinoma.
Limited oral opening is an acquired or congenital abnormal condition that compromises patient esthetics, nutrition, and quality of life. In addition, it may hinder conventional prosthetic procedures of edentulous patients, make it challenging, and present difficulties at all its stages. This clinical report presents different clinical treatment options suitable to be chosen by the prosthodontic carer in the case of reduced oral aperture.
Through this study we aim firstly, to understand the correlation between pain, intensity of pain and different clinical Data. Secondly, to highlight the accurate etiological diagnosis and be able to take the adequate decison for pain managment. This study was carried out on 200 edentulous patients who came to the departement of complete denture of dental clinic at Monastir Tunisia from february to june2019.All the patients were examined and assessed by one prosthodontist under the supervision of a professor. A questionnaire was used to record information wich was taken directly from the patient when they attend the dental clinic. The patient consent were taken verbally. The questionnaire included 19 questions divided in 3 heading: Medical history, exploration of pain and its intensity and Management strategies. The statiscal analysis were done with an SPSS's logiciel version 22.0. The results are presented in form of tables and graphics. Moreover, in this study the most common chief complaint was pain 63% of the sample. This result corroborate with other studies in litterature. Besides, a statistically significant relationship was observed between pain and patient’s satisfaction with their prosthesis (P=0.044<0,05). However, no significant difference was found between pain and other differents clinical Data (age, gender, general condition ….) (P>0.05). Neither between intensity of pain and different clinical data (P<0.05). This result came in argument with results of other worldwide researches. Finally, we came to the conclusion that management strategy of pain must follow a comprehensive, multidisciplinary and systemic approach.
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