Oral rehabilitation of patients after maxillectomy. A systematic review

Abstract

Patients who have maxillectomy can be rehabilitated with reconstructive surgery or obturator prostheses with or without osseointegratable implants. To identify studies on possible treatments in this group, we systematically searched the Scopus, Embase, PubMed/Medline, and Cochrane databases to collect data on patients' characteristics, radiotherapy, and results related to speech, swallowing, mastication or diet, chewing, aesthetics, and quality of life. Of the 1376 papers found, six were included, and one other was included after an additional search of references. A total of 252 patients were included, and of them, 86 had reconstructive surgery, 91 were treated with obturator prostheses, 39 had reconstructive surgery or obturator prostheses associated with implants, and 36 had reconstruction plus an obturator prosthesis. Data on radiotherapy were incomplete. There is a lack of consensus about the indication for rehabilitation, as the treatment must be based on the individual characteristics of each patient.

Rehabilitation of a patient with palatal defect- A case report

“…As a result, open space obturators with low medial wall height have been reported to be more successful. In the present case, it was observed by the researchers that phonation was positively affected in the controls after prosthesis delivery [10,20].…”

“…The greatest problems of obturators after maxillectomy include retention, stability and insuffi ciency of tissue support. The frame design of conventional skeletal substructuresupported obturators is used in various retention components to increase the retention [9][10][11]. The rehabilitation of patients with partial maxillectomy compared to patients with conventional partial prosthesis requires more knowledge, experience, teamwork, and expertise.…”

“…When deciding on the design of the body for the obturation process after maxilla resection, the characteristics such as oral hygiene, the size of the defect and the need for conservatism should be evaluated [10]. Before the obturator is made, the size of the defect, the weight of the obturator, the comfort of the patient and the force of the obturator on the teeth should be considered [14].…”

Prótese bucomaxilofacial: a Odontologia além da boca

“…Os meios mecânicos incluem a associação de dispositivos externos, tais como armações de óculos, molas, clipes, ímãs e até mesmo implantes à prótese. A retenção adesiva se dá através da aplicação de adesivos próprios para a pele na superfície da prótese 2,5,9,11,12 .…”

The use of CAD / CAM technology in prosthetic rehabilitation of patients treated for maxillary tumors

“…Celem rehabilitacji protetycznej jest wówczas zarówno zamknięcie połączenia ustno-nosowego, jak i poprawa estetyki twarzy oraz uzupełnienie braków uzębienia. 1,2 Rekonstrukcja tkanek metodami chirurgicznymi jest szczególnie wskazana w przypadkach całkowitych braków uzębienia oraz przy braku wystarczającej objętości tkanki kostnej umożliwiającej przeprowadzenie zabiegów implantoprotetycznych, gdyż uzyskanie prawidłowej retencji i stabilizacji protez ruchomych jest w takiej sytuacji zwykle niemożliwe. Rekonstrukcja chirurgiczna nie jest najczęściej niezbędna w przypadku zachowanego uzębienia w szczęce, ponieważ właściwą retencję dla częściowych protez ruchomych zaopatrzonych w obturator zapewniają zachowane zęby naturalne.…”