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A new application of a screw‐plate for prosthetic reconstruction after bilateral total maxillectomy
Author(s) -
Juntunen K.,
Kullaa A.,
Lamberg M. A.,
Virtaniemi J.
Publication year - 1993
Publication title -
clinical oral implants research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 161
eISSN - 1600-0501
pISSN - 0905-7161
DOI - 10.1034/j.1600-0501.1993.040107.x
Subject(s) - prosthodontist , prosthesis , medicine , swallowing , rehabilitation , mastication , dentistry , orthodontics , phonation , surgery , physical therapy , audiology
Satisfactory functional and aesthetic rehabilitation of a patient after total bilateral maxillectomy is a great challenge to the surgeon and prosthodontist. A particular problem is support and retention of the obturator. In the case described, the problem was solved by attaching the prosthesis with finger clasps to a classic AO‐reconstruction plate anchored rigidly with screws to both zygomata. The results in terms of mastication, swallowing, phonation and aesthetics were satisfactory for more than 2 years, when the patient died from brain metastasis and pneumonia. The technique seems promising and merits further study using titanium screws and plates.