Cargando…

Prosthetic rehabilitation of a patient after a partial mandibulectomy

INTRODUCTION: The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam. PRESENTATION OF CASE: A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar...

Descripción completa

Detalles Bibliográficos
Autores principales: Goiato, Marcelo Coelho, de Medeiros, Rodrigo Antonio, Vechiato Filho, Aljomar José, da Silva, Emily Vivianne Freitas, Sônego, Mariana Vilela, de Carvalho, Karina Helga Turcio, Guiotti, Aimée Maria, de Carvalho Dekon, Stefan Fiuza, Pesqueira, Aldiéris Alves, dos Santos, Daniela Micheline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454786/
https://www.ncbi.nlm.nih.gov/pubmed/26052437
http://dx.doi.org/10.1016/j.amsu.2015.05.004
Descripción
Sumario:INTRODUCTION: The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam. PRESENTATION OF CASE: A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding. DISCUSSION: The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion. CONCLUSION: A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.