Prosthetic rehabilitation of a patient with bilateral 11th ISMR

maxillectomy: a case report Belgrade

4-7 May, 2016
*Ana Todoroviæ, *Vojkan Laziæ, *Igor Ðorðeviæ

University of Belgrade, School of Dental Medicine

*Department for Prosthodontics

Fabrication of obturator prosthesis is obligatory procedure in the treatment of patients with tumors in the region of the maxilla.
A particular problem is the situation of bilateral surgical resection of the maxilla.
The aim of this paper was to present the possibility and outcome of prosthetic rehabilitation in patient with bilateral maxillectomy defects.
À 73-year-old female patient after bilateral maxillectomy underwent radiation therapy. After 6 months on the basis of MDCT two
zygomatic and one tubero-pterygoid implants were placed to improve denture retention ( Dr. Ihde Dental AG, Switzerland). Patient
reported to the Clinic for Prosthodontics, School of Dental Medicine, University of Belgrade. Considering the arrangement of the implants,
retention bar was made on the left side and on the zygomatic implant abutment on the right side suitable retentive ball attachment.
Bar and the ball were connected to abutment with cement.
Wax plate 4-5 mm thick was adapted over the palate. The wax model of the palate is converted into heat curing acrylics and used
as a definitive record base for intermaxillary relations records. Following procedures were identical with fabrication of conventional
complete dentures.

Clip-bar retention Implant retained obturator prosthesis

Prosthesis in sity

Reconstruction after bilateral maxillectomy is essential to prevent aesthetic and functional problems. The lack of palatal vault
is an additional difficulty in the manufacturing of obturators on complete dentures. This is often the reason for rejection of this
kind of prosthesis by the patients.

Key words: bilateral maxillectomy, obturator prosthesis, reconstruction