Digitally fabricated precision attachment with cast partial framework retained obturator in a partial maxillectomy patient following mucormycosis: A case report.

National journal of maxillofacial surgery Pub Date : 2024-05-01 Epub Date: 2024-07-24 DOI:10.4103/njms.njms_130_22
Sujata Chahal, Divya Dahiya, Priya Nagar, Surbhi Mittal
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Abstract

Oral mucormycosis mainly involves the maxilla, although it can also affect other areas of the oral cavity. Mucormycosis infection involving the maxilla spreads rapidly leading to the palatal perforation and necrosis of the bone, which eventually leads to intraoral communication between the oral and nasal cavities leading to difficulty in speech, deglutition, and mastication. Although surgical reconstruction is the best treatment modality, reconstruction of large defects still remains questionable, so prosthodontic rehabilitation of such patients restores normal functioning, enhances aesthetics, and boosts the confidence of the patient. This case presentation describes the amalgam of both conventional and digital techniques to bring out an economical and effective possible treatment modality for the rehabilitation of such patients. This case report entails the usage of a digitally fabricated precision attachment retained definitive prosthesis as a simple and effective approach to restore the acquired maxillary defect following mucormycosis.

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在一名上颌骨部分切除术后患有粘液瘤的患者身上,用数字制作的精密附件与铸造部分框架保留的闭锁器:病例报告。
口腔粘液瘤病主要累及上颌骨,但也会影响口腔的其他部位。上颌骨粘液瘤病感染会迅速扩散,导致腭骨穿孔和坏死,最终导致口腔和鼻腔之间的口腔内沟通,造成说话、脱臼和咀嚼困难。虽然手术重建是最好的治疗方式,但大面积缺损的重建仍是个问题,因此对这类患者进行义齿修复可恢复正常功能、提高美观度并增强患者的信心。本病例介绍了传统技术和数字技术的结合,为这类患者的康复带来了一种经济有效的治疗模式。本病例报告介绍了使用数字化制作的精密附着体固位义齿修复上下颌骨粘液瘤后获得性缺损的简单而有效的方法。
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