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Dent. J. 2018, 6(3), 22; https://doi.org/10.3390/dj6030022

The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions

1
Private Practice 1, Boulevard Sylvain Dupuis 235-10, 1070 Brussels, Belgium
2
Private Practice 2, Boulevard Sylvain Dupuis 235-10, 1070 Brussels, Belgium
*
Author to whom correspondence should be addressed.
Received: 21 March 2018 / Revised: 18 May 2018 / Accepted: 24 May 2018 / Published: 21 June 2018
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Abstract

Objective: Maxillectomy often results in a high level of morbidity with significant psychological and functional implications for patients. The aims of the present study were to assess the effectiveness of the maxillary obturator as a speech rehabilitation aid, to examine the influence of dentition on speech intelligibility, to restore patients’ regular daily activity as soon as possible, and to maintain patients’ psychological well-being throughout the treatment. Patients and Methods: Forty-one palatomaxillary immediate obturator and definitive reconstruction patient treatments were reviewed at a clinic (Ankara, Turkey). Patients aged between 20 and 73 years with surgically acquired partial maxillary defects were included in this study. All patients were rehabilitated with immediate and definitive obturators. The patients were given immediate surgical obturators which were adjusted to the defect area with a tissue conditioner. By employing this procedure and relining with the tissue conditioner weekly, immediate obturators were used in the interim stage of the treatment. As interim obturators, prostheses were used for two to three months until healing and resorption were found satisfactory, after which the definitive obturators were fabricated. Results: The speech intelligibility test (SIT) was employed for the evaluation of the speech ability. Significant improvements were found in the mean speech intelligibility test score (SITS), from 0.02% in patients without prosthetic obturation to 94.10% in patients with immediate obturation on the second day, 95.60% in patients with immediate obturation on the 20th day, and 95.97% in patients with definitive obturation. View Full-Text
Keywords: immediate obturator; immediate prosthodontic; reconstruction; maxillary tumor resections immediate obturator; immediate prosthodontic; reconstruction; maxillary tumor resections
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Dalkiz, M.; Dalkiz, A.S. The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions. Dent. J. 2018, 6, 22.

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