Page 152 - Read Online

Figure 4: Plastic based polymethylmethacrylate heat cure placed and Figure 5: Salt filled into the defect
pressed into the defect

Figure 6: Second layer of plastic-based acrylic placed over the defect
Figure 7: Elimination of salt through the holes

a b
Figure 8: Finished and polished single unit hollow obturator closing the Figure 9: (a) Pretreatment photograph showing depressed left
defect nasomaxillary region; (b) posttreatment photograph showing replaced
missing teeth and marked improvement in aesthetics
a day. Post treatment photographs of the patient showed
a marked improvement in aesthetics by replacement of DISCUSSION
missing teeth and restoration of the previously depressed
nasomaxillary region [Figure 9a and b]. The patient Orofacial rehabilitation of patients with use of an
was scheduled for his first adjustment 3 days following obturator is an appropriate treatment modality for
[6]
insertion. At the appointment, the surgical wound maxillofacial defects. Oromaxillary defects are associated
was examined to ensure health of the tissues and any with inflow and outflow of oral and nasal microflora,
part of prosthesis exerting pressure on the wound was regurgitation of oral fluids, voice changes secondary to
smoothened. Hygiene and home care were emphasized, asynchrony in resonance, and difficulty in speech and
and the patient was advised to return in 3 months. swallowing. In addition, acquired maxillary defects have

142 Plast Aesthet Res || Vol 2 || Issue 3 || May 15, 2015