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    Intro +obturators Tech

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    reem eltyeb
    This document discusses maxillofacial prosthetics. It defines maxillofacial prosthetics as the restoration or replacement of structures in the mouth and face area using removable or non-removable prosthetics. The objectives are restoration of appearance, function, speech, tissue production, and psychological therapy. Types of defects include congenital (cleft lip), acquired (surgery/trauma), and developmental (jaw position). Prosthetics are classified by location in the mouth or on the face. Obturators are described as prosthetics used to close openings in the palate from congenital defects or surgery/trauma. Construction of immediate, delayed, and definitive obturators is outlined.

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    Intro +obturators Tech

    Uploaded by

    reem eltyeb
    31 views26 pages
    This document discusses maxillofacial prosthetics. It defines maxillofacial prosthetics as the restoration or replacement of structures in the mouth and face area using removable or non-removable prosthetics. The objectives are restoration of appearance, function, speech, tissue production, and psychological therapy. Types of defects include congenital (cleft lip), acquired (surgery/trauma), and developmental (jaw position). Prosthetics are classified by location in the mouth or on the face. Obturators are described as prosthetics used to close openings in the palate from congenital defects or surgery/trauma. Construction of immediate, delayed, and definitive obturators is outlined.

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    This document discusses maxillofacial prosthetics. It defines maxillofacial prosthetics as the restoration or replacement of structures in the mouth and face area using removable or non-removable prosthetics. The objectives are restoration of appearance, function, speech, tissue production, and psychological therapy. Types of defects include congenital (cleft lip), acquired (surgery/trauma), and developmental (jaw position). Prosthetics are classified by location in the mouth or on the face. Obturators are described as prosthetics used to close openings in the palate from congenital defects or surgery/trauma. Construction of immediate, delayed, and definitive obturators is outlined.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    31 views26 pages

    Intro +obturators Tech

    Uploaded by

    reem eltyeb
    This document discusses maxillofacial prosthetics. It defines maxillofacial prosthetics as the restoration or replacement of structures in the mouth and face area using removable or non-removable prosthetics. The objectives are restoration of appearance, function, speech, tissue production, and psychological therapy. Types of defects include congenital (cleft lip), acquired (surgery/trauma), and developmental (jaw position). Prosthetics are classified by location in the mouth or on the face. Obturators are described as prosthetics used to close openings in the palate from congenital defects or surgery/trauma. Construction of immediate, delayed, and definitive obturators is outlined.

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    Maxillofacial prosthesis

    Definition
    The branch of the prosthodontics concerned
    with the restoration and / or replacement of the
    stomatognathic and craniofacial structures with
    a prosthesis that may or may not be removed.
    Objective of MFP
    1- restoration of esthetics or cosmetic ,appearance.
    2- restoration of function and speech .
    3- Production of tissues .
    4- therapeutic or healing effect.
    5- psychologic therapy.
    Types of maxillofacial defects
    1- Congenital : as cleft palate, cleft lip , missing
    ear.
    2- Acquired : as accident , surgery and pathology.
    3- Developmental : as prognathism and
    retrognathism.
    Classification of MFP
    According to its site
    1- intra – oral prosthesis: obturator , stent and
    splint.
    2- extra – oral prosthesis: radium shield , restoration
    of missing( eye , nose, ear) ,ear plugs .
    3- combined intra – oral & extra – oral prosthesis.
    4- cranial & facial prosthesis:
    Cranial onlys & inlays, intra – mandibular implants.
    obturator
    splint
    radium shield
    Eye , ear , nose
    cranial prosthesis
    Prosthetics of acquired maxillary defect

    Obturator:
    • To stop.
    • Prosthesis used to close a congenital or
    acquired opening in the palate.
    Etiology of acquired defects
    • Trauma.
    • Disease.
    • Surgical excision.
    Disabilities ass.with AMD
    • Speech.
    • Swallowing .
    • Appearance.
    • Psychological trauma.
    Types of obturators
    1- immediate surgical obturator.
    2- delayed surgical obturator.
    3- definitive obturator.
    Immediate surgical obturator
    • Is constructed pre surgically & inserted
    immediately after surgery in the operation room
    .
    • It is formed of simple acrylic plate with retaining
    clasps.
    • Used to carry surgical packing.
    • Most not be removed before 7- 10 days.
    Immediate surgical obturator
    Immediate surgical obturator
    Construction of ISO
    1- survey abutments.
    2- upper and lower impression.
    3- pour the impression with a stone.
    4- surgeon outline the proposed margins on the
    upper cast.
    5- the max. cast is altered to the proposed
    surgical resection.
    6- wire retainer is added.
    7- finishing & polishing.
    • In partial dentate pt is retained by wire clasp.
    • In edentulous pt is retained by a wire or pin to
    alveolar ridge and zygomatic arch and /or
    anterior nasal spine .
    2- delayed surgical obturator
    ( interim)
    • It is usually 2- 4 weeks after initial surgery.
    • Treatment choice for edentulous pt with
    extensive surgical defects.
    Construction of DSO
    1- impression.
    2- prosthesis fabrication :
    A- in dentulous pt:
    • As immediate obturator , from acrylic resin
    base + wrought wire clasps.
    • Anterior teeth ,if missing for esthetics.
    • Posterior occlusion should be avoided.
    B- in edentulous pt:
    • preferred to use pt own max. denture. With
    few adjustments:
    - Shorten the flanges on the side of defect.
    3- definitive obturator
    • It is constructed 3-4 months after surgery.

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