Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two Cases
Cancer resection is the most common cause of acquired palatal defects, whereas cleft palate is the main cause of congenital defects. Palatal defect can be repaired by reconstructive surgery and/or a dental prosthesis. We present prosthodontic rehabilitation of two maxillary edentulous patients, one...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2011-02-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664611600193 |
| _version_ | 1828922295262904320 |
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| author | Fen-Huey Lin Tsung-Chih Wang |
| author_facet | Fen-Huey Lin Tsung-Chih Wang |
| author_sort | Fen-Huey Lin |
| collection | DOAJ |
| description | Cancer resection is the most common cause of acquired palatal defects, whereas cleft palate is the main cause of congenital defects. Palatal defect can be repaired by reconstructive surgery and/or a dental prosthesis. We present prosthodontic rehabilitation of two maxillary edentulous patients, one with a surgically induced palatal defect and the other with congenital cleft palate. In case 1, an 86-year-old man underwent surgical removal of soft-palate squamous cell carcinoma. The acquired palatal defect was repaired by a maxillary complete denture with a posteriorly extended speech bulb. The final prostheses provided good chewing and speech functions. In case 2, a congenital cleft palate in a 65-year-old man was repaired by a maxillary complete denture with superior extension of the obturator, which was designed to improve retention and stability of the upper single denture. He was satisfied with the upper denture after prosthesis placement. Conventional maxillary complete denture with a posteriorly extended speech bulb or modified obturator provides a good chance to restore oral functions in patients with palatal defects. The patients' skill and previous experience of denture wearing might have been important in their successful treatment. However, different patients present with unique problems and need to be treated individually. |
| first_indexed | 2024-12-13T22:18:01Z |
| format | Article |
| id | doaj.art-38f35f44f502442d924e16e8b17e5ada |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-13T22:18:01Z |
| publishDate | 2011-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-38f35f44f502442d924e16e8b17e5ada2022-12-21T23:29:27ZengElsevierJournal of the Formosan Medical Association0929-66462011-02-01110212012410.1016/S0929-6646(11)60019-3Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two CasesFen-Huey LinTsung-Chih WangCancer resection is the most common cause of acquired palatal defects, whereas cleft palate is the main cause of congenital defects. Palatal defect can be repaired by reconstructive surgery and/or a dental prosthesis. We present prosthodontic rehabilitation of two maxillary edentulous patients, one with a surgically induced palatal defect and the other with congenital cleft palate. In case 1, an 86-year-old man underwent surgical removal of soft-palate squamous cell carcinoma. The acquired palatal defect was repaired by a maxillary complete denture with a posteriorly extended speech bulb. The final prostheses provided good chewing and speech functions. In case 2, a congenital cleft palate in a 65-year-old man was repaired by a maxillary complete denture with superior extension of the obturator, which was designed to improve retention and stability of the upper single denture. He was satisfied with the upper denture after prosthesis placement. Conventional maxillary complete denture with a posteriorly extended speech bulb or modified obturator provides a good chance to restore oral functions in patients with palatal defects. The patients' skill and previous experience of denture wearing might have been important in their successful treatment. However, different patients present with unique problems and need to be treated individually.http://www.sciencedirect.com/science/article/pii/S0929664611600193edentulismpalatal defectprosthodontic rehabilitationvelopharyngeal defect |
| spellingShingle | Fen-Huey Lin Tsung-Chih Wang Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two Cases Journal of the Formosan Medical Association edentulism palatal defect prosthodontic rehabilitation velopharyngeal defect |
| title | Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two Cases |
| title_full | Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two Cases |
| title_fullStr | Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two Cases |
| title_full_unstemmed | Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two Cases |
| title_short | Prosthodontic Rehabilitation for Edentulous Patients With Palatal Defect: Report of Two Cases |
| title_sort | prosthodontic rehabilitation for edentulous patients with palatal defect report of two cases |
| topic | edentulism palatal defect prosthodontic rehabilitation velopharyngeal defect |
| url | http://www.sciencedirect.com/science/article/pii/S0929664611600193 |
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