Prosthetic rehabilitation of untailored defects using patient-specific implants
The restoration of speech, deglutition, mastication, and respiration in patients with bimaxillary resection involving the maxillae, hard and soft palates, and paranasal sinuses poses a significant challenge. This clinical report describes the prosthodontic management of a patient with bilateral maxi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Dental Research Journal |
| Subjects: | |
| Online Access: | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2022;volume=19;issue=1;spage=83;epage=83;aulast=Kondaka |
| _version_ | 1798018804626751488 |
|---|---|
| author | Sudheer Kondaka Vankudoth Dal Singh Chakradhar Vadlamudi Lakshmana Rao Bathala |
| author_facet | Sudheer Kondaka Vankudoth Dal Singh Chakradhar Vadlamudi Lakshmana Rao Bathala |
| author_sort | Sudheer Kondaka |
| collection | DOAJ |
| description | The restoration of speech, deglutition, mastication, and respiration in patients with bimaxillary resection involving the maxillae, hard and soft palates, and paranasal sinuses poses a significant challenge. This clinical report describes the prosthodontic management of a patient with bilateral maxillectomy caused due to post-COVID-19 mucormycosis. A patient-specific implants (PSI) that matched the remnants of the zygoma complex was designed to improve the patient's severely impaired speech and swallowing. The patient's postsurgical anatomy was first visualized using three-dimensional computed tomography data. Following that, a customized zygoma-supported titanium framework was designed to support the prosthesis based on the data. Two weeks after the framework was installed, an open-tray impression was made and the prosthesis was fabricated. These findings suggest that PSI-retained prosthesis can be considered in cases with severely compromised maxillary bone anatomy, impaired oral functioning, and no viable conventional reconstruction options. |
| first_indexed | 2024-04-11T16:30:16Z |
| format | Article |
| id | doaj.art-4f177254bbce4bb99409ca5fcf64f734 |
| institution | Directory Open Access Journal |
| issn | 1735-3327 2008-0255 |
| language | English |
| last_indexed | 2024-04-11T16:30:16Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Dental Research Journal |
| spelling | doaj.art-4f177254bbce4bb99409ca5fcf64f7342022-12-22T04:14:03ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552022-01-01191838310.4103/1735-3327.359321Prosthetic rehabilitation of untailored defects using patient-specific implantsSudheer KondakaVankudoth Dal SinghChakradhar VadlamudiLakshmana Rao BathalaThe restoration of speech, deglutition, mastication, and respiration in patients with bimaxillary resection involving the maxillae, hard and soft palates, and paranasal sinuses poses a significant challenge. This clinical report describes the prosthodontic management of a patient with bilateral maxillectomy caused due to post-COVID-19 mucormycosis. A patient-specific implants (PSI) that matched the remnants of the zygoma complex was designed to improve the patient's severely impaired speech and swallowing. The patient's postsurgical anatomy was first visualized using three-dimensional computed tomography data. Following that, a customized zygoma-supported titanium framework was designed to support the prosthesis based on the data. Two weeks after the framework was installed, an open-tray impression was made and the prosthesis was fabricated. These findings suggest that PSI-retained prosthesis can be considered in cases with severely compromised maxillary bone anatomy, impaired oral functioning, and no viable conventional reconstruction options.http://www.drjjournal.net/article.asp?issn=1735-3327;year=2022;volume=19;issue=1;spage=83;epage=83;aulast=Kondakaimplants and prosthesesmouth rehabilitationsmucorales infectionsubperiosteal implant therapythree-dimensional printing |
| spellingShingle | Sudheer Kondaka Vankudoth Dal Singh Chakradhar Vadlamudi Lakshmana Rao Bathala Prosthetic rehabilitation of untailored defects using patient-specific implants Dental Research Journal implants and prostheses mouth rehabilitations mucorales infection subperiosteal implant therapy three-dimensional printing |
| title | Prosthetic rehabilitation of untailored defects using patient-specific implants |
| title_full | Prosthetic rehabilitation of untailored defects using patient-specific implants |
| title_fullStr | Prosthetic rehabilitation of untailored defects using patient-specific implants |
| title_full_unstemmed | Prosthetic rehabilitation of untailored defects using patient-specific implants |
| title_short | Prosthetic rehabilitation of untailored defects using patient-specific implants |
| title_sort | prosthetic rehabilitation of untailored defects using patient specific implants |
| topic | implants and prostheses mouth rehabilitations mucorales infection subperiosteal implant therapy three-dimensional printing |
| url | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2022;volume=19;issue=1;spage=83;epage=83;aulast=Kondaka |
| work_keys_str_mv | AT sudheerkondaka prostheticrehabilitationofuntailoreddefectsusingpatientspecificimplants AT vankudothdalsingh prostheticrehabilitationofuntailoreddefectsusingpatientspecificimplants AT chakradharvadlamudi prostheticrehabilitationofuntailoreddefectsusingpatientspecificimplants AT lakshmanaraobathala prostheticrehabilitationofuntailoreddefectsusingpatientspecificimplants |