Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report
ABSTRACT Salivary gland tumors account for only 3%–5% of all tumors in the head and neck, 10%–15% of which originate from minor salivary glands. Pleomorphic adenoma is a benign lesion of the salivary gland, most commonly occurring in the region of the hard and soft palates. The treatment of choice f...
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| Format: | Article |
| Language: | English |
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Faculdade São Leopoldo Mandic
2023-03-01
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| Series: | RGO: Revista Gaúcha de Odontologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372023000100800&tlng=en |
| _version_ | 1797792675139682304 |
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| author | Iury da Silva XIMENES Cássia Emanuella Nóbrega MALTA Joyce Ohana de Lima MARTINS José Vitor Mota LEMOS Lívia de Oliveira BARROS Carlos Eduardo Alburquerque GOMES Renata de Matos Brito Lima VERDE |
| author_facet | Iury da Silva XIMENES Cássia Emanuella Nóbrega MALTA Joyce Ohana de Lima MARTINS José Vitor Mota LEMOS Lívia de Oliveira BARROS Carlos Eduardo Alburquerque GOMES Renata de Matos Brito Lima VERDE |
| author_sort | Iury da Silva XIMENES |
| collection | DOAJ |
| description | ABSTRACT Salivary gland tumors account for only 3%–5% of all tumors in the head and neck, 10%–15% of which originate from minor salivary glands. Pleomorphic adenoma is a benign lesion of the salivary gland, most commonly occurring in the region of the hard and soft palates. The treatment of choice for pleomorphic adenomas is with the partial or total function of the extension of the lesion, and placing palatal obturators are one method of reestablishing masticatory function and facial esthetics. This study aimed to rehabilitate a patient using a palatal implant following partial maxillectomy for the removal of a pleomorphic adenoma. A young patient with pleomorphic adenoma of the hard palate underwent a partial right-sided maxillectomy procedure which removed the hard palate and alveolar regions of the molars. Prior to surgery, the patient was assessed to make a surgical guide for resection of the tumor, as well as a provisional obturator plate using orthodontic wire clasps. After healing, the patient was rehabilitated using a palatal obturator which had been incorporated into a removable partial denture. The clinical sequence used to fabricate the final prosthesis was as follows: initial molding after surgery, prosthesis design, preparation of the mouth, work molding, structure testing and orientation planning, teeth testing and installation, and periodic maintenance. Thus, we can conclude that the palatal obturator is an excellent means of restoring a patient’s oral function, facial esthetics, and overall quality of life. |
| first_indexed | 2024-03-13T02:37:26Z |
| format | Article |
| id | doaj.art-79f0044ebc284a44918a4043f4bb8465 |
| institution | Directory Open Access Journal |
| issn | 1981-8637 |
| language | English |
| last_indexed | 2024-03-13T02:37:26Z |
| publishDate | 2023-03-01 |
| publisher | Faculdade São Leopoldo Mandic |
| record_format | Article |
| series | RGO: Revista Gaúcha de Odontologia |
| spelling | doaj.art-79f0044ebc284a44918a4043f4bb84652023-06-28T23:17:24ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372023-03-017110.1590/1981-86372023000120200211Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case reportIury da Silva XIMENEShttps://orcid.org/0000-0002-6974-6367Cássia Emanuella Nóbrega MALTAhttps://orcid.org/0000-0001-9185-9491Joyce Ohana de Lima MARTINShttps://orcid.org/0000-0003-2919-9829José Vitor Mota LEMOShttps://orcid.org/0000-0001-9020-1532Lívia de Oliveira BARROShttps://orcid.org/0000-0001-8965-2301Carlos Eduardo Alburquerque GOMEShttps://orcid.org/0000-0002-5220-0237Renata de Matos Brito Lima VERDEhttps://orcid.org/0000-0002-0210-4626ABSTRACT Salivary gland tumors account for only 3%–5% of all tumors in the head and neck, 10%–15% of which originate from minor salivary glands. Pleomorphic adenoma is a benign lesion of the salivary gland, most commonly occurring in the region of the hard and soft palates. The treatment of choice for pleomorphic adenomas is with the partial or total function of the extension of the lesion, and placing palatal obturators are one method of reestablishing masticatory function and facial esthetics. This study aimed to rehabilitate a patient using a palatal implant following partial maxillectomy for the removal of a pleomorphic adenoma. A young patient with pleomorphic adenoma of the hard palate underwent a partial right-sided maxillectomy procedure which removed the hard palate and alveolar regions of the molars. Prior to surgery, the patient was assessed to make a surgical guide for resection of the tumor, as well as a provisional obturator plate using orthodontic wire clasps. After healing, the patient was rehabilitated using a palatal obturator which had been incorporated into a removable partial denture. The clinical sequence used to fabricate the final prosthesis was as follows: initial molding after surgery, prosthesis design, preparation of the mouth, work molding, structure testing and orientation planning, teeth testing and installation, and periodic maintenance. Thus, we can conclude that the palatal obturator is an excellent means of restoring a patient’s oral function, facial esthetics, and overall quality of life.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372023000100800&tlng=enAdenoma, pleomorphicDentistryNeoplasmsRehabilitation |
| spellingShingle | Iury da Silva XIMENES Cássia Emanuella Nóbrega MALTA Joyce Ohana de Lima MARTINS José Vitor Mota LEMOS Lívia de Oliveira BARROS Carlos Eduardo Alburquerque GOMES Renata de Matos Brito Lima VERDE Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report RGO: Revista Gaúcha de Odontologia Adenoma, pleomorphic Dentistry Neoplasms Rehabilitation |
| title | Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report |
| title_full | Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report |
| title_fullStr | Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report |
| title_full_unstemmed | Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report |
| title_short | Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report |
| title_sort | oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma case report |
| topic | Adenoma, pleomorphic Dentistry Neoplasms Rehabilitation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372023000100800&tlng=en |
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