Prosthetic Rehabilitation of a Diabetic Patient with Palatal Defect with Implant Supported Removable Prosthesis: Case Report
Abstract
Maxillofacial prostheses are prosthetic techniques used to restore integrity that has been comp-romised by congenital causes, tumors, or post-traumatic abnormalities. Loss of tissue-related function, phonation and aesthetic problems are inevitable in patients with palate defects. Prost-heses to be applied to patients with palate defect should close the defect area and also prevent aesthetic and phonation problems. Conventional and implant supported prostheses can be used for the prosthetic palatal defect patient’s. A 65-year-old male with palatal deformity was referred to the Faculty of Dentistry at Marmara University. After intraoral and radiographic assessment, the patient's prosthetic treatment plan was determined. As a result of prosthetic planning, the patient's maxilla was rehabilitated with an implant-supported removable prosthesis on 4 ball attachments, and toothless mandible was rehabilitated with a complete denture. The patient re-ported that was satisfied with prostheses in terms of function, phonation and aesthetics during three-year-recall evaluation.
References
- Hickey AJ, Salter M. Prosthodontic and psychological factors in treating patients with congenital and craniofacial defects. J Prosthet Dent. 2006;95(5):392-96.
- Gümüş HO, Tuna HS. An alternative method for constructing an obturator prosthesis for a patient with a bilateral cleft Lip and palate: a clinical report. J Esthet Restor Dent. 2009; 21(2):89-94.
- Ysunza PA, Repetto GM, Pamplona MC, Calderon JF. Shaheen K. Chaiyasate K. Rontal M. Current controversies in diagnosis and management of clft palate and velopharnygeal inssuffiency. M.Biomed Res Int. 2015; 4(1):9-16.
- Buğurman B, Türker ŞB. Dudak ve damak yarıklı hastalar: etyoloji, embriyoloji, sınıflandırma ve klinik bulgular. Akademik Dental Dişhekimliği Dergisi. 2007; 9: 41-4.
- Reisberg DJ. Dental and prosthetic care for patients with cleft or craniofacial conditions. Cleft Palate Craniofac J. 2000; 37: 534-37.
- Varghese K. Prosthetic rehabilitation of a congenital soft palate defect. J Indian Prosthodont Soc. 2014; 14(1): 181-86.
- Özkan Y. Tam Protezler ve İmplantüstü Hareketli Protezler: Problemler ve Çözüm Yolları. İstanbul: Vestiyer Yayın Grubu; 2012.
- Meşe A, Özdemir E. Removable partial denture in a cleft lip and palate patient: a case report. J Korean Med Sci. 2008; 23(5): 924-27.
- Narayanraopeta S, Vemisetty HK, Marri T, Konda P. Rehabilitation of a unilateral cleft palate with endosseous implants in an edentulous elderly patient. Contemp Clin Dent. 2020; 11(3): 285-89.
- Tuna HS, Pekkan G, Buyukgural B. Rehabilitation of an edentulous cleft lip and palate patient with a soft palate defect using a bar-retained, implant-supported speech-aid prosthesis: a clinical report. Cleft Palate Craniofac J. 2009; 46(1):97-02.
- Ok S, Türker ŞB, Aslan YU, Özkan Y. Çift taraflı dudak damak yarıklı hastanın hareketli protezler ile protetik rehabilitasyonu: vaka sunumu. Atatürk Üniv Diş Hek Fak Derg. 2016; 16: 50-5.
- Tamura Y, Omura T, Toyoshima K, Araki A. Nutrition management in older adults with diabetes: a review on the importance of shifting prevention strategies from metabolic syndrome to frailty. Nutrients. 2020 ;12(11):3367.
Sert Damak Defektli Diyabetik Hastanın İmplant Destekli Hareketli Protez İle Protetik Rehabilitasyonu: Vaka Sunumu
Abstract
Çene yüz protezleri konjenital sebepler, tümör ve travma sonrası meydana gelen defektler sonucunda bozulan stamatognatik sistem bütünlüğünün rehabilitasyonu amacıyla uygulanan protetik yaklaşımlardır. Damak defekti bulunan hastalarda kaybedilen doku kaynaklı fonksiyon, fonasyon ve estetik problemler meydana gelmektedir. Uygulanacak protezler, defekti kapatmalı ayrıca estetik ve fonasyonun rehabilitasyonunu sağlamalıdır. Damak defekti bulunan hastaların protetik tedavisinde tedavi yaklaşımlarında konvansiyonel ve implant destekli protezlerden faydalanılabilir.
Tümör kaynaklı damak defekti bulunan 65 yaşında erkek hasta, damak defektinin tedavisi amacıyla Marmara Üniversitesi Diş Hekimliği Fakültesi’ne başvurmuştur. İntraoral ve radyolojik değerlendirme sonrasında hastanın protetik planlaması yapılmıştır. Maksillasında 4 adet topuz ataşman bulunan hastanın üst çenesi için topuz ataşman tutuculu implant destekli hareketli protez, dişsiz alt çenesi için ise tam protez yapılmıştır. 3 yıllık kullanım sonrasında hastanın fonksiyon, fonasyon ve estetik açıdan protezlerinden memnun olduğu tespit edilmiştir.
Keywords
References
- Hickey AJ, Salter M. Prosthodontic and psychological factors in treating patients with congenital and craniofacial defects. J Prosthet Dent. 2006;95(5):392-96.
- Gümüş HO, Tuna HS. An alternative method for constructing an obturator prosthesis for a patient with a bilateral cleft Lip and palate: a clinical report. J Esthet Restor Dent. 2009; 21(2):89-94.
- Ysunza PA, Repetto GM, Pamplona MC, Calderon JF. Shaheen K. Chaiyasate K. Rontal M. Current controversies in diagnosis and management of clft palate and velopharnygeal inssuffiency. M.Biomed Res Int. 2015; 4(1):9-16.
- Buğurman B, Türker ŞB. Dudak ve damak yarıklı hastalar: etyoloji, embriyoloji, sınıflandırma ve klinik bulgular. Akademik Dental Dişhekimliği Dergisi. 2007; 9: 41-4.
- Reisberg DJ. Dental and prosthetic care for patients with cleft or craniofacial conditions. Cleft Palate Craniofac J. 2000; 37: 534-37.
- Varghese K. Prosthetic rehabilitation of a congenital soft palate defect. J Indian Prosthodont Soc. 2014; 14(1): 181-86.
- Özkan Y. Tam Protezler ve İmplantüstü Hareketli Protezler: Problemler ve Çözüm Yolları. İstanbul: Vestiyer Yayın Grubu; 2012.
- Meşe A, Özdemir E. Removable partial denture in a cleft lip and palate patient: a case report. J Korean Med Sci. 2008; 23(5): 924-27.
- Narayanraopeta S, Vemisetty HK, Marri T, Konda P. Rehabilitation of a unilateral cleft palate with endosseous implants in an edentulous elderly patient. Contemp Clin Dent. 2020; 11(3): 285-89.
- Tuna HS, Pekkan G, Buyukgural B. Rehabilitation of an edentulous cleft lip and palate patient with a soft palate defect using a bar-retained, implant-supported speech-aid prosthesis: a clinical report. Cleft Palate Craniofac J. 2009; 46(1):97-02.
- Ok S, Türker ŞB, Aslan YU, Özkan Y. Çift taraflı dudak damak yarıklı hastanın hareketli protezler ile protetik rehabilitasyonu: vaka sunumu. Atatürk Üniv Diş Hek Fak Derg. 2016; 16: 50-5.
- Tamura Y, Omura T, Toyoshima K, Araki A. Nutrition management in older adults with diabetes: a review on the importance of shifting prevention strategies from metabolic syndrome to frailty. Nutrients. 2020 ;12(11):3367.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Case Reports |
| Authors | |
| Early Pub Date | April 29, 2024 |
| Publication Date | April 30, 2024 |
| Published in Issue | Year 2024 Volume: 8 Issue: 1 |
