Jiménez GMB, Robaina RJM, Díaz CI

Language: Spanish
References: 22
Page: 166-174
PDF size: 147.84 Kb.

ABSTRACT

Introduction: Fractures due to traumatic injury, surgical resection of tumors and congenital defects expose the maxilla to aggressions, and for rehabilitation there are obturator prostheses that recover some functions such as swallowing and phonation, as well as aesthetics.
Objective: To summarize the benefits of the use of an obturator prosthesis as a rehabilitation form in Oral Maxillofacial Prosthesis services.
Methods: Study of bibliographic review in 64 publications between 1978-2019 on the use of obturator prosthesis. 153 documents from the MEDLINE, PubMed and SciELO reference systems databases were consulted, screened and indexed on the Web of Sciences, Scopus, Redalyc and Latindex, with the use of the following descriptors: oral obturator, obturator prosthesis, oral cancer.
Development: Prosthetic or palatal obturators are indicated to seal the surgically or congenitally exposed tissues of the oral cavity, and are a fundamental substitute for the hard palate, alveolar bone and surrounding soft tissues. During rehabilitation, the buccomaxillofacial prosthesis professional will make new modifications as the surgical site matures. The final prosthesis will have teeth similar to a dental prosthesis; the patient can remove and clean it, in addition to taking care of the hygiene of the defect.
Conclusions: Prosthetic obturators correct palatal or maxillary defects, with various designs and attachments to be applied, which manages to recover a high level of quality of life for patients, since the oral cavity is separated from the nasal or sinus cavity, with a satisfactory dental and occlusal rehabilitation.

REFERENCES

1. Yoshida K. Clinical characteristics of functional movement disorders in the stomatognathic system. Front. Neurol [revista en Internet]. 2020 [citado 25 Ene 2021];11(123):[aprox. 9p]. Disponible en: https://www.frontiersin.org/articles/10.3389/fneur.2020.00123/full

2. Behr M, Fanghänel J. The impact of the stomatognathic system on the development of human beings. Dtsch Zahnärztl Z Int [revista en Internet]. 2019 [citado 25 Ene 2021];1(5):[aprox. 3p]. Disponible en: https://www.online-dzz.com/archive/issue/article/dzzint-5-2019/5392-103238-dzz-int20190171-0174-the-impact-of-the-stomatognathic-system-on-the-development-of-hu/

3. Chen Cheng, Ren Wenhao, Gao Ling, Cheng Zheng, Zhang Linmei, Li Shaoming et al. Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation. Braz. j. otorhinolaryngol [revista en Internet]. 2016 [citado 25 Ene 2021];82(2):[aprox. 6p]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942016000200177&lng=en

4. Andreescu FC. Face and facial disfigurations: self and alterations of self. Psych Pol. Wiley Online Library [Internet]. 2017 [citado 25 Ene 2021]; . Disponible en: https://onlinelibrary.wiley.com/

5. Bhandari AJ. Maxillary obturator. J Dent Allied Sci [revista en Internet]. 2017 [citado 12 Dic 2018];6(2):[aprox. 5p]. Disponible en: https://www.jdas.in/text.asp?2017/6/2/78/219975

6. Cabrera CM, Joris A, Sartorio F. Rehabilitación multidisciplinaria mediante una prótesis obturatriz velopalatal. Reporte de un caso. Odontoestomatología [revista en Internet]. 2018 [citado 2 Abr 2019];20(31):[aprox. 10p]. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-93392018000100054&lng=es

7. Ohno T, Hojo K, Fujishima I. Soft obturator prosthesis for postoperative soft palate carcinoma: A clinical report. J Prosthet Dent [revista en Internet]. 2018 [citado 25 Ene 2021];119(5):[aprox. 2p]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28950989/

8. Appadurai R, Lingeshwar D, Dilshad B, Maria S. Surgical retention for immediate obturator in maxillectomy patients. Indian J Dent Res [revista en Internet]. 2019 [citado 25 Ene 2021];30(1):[aprox. 1p]. Disponible en: https://www.ijdr.in/text.asp?2019/30/1/133/254505

9. Prasad S. Maxillofacial Prosthesis: A Review of Treatment Concepts for Better Prosthesis Prognosis. Bengal J Otolaryn Head Neck Surg [revista en Internet]. 2017 [citado 19 Ene 2018];25(2):[aprox. 4p]. Disponible en: https://www.bjohns.in/jounal/index.php/bjohns/article/view/268

10. Pera P, Menini M, Pesce P, Bevilacqua M, Pera F, Tealdo T. Immediate Versus Delayed Loading of Dental Implants Supporting Fixed Full-Arch Maxillary Prostheses: A 10-year Follow-up Report. Int J Prosth [revista en Internet]. 2019 [citado 19 Ene 2020];32(1):[aprox. 4p]. Disponible en: http://www.sci-hub.se/10.11607/ijp.5804

11. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico 2019 [Internet]. La Habana: MINSAP; 2020 [citado 12 Ene 2021]. Disponible en: http://bvscuba.sld.cu/anuario-estadistico-de-cuba/monografía

12. Dalkiz M, Dalkiz A. The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions. Dent J [revista en Internet]. 2018 [citado 12 Ene 2021];6(3):[aprox. 17p]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6162668/

13. Ozaki H, Sakurai H, Yoshida Y, Yamanouchi H, Iino M. Oral Rehabilitation of Oral Cancer Patients Using Zygomatic Implant-Supported Maxillary Prostheses with Magnetic Attachment: Three Case Reports. Case Rep Dent [revista en Internet]. 2018 [citado 12 Ene 2021];6(2):[aprox. 12p]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164205/

14. Forna DA, Lea DS, Costan VV, Popescu E. Conventional maxillary reconstruction using service obturators. Romanian J Oral Rehab [revista en Internet]. 2016 [citado 19/01/2020];8(3):[aprox. 8p]. Disponible en: Disponible en: https://www.researchgate.net/publication/322448017_Conventional_maxillary_reconstruction_using_service_obturators/link/ 5af80ec6a6fdcc0c0327b3d8/download

15. Tirupathi SP, Ragulakollu R, Reddy V. Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature. Int J Clin Pediatr Dent [revista en Internet]. 2020 [citado 25 Ene 2021];13(2):[aprox. 3p]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32742100/

16. Kar S, Tripathi A. Delayed obturator for irradiated maxillectomy patients: Case report of two patients. J Interdiscip Dentistry [revista en Internet]. 2015 [citado 25 Ene 2021];5(1):[aprox. 33p]. Disponible en: https://www.jidonline.com/text.asp?2015/5/3/136/18137

17. Sukumaran P, Fenlon MR. Two-piece obturator using "lock-and-key" mechanism. J Indian Prosthodont Soc [revista en Internet]. 2017 [citado 25 Ene 2021];17(2):[aprox. 3p]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450896/

18. Mohamed K, Mani U, Saravanakumar P, Kumar SP, Arunachalam R. Split Hollow Bulb Obturator to Rehabilitate Maxillary Defect: A Case Report. Cureus [revista en Internet]. 2016 [citado 25 Ene 2021];9;8(6):[aprox. 35p]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27433414/

19. Ramasamy TV, Chandra J. An innovative sectional silicone obturator in a patient with partial maxillectomy: A Case report. J Indian Prosthodont Soc [revista en Internet]. 2020 [citado 25 Ene 2021];20(1):[aprox. 4p]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008631/

20. Chaubey P, Tripathi R, Singh A. Rehabilitation of hemi-maxillectomy with a definite one piece hollow bulb obturator. Natl J Maxillofac Surg [revista en Internet]. 2018 [citado 25 Ene 2021];9(1):[aprox. 7p]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32089608/

21. Leiva-Villagra N, Nieto-Grez E, Véliz-Méndez S, Valle-Maluenda M. Rehabilitación protésica en pacientes fisurados con fístula buconasal. Rev Clin Period Implantol Rehabil Oral [revista en Internet]. 2016 [citado 25 Ene 2021];9(3):[aprox. 4p]. Disponible en: https://scielo.conicyt.cl/pdf/piro/v9n3/art02.pdf

22. Div V, Baino MA, De Leonardi G. Rehabilitación clínica de un defecto maxilar. Claves Odontol [revista en Internet]. 2015 [citado 2 Abr 2020];22(74):[aprox. 6p]. Disponible en: https://www.coc-cordoba.org.ar/claves/revistaclaves74/claves74_art3.pdf