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Prosthesis For Patient With Maxillofacial Deformities

The maxillofacial deformity may affect functional, esthetic and also psychological aspect of the patient. If the defect involves hard palate, speech is hypernasal, and swallow results in nasal regurgitation.

Maxillofacial deformities are irregularities or defect in the bones and/or soft tissues of the jaws and face. The most common causes of maxillofacial deformities are trauma resulting from accidents or gunshot wounds, surgical removal of tumors, diseases such as tuberculosis and syphilis and congenital deformities such as cleft palate.

The maxillofacial deformity may affect functional, esthetic and also psychological aspect of the patient. If the defect involves hard palate, speech is hypernasal, and swallow results in nasal regurgitation (food or fluid out of the nose). If the soft palate is involved, fluid or a food bolus cannot be properly propelled into the esophagus, swallow is difficult if not impossible, and speech is hypernasal.

Prosthesis is often needed when surgical reconstruction alone is not possible to close the deformities. The function of the prosthesis includes; to restore esthetic and function, to protect tissues and as a psychological therapy for the patient.

Prosthesis varies in size and shape depending on the extent of the defect. Failure of prosthetic treatment is often related to the retentive properties of the prosthesis which is affected by the number of remaining teeth, defect size, available tissue surrounding the defect and muscular control. There are variety of techniques and type of attachments used to retain the prosthesis, such as implant, magnet and tissue adhesive. Materials which are used in the fabrication of prosthesis are acrylic, silicone and poly-ether rubbers.

There are two types of prosthesis; namely: intraoral and extraoral prosthesis.

Extraoral Prostheses:
  • Ocular Prosthesis  to replace eye
    Fig 1: Ocular prosthesis
    (source of photo: internet)
     
     
  • Nasal Prosthesis to replace nose.

    Fig 2: Nasal prosthesis
    (source of photo: internet)

     
     
  • Auricular Prosthesis to replace ear
    Fig 3: Auricular prosthesis
    (source of photo: internet)
     
     

Intraoral Prostheses:

  • Obturator which covers palate after partial or total loss of maxilla or due to cleft palate. It restores teeth and gums and has an extension which closes the defect or hole for swallowing, eating, chewing, and speaking.
    Fig 4: Obturator
  • Palatal Lift Prosthesis which helps soft palate assume correct position for speech.


    Fig 5: Palatal lift prosthesis
    (source of photo: internet)

  • Mandibular Resection Prosthesis to replace portion of the lower jaw that has been lost and restores gums and teeth.
    Fig 6: Mandibular resection prosthesis

References

  1. Filiz keyf. Review: Obturator prostheses for hemimaxillectomy patients. Journal of Oral Rehabilitation 2001;28; 821-829.
  2. General Principles of Maxillofacial Prosthetics . Author: Mounir Kharchaf;
  3. Harsh M and Sandeep J. Retentive aids in maxillofacial prosthesis.  Dental Impact 2012;42.

 

Last Reviewed : 28 August 2020
Writer : Dr. Isma Liza bt. Ali
Accreditor : Dr. Fauziah bt. Ahmad
Reviewer : Dr. Roshima bt. Mohd Sharif

Artikel Berkaitan

Dental Charges

Dental charges at government dental clinics and hospitals follow the Fees Act 1951 – Fees (Medical) Order 1982. The charges for dental treatment and services are specified in the Fees Schedule of the Fees Act.

Difficulty In Swallowing

Difficulty with swallowing is the feeling that food or liquid is stuck in the throat or at any point before the food enters the stomach.

Detrimental Habits To Oral Health

Habits such as thumb sucking, prolonged bottle feeding, finger nail biting, food pouching and biting on foreign objects. could result in problems such as early childhood caries, lip and cheek biting, ulcers, fractured or chipped teeth, abrasion of teeth and malocclusion to mention a few.

ALAMAT

Bahagian Pendidikan Kesihatan,
Kementerian Kesihatan Malaysia,
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62590 Putrajaya, Malaysia.

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2024-07-16 15:32:21

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