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Removable prosthetic rehabilitation in patient with maxillofacial defects caused by gunshot: A case report

총상으로 인한 악안면 결손을 가진 환자에 대한 가철성 보철물 수복증례

  • Lee, Donggyu (Department of Prosthodontics, Veteran's Health Service Medical Center) ;
  • Kang, Jeongkyung (Department of Prosthodontics, Veteran's Health Service Medical Center)
  • 이동규 (중앙보훈병원 치과병원 보철과) ;
  • 강정경 (중앙보훈병원 치과병원 보철과)
  • Received : 2016.08.22
  • Accepted : 2016.09.22
  • Published : 2017.04.28

Abstract

Maxillofacial defect comes from congenital defect, trauma and surgical resection. Patients with intraoral defect are commonly related to maxillary defect and they need prosthetic rehabilitation. Functional reconstruction of partially edentulous mandible has many limitations. However, if both condyles are intact, maxillofacial prosthesis using partial denture give competent results. In this case, a patient of 58 year-old male has a defect on palate and left mandibular posterior teeth from gunshot. The maxillary defect of this patient is Class IV according to Aramany classification and the mandibular one is Type V according to Cantor and Curtis classification. For retention of the obturator, remaining teeth are fully utilized and artificial teeth are arranged harmoniously to provide stable occlusion. Mandibular RPD covered limited range of deformed soft tissue derived from mandibular resection surgery. With these treatments, the patient in this case showed improvements in mastication, swallowing and speech.

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