A cast partial obturator with hollow occlusal shim and semi-precision attachment

Indian J Dent Res. 2018 Jan-Feb;29(1):123-127. doi: 10.4103/ijdr.IJDR_813_16.

Abstract

A maxillofacial patient's quality of life is distorted and social integration becomes difficult. An obturator is a maxillofacial prosthesis used to close a congenital or acquired tissue defect, primarily of the hard palate and/or contiguous alveolar/soft-tissue structures. Subsequently, it restores the esthetics, speech, and function. The present clinical report aimed for the prosthetic rehabilitation of a maxillectomy defect by the incorporation of a semi-precision attachment as PRECI-SAGIX - male part of 2.2 mm on fixed partial denture (#22 and #23 teeth) and matrix - plastic female part of size 2.2 mm and height 4.2 mm of yellow on cast partial in polymer base. It aids in the retention of a hollow lightweight obturator. The technique also described the method to make a bulbless obturator with a hollow self-cured acrylic resin occlusal shim. A patient is quite satisfied with bulb less, lightweight cast partial and hollow shim palatal obturator.

Keywords: Hollow occlusal rim (shim); palatal obturator; semi-precision attachment (Sagix and matrix).

Publication types

  • Case Reports

MeSH terms

  • Dental Casting Technique
  • Dental Implantation / methods
  • Dental Prosthesis Design
  • Fibroma, Ossifying / surgery*
  • Humans
  • Male
  • Maxillary Neoplasms / surgery*
  • Palatal Obturators*
  • Young Adult