Definitive maxillary obturator prosthesis: Timelines for fabrication and follow-up Journal Article


Authors: Ahmed, Z. U.; Flynn, J.; Riedel, E. R.; Huryn, J. M.; Rosen, E. B.
Article Title: Definitive maxillary obturator prosthesis: Timelines for fabrication and follow-up
Abstract: Introduction: A definitive maxillary obturator prosthesis can be used to rehabilitate a maxillary defect with the aim of improving speech, deglutition, and elimination of oronasal regurgitation. The aims of this study were (1) to determine the time required to fabricate a definitive maxillary obturator prosthesis and (2) to compare the fabrication and follow-up times between a patient's first and second definitive maxillary obturator prosthesis. Materials and methods: A retrospective review was completed of patients that had maxillary definitive obturators fabricated following head and neck surgery from 2002 to 2018 (n = 173). Demographics, clinical data, date of surgery, start date of fabrication, follow-up dates, and prosthesis follow-up data were collected. Results: The median time to delivery of the patient's first definitive maxillary obturator prosthesis from the date of surgery was 7.7 months for nonradiated patients and 9.6 months for radiated patients (P ≤.05). Additionally, there was a significant difference in the median number of appointments to fabricate the 1st definitive maxillary obturator prosthesis as compared to the 2nd prosthesis (6 vs 5; P ≤.05). Conclusion: Fabrication timelines differed based on history of radiotherapy and patient experience. This data is helpful to set expectations for patients and practitioners regarding the process for prosthesis fabrication and follow-up. © 2020 Special Care Dentistry Association and Wiley Periodicals, Inc.
Keywords: retrospective studies; follow up; follow-up studies; retrospective study; rehabilitation; maxilla; oral cancer; maxilla tumor; maxillary neoplasms; fabrication; maxillectomy; palatal obturators; humans; human; palatal obturator; maxillary defect; maxillary obturator prosthesis
Journal Title: Special Care in Dentistry
Volume: 40
Issue: 3
ISSN: 0275-1879
Publisher: Wiley-Blackwell Publishing, Inc.  
Date Published: 2020-05-01
Start Page: 315
End Page: 319
Language: English
DOI: 10.1111/scd.12471
PUBMED: 32396249
PROVIDER: scopus
PMCID: PMC8362856
DOI/URL:
Notes: Article -- Export Date: 1 July 2020 -- Source: Scopus
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  1. Joseph M Huryn
    108 Huryn
  2. Evan Blake Rosen
    28 Rosen
  3. Jessica Flynn
    182 Flynn
  4. Zain Uddin Ahmed
    13 Ahmed