JIDAM
"An Official Journal of IDA - Madras Branch" ©2019.
Available online

Abstract:

Background: The defects in the maxillary region secondary to mucormycosis present significant functional and esthetic challenges, requiring a staged prosthodontic approach for optimal rehabilitation. Obturators remain the standard treatment option when surgical reconstruction is not feasible or deferred. Case presentation: A 43-year-old male with a history of right-sided maxillectomy for mucormycosis presented with oronasal communication, impaired mastication, hyper nasal speech, and aesthetic concerns. After initial healing with a surgical obturator, an interim hollow bulb obturator was fabricated to restore function during the healing phase. Subsequently, a definitive /cobalt–chromium hollow bulb obturator with a metal framework was designed for longterm use. Both prostheses were fabricated following meticulous clinical and laboratory steps to ensure optimal retention, stability, and patient comfort. Conclusion: Rehabilitation with interim and definitive obturators in a sequential manner effectively restored function, speech, and esthetics in a post-mucormycosis maxillary defect. A well-planned treatment approach improved patient adaptation and quality of life. Categories: Dentistry, Prosthodontics, Maxillofacial Rehabilitation

Keywords :

Maxillary defect, mucormycosis, obturator, hollow bulb, cobalt–chromium framework, prosthodontic rehabilitation

Volume No: 12, Issue No: 4