Pojednostavnjena protetička rehabilitacija pacijenta nakon uklanjanja oralnog karcinoma
Autor: | Denis Vojvodić, Josip Kranjčić, Nikola Džakula |
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Rok vydání: | 2016 |
Předmět: |
Dental Impression Technique
Oral Surgeon medicine.medical_treatment Dentistry Case Report Prosthodontics Prosthodontist Prosthesis 03 medical and health sciences 0302 clinical medicine Medicine Palatal obturator novotvorine usta nepčani obturator stomatološka protetika tehnike uzimanja otisaka General Dentistry Mouth neoplasm business.industry Mouth Neoplasms Palatal Obturators 030206 dentistry lcsh:RK1-715 medicine.anatomical_structure lcsh:Dentistry 030220 oncology & carcinogenesis Hard palate business |
Zdroj: | Acta stomatologica Croatica : International journal of oral sciences and dental medicine Volume 50 Issue 3 Acta Stomatologica Croatica, Vol 50, Iss 3, Pp 258-264 (2016) |
ISSN: | 1846-0410 0001-7019 |
DOI: | 10.15644/asc50/3/9 |
Popis: | Terapija pacijenata s oralnim karcinomom složena je i zahtijeva multidisciplinaran pristup koji uključuje maksilofacijalnog i oralnog kirurga, onkologa i stomatološkog protetičara, a često je potrebna i psihološka pomoć. U ovom prikazu slučaja opisana je protetička rehabilitacija pacijentice nakon uklanjanja oralnoga karcinoma izradom resekcijske proteze. Resekcijska šupljina nalazi se na srednjem dijelu tvrdog nepca, a prema Aramanyju pripada trećem razredu maksilarnih defekata. Otisak ležišta proteze i resekcijske šupljine proveden je u dva koraka. Prvi je korak otisak ireverzibilnim hidrokoloidom za ležište proteze, a drugi, otisak resekcijske šupljine dobiven kondenzacijskim silikonskim materijalom s pomoću metalne baze resekcijske proteze. Resekcijskom protezom pacijentici su nadomješteni izgubljeni zubi te joj je, uz minimalne troškove, poboljšana oralna funkcija i estetika. The treatment of patients with oral cancer is complex: a multidisciplinary approach needs to be taken and maxillofacial and oral surgeons, an oncologist, a prosthodontist should be included, and a psychologist is often needed. This case report describes the prosthetic rehabilitation of a patient after surgical removal of oral cancer with obturator prosthesis. Resection cavity was located in central part of the hard palate and the condition belonged to Aramany class 3 maxillary defects. The two-step impression technique of denture bearing area and the resection cavity was performed. A primary impression- the impression of denture bearing area was made using irreversible hydrocolloid material, while the second impression – the impression of resection cavity was made using condensation silicone material and obturator prosthesis framework. The obturator prosthesis replaced lost teeth, improved oral function and esthetics at minimal costs. |
Databáze: | OpenAIRE |
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