Pojednostavnjena protetička rehabilitacija pacijenta nakon uklanjanja oralnog karcinoma

Autor: Denis Vojvodić, Josip Kranjčić, Nikola Džakula
Rok vydání: 2016
Předmět:
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