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- Title
Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report.
- Authors
da Silva XIMENES, Iury; Nóbrega MALTA, Cássia Emanuella; de Lima MARTINS, Joyce Ohana; Mota LEMOS, José Vitor; de Oliveira BARROS, Lívia; Alburquerque GOMES, Carlos Eduardo; de Matos Brito Lima VERDE, Renata
- Abstract
Salivary gland tumors account for only 3%-5% of all tumors in the head and neck, 10%-15% of which originate from minor salivary glands. Pleomorphic adenoma is a benign lesion of the salivary gland, most commonly occurring in the region of the hard and soft palates. The treatment of choice for pleomorphic adenomas is with the partial or total function of the extension of the lesion, and placing palatal obturators are one method of reestablishing masticatory function and facial esthetics. This study aimed to rehabilitate a patient using a palatal implant following partial maxillectomy for the removal of a pleomorphic adenoma. A young patient with pleomorphic adenoma of the hard palate underwent a partial right-sided maxillectomy procedure which removed the hard palate and alveolar regions of the molars. Prior to surgery, the patient was assessed to make a surgical guide for resection of the tumor, as well as a provisional obturator plate using orthodontic wire clasps. After healing, the patient was rehabilitated using a palatal obturator which had been incorporated into a removable partial denture. The clinical sequence used to fabricate the final prosthesis was as follows: initial molding after surgery, prosthesis design, preparation of the mouth, work molding, structure testing and orientation planning, teeth testing and installation, and periodic maintenance. Thus, we can conclude that the palatal obturator is an excellent means of restoring a patient's oral function, facial esthetics, and overall quality of life.
- Subjects
PLEOMORPHIC adenoma; ARTIFICIAL palates; REMOVABLE partial dentures; SOFT palate; HARD palate; MOLAR pregnancy
- Publication
RGO: Revista Gaúcha de Odontologia, 2023, Vol 71, p1
- ISSN
0103-6971
- Publication type
Article
- DOI
10.1590/1981-86372023000120200211