PROSTHETIC REHABILITATION OF A TOTAL MAXILLECTOMY PATIENT USING A TWO-PIECE OBTURATOR

Year 2025, Volume: 49 Issue: 2, 127 - 131, 28.08.2025

Aslıhan Öztürk , Cagri Kulekci Serdar Özer Bahadır Ersu

Abstract

Maxillary defects resulting from trauma, pathology, or tumor
resection can lead to significant functional and aesthetic
challenges. This case report details the prosthetic rehabilitation
of a patient who underwent total maxillectomy due to Wegener’s
granulomatosis. Since implant treatment was not a viable option,
a two-piece obturator prosthesis was designed to restore
speech, mastication, and aesthetics. The prosthesis consisted
of a hollow bulb component made from a silicone-based soft
liner, providing retention by fitting between the nasal septum
and concha, and a second acrylic resin component containing
prosthetic teeth, which securely fit into the first piece.The
fabrication process included impression taking, construction of
the antral and oral sections, and occlusal adjustments.The final
obturator successfully restored oral function and improved the
patient’s quality of life. The discussion highlights key aspects
of maxillectomy rehabilitation, emphasizing the importance
of anatomical undercuts, weight reduction in prostheses, and
alternative retention methods when implant placement is not
feasible. This approach offers a practical and cost-effective
solution for managing extensive maxillary defects.

Keywords

Obturator Prosthesis , Sectional Obturator , Soft Denture Liner

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