HOLLOW DEFINITE OBTURATOR FOR UNILATERAL SUBTOTAL MAXILLECTOMY REHABILITATION - A CLINICAL REPORT

Palatal defects, resulting from congenital malformations, trauma, diseases, radiation therapy, or surgical interventions like maxillectomy, pose significant functional and aesthetic challenges. These defects often lead to speech impediments, difficulties in mastication and swallowing and compromised oral hygiene. An obturator prosthesis plays a crucial role in rehabilitating these patients by restoring oronasal separation, improving speech, mastication and overall quality of life. This case report details the prosthetic rehabilitation of a 45-year-old female patient with a subtotal maxillectomy defect using a definitive hollow obturator. The transition from an interim to a definitive obturator significantly enhanced the prosthesiss retention, stability and patient comfort. The fabrication process for the hollow obturator, along with the clinical challenges and solutions, is discussed in detail. The successful outcome highlights the importance of sound prosthodontic principles and the strategic design of obturator prostheses to optimize both function and aesthetics. Future directions may include advancements in 3D printing technologies to further improve obturator fabrication and patient outcomes.