INTERIM AND CONVENTIONAL OBTURATORS PROSTHESES IN THE COMPLEX TREATMENT OF OSSIFYING FIBROMA: A CASE REPORT

Extensive and complex maxillary defects represent a significant rehabilitation challenge. Prosthetic rehabilitation is an option available to restore esthetics and function. This clinical case report describes the highly specialized method of the prosthetic rehabilitation of a total maxillary resection in a patient who had undergone surgery to remove the ossifying fibroma of the maxilla. Oral rehabilitation was planned, and the proposed treatment was carried out in two stages. The first stage involved fabricating an interim obturator prosthesis (IOP). The IOP played a crucial role in tamponade of the oronasal communication, eliminating the nasogastric feeding tube and improving swallowing and speech. After excellent response and adaptation, were confirmed for the fabrication of a definitive and conventional obturator prosthesis (COP). This approach effectively contributes to psychological recovery, eliminating the nasogastric feeding tube and improving the patient’s swallowing, eating ability, speech intelligibility, facial profile and esthetics. Successful rehabilitation requires a multidisciplinary approach, including prosthetic planning and immediate IOP-based rehabilitation, to achieve optimal functional, physical, psychological and enhancing quality of life.