A case report on prosthetic rehabilitation of a patient with hemimaxillectomy: A modified technique

The rehabilitation of patients with disabilities secondary to acquired or congenital defects continues to be a challenge. In contrast to the small maxillofacial defect that can be properly restored surgically, large defects are challenging. When surgical reconstruction is not possible, prosthetic restoration of the facial defect is a treatment of choice. The objective of this clinical report is to present a case of rehabilitation of hemimaxillectomy in which the standard treatment procedure was modified to acquire desirable results. The treatment plan included the fabrication of a two-piece cast partial maxillary obturator with magnetic attachment. The prosthesis was evaluated for retention and stability on mastication. The assessment of subjective pain and discomfort, as well as aesthetics, was carried out. Speech intelligibility was assessed by audio-visual aid. To reduce the weight of the prosthesis, the bulb of the obturator was made hollow. Post-insertion of prosthesis, there was a significant change in clarity of speech and resonance in voice. Improvement in masticatory function and overall well-being was achieved. This boosted the confidence of the patient while communicating in society. Routine checkups after two years revealed a patient who was satisfied with the prosthesis in function and without any deleterious effect. The fabricated prosthesis improved the cosmetic as well as the functional ability of the patient, thereby giving him mental peace.