Scribd
Upload
269 views15 pages

Obturator

This document discusses different types of obturators used to close congenital or acquired openings in the hard palate. It describes surgical obturators used immediately after surgery, interim obturators used a few months later, and definitive obturators used once healing is complete. Surgical obturators support surgical packing and restore palate continuity. Interim obturators replace surgical obturators and are later replaced by definitive obturators. Definitive obturators permanently replace lost maxillary structures. Soft palate and meatal obturators are also discussed.

Uploaded by

Bibek Raj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
269 views15 pages

Obturator

This document discusses different types of obturators used to close congenital or acquired openings in the hard palate. It describes surgical obturators used immediately after surgery, interim obturators used a few months later, and definitive obturators used once healing is complete. Surgical obturators support surgical packing and restore palate continuity. Interim obturators replace surgical obturators and are later replaced by definitive obturators. Definitive obturators permanently replace lost maxillary structures. Soft palate and meatal obturators are also discussed.

Uploaded by

Bibek Raj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

contents

Obturators
Types of obturators
Conclusion
References

Introduction

An obturator can be defined as, a


prosthesis used to close a congenital or
acquired tissue opening, primarily of
the hard palate and/or contiguous
alveolar structures. Prosthetic
restoration of the defect often includes
use of a surgical obturator, interim
obturator and definitive obturator.
GPT

Types of obturator

Based on the phase of


treatment
1. Surgical obturator
a) immediate surgical
obturators
b) delayed surgical
obturators
2. Interim obturators
3. Definite obturator

Based on material used


1. Metal obturators
2. Resin obturators
3. Silicone obturators
Based on the area of
restoration
1. Palatal obturator
2. Meatal obturator

Surgical obturator

A temporary prosthesis used to restore


the continuity of the hard palate
immediately after surgery or traumatic
loss of a portion or all of the hard
palate and/or contiguous alveolar
structures like gingival tissue and teeth
Two types:
Immediate surgical obturator
Delayed surgical obturator

Indications:
Patients who have undergone tumor

resection of the hard palate for neoplasms


that originate in the paranasal sinuses or
superior aspect of the oral cavity
Hard palate defects in patients with cleft
palate

It supports the surgical packing placed


in the resection cavity created by
removal of the walls of the maxillary
sinus
Restores continuity of the hard palate

Interim obturator

A prosthesis that is made several weeks or


months following the surgical resection of
a portion of one or both maxillae.
It frequently includes replacement of
teeth in the defect area.
replaces the surgical obturator that is
placed immediately following the
resection.
subsequently replaced with a definitive
obturator after 2-6 months

Definitive obturator

A prosthesis that artificially replaces


part or all of the maxilla and the
associated teeth lost due to surgery or
trauma.
Fabricated when tissue healing and
contraction are complete,

Troubleshooting an
obturator prosthesis

Lack of retention
Nasal reflux
Hyper nasality

Soft palate obturator


prosthesis
Required

for patients who have a resection


of their soft palate or have a soft palate
deficit from a cleft palate
Fabrication of a a palatal obturator
Diagnosis and treatment planning
Preliminary impression using alginate
Fabrication of custom trey
Border moulding
Final impression with elastic impression

material
Jaw relation
Teeth arrangement
Insertion and post insertional management

Meatal obturator

Special type of obturator that stands


upto the nasal meatus.
Establishes closure with the nasal
structures at a level of posterior and
superior to the posterior border of the
hard palate
Separates the oral and nasal cavity
Indicated in patients with extensive
soft palate defects

Disadvantages
Nasal air emission cannot be controlled

( no muscle function)
Nasal resonance will be altered.

Conclusion

Maxillofacial prosthodontics focuses on


optimizing the rudimentary functions of
speech and swallowing which are
disrupted because of congenital, organic,
traumatic or surgical abnormalities
involving the oral cavity and related
anatomical structures. Normal function
may not be achieved, but optimal
function should always be attained, and
normalcy should always be sought.

References

Text book of prosthodontics Deepak


Nallaswamy

You might also like