Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Management of Veau Group III Defect - a Velopharyngeal Obturator


Affiliations
1 Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
2 Department of Paedodontics, Government Dental College, Lucknow, U.P., India
     

   Subscribe/Renew Journal


Treatment of cleft lip and palate requires multidisciplinary management but the patient usually becomes a prosthodontist's responsibility, once all the surgical treatments have been attempted or discussed. The final onus lies on prosthodontist to compensate for remaining oral deficiencies.

This article describes and discusses the fabrication of Velopharyngeal obturator (using cast metal framework, heat cure acrylic resin and silicone soft liner) wherein an interim obturator was delivered before the final prosthesis was fabricated.

Impression technique for recording the defect required intraoral extension of loop tray in the mouth as reduced mouth opening contraindicated dual impression technique. Due the non availability of retentive features in the mouth i.e. short teeth, parallel walled extensive defect a cast metal framework was fabricated so as to achieve retention, stability and support for the prosthesis.


Keywords

Velopharyngael Obturator, Cleft Lip and Palate
Subscription Login to verify subscription
User
Notifications
Font Size


  • Beumer, J.III, Curtis, T. A., Marunick, M.T. Maxillofacial Rehabilitation. Restoration of acquired hard palate defect. St. Louis: Ishiyaku Euro America; 1996. p. 238.
  • Shobha Tandon. Textbook of Pedodontics. Dental care for the special child. 1st ed. Bangalore: Paras Publishing; 2001. p. 576.
  • Beumer, J.III, Curtis, T. A., Marunick M.T. Maxillofacial Rehabilitation. Speech, palatopharyngeal function and restoration of soft palate defects. St. Louis: Ishiyaku Euro America; 1996. p.309.
  • Baker, P., Brandt, R.L., Boyajian, G.Impression procedure for patients with severely limited mouth opening. J.Prosthet Dent 2000; 84:241-4.
  • Beumer, J.III, Curtis, T. A., Marunick M.T. Maxillofacial Rehabilitation. Speech, palatopharyngeal function and restoration of soft palate defects. St. Louis: Ishiyaku EuroAmerica; 1996.p. 311.
  • Henderson, D, and Steffel, V. McCracken’s Removable partial denture. 4th Ed. St. Louis: The C.V, Mosby Company; 1976.
  • Applegate, O: Essentials of removable partial denture prosthesis. 2nd ed. Philadelphia: The W.B. Saunders Co; 1956.
  • Javid, N. and Dadmanesh, J. Obturator design for hemimaxillectomy patients. J.Prosthet Dent 1976; 36:77.
  • Fibiger, G., Rahn, A., Lundquist, D., and Massek. Movement of abutments by removable denture framework with a hemimaxillectomy obturator.J. Prosthet Dent 1977; 34: 555.
  • Aramany, M.A. Basic principles of obturator design for partially edentulous patients. Part II: Design principles. J. Prosthet Dent 1978; 40:656- 62.
  • Aramany, M.A. Basic principles of obturator design for partially edentulous patients. Part I: Design principles. J. Prosthet Dent 1978; 40:554 – 7.

Abstract Views: 286

PDF Views: 0




  • Management of Veau Group III Defect - a Velopharyngeal Obturator

Abstract Views: 286  |  PDF Views: 0

Authors

Swati Gupta
Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
Amrit Tandan
Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
N. K. Gupta
Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
Seema Sohal
Department of Paedodontics, Government Dental College, Lucknow, U.P., India

Abstract


Treatment of cleft lip and palate requires multidisciplinary management but the patient usually becomes a prosthodontist's responsibility, once all the surgical treatments have been attempted or discussed. The final onus lies on prosthodontist to compensate for remaining oral deficiencies.

This article describes and discusses the fabrication of Velopharyngeal obturator (using cast metal framework, heat cure acrylic resin and silicone soft liner) wherein an interim obturator was delivered before the final prosthesis was fabricated.

Impression technique for recording the defect required intraoral extension of loop tray in the mouth as reduced mouth opening contraindicated dual impression technique. Due the non availability of retentive features in the mouth i.e. short teeth, parallel walled extensive defect a cast metal framework was fabricated so as to achieve retention, stability and support for the prosthesis.


Keywords


Velopharyngael Obturator, Cleft Lip and Palate

References