Abstract
Patient: A 67-year-old male patient with right-side mandibulectomy with discontinuity defect was referred to our clinic. He had received segmental resection of the right mandible and reconstruction with a plate, however, the reconstructed plate had failed. Maxillectomy was planned due to osteomyelitis associated with osteopetrosis, therefore a immediate surgical obturator was fabricated prior to the operation.
Discussion: Severe deviation of the mandible caused few intermaxillary occlusal contacts and unstable occlusion. The ramp on the maxillary prosthesis not only prevented leakage but also provided stability of occlusion.
Conclusion: The maxillary obturator prosthesis with palatal ramp effectively improved functional and esthetic impairments in this patient with discontinuity mandibulectomy with deviated mandibular movement and malocclusion.
