A patient with right maxillary cancer underwent sub-total maxillectomy at the Department of Otolaryngology of our hospital in October 1985, and a dent-maxillary prosthesis for a defective jaw was fabricated at our department 5 months later. Thirty-one years later, a recurrent tumor appeared on his maxilla. He consulted our department about his unsuitable dent-maxillary prosthesis. He was severely dysarthric and was unable to ingest orally without the prosthesis. It was impossible to fabricate a new dent-maxillary prosthesis due to trismus and the presence of the recurrent tumor, so we created a splint with a small obturator（without prosthetic teeth） at first. After the splint supplied some functional recovery, artificial teeth were bonded onto this splint to fulfill his esthetic requirement. Finally, he was satisfied with the situation of his prosthesis. It is important to address the esthetic aspect of terminal-phase patients, as well as to enhance functional recovery.
