顎顔面補綴
Online ISSN : 2435-0389
Print ISSN : 0389-4045
研究論文
中空型栓塞部にキャップ機構を備えた顎義歯を装着した一症例
邑田 歳幸西山 雄一郎大久保 力廣
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2019 年 42 巻 2 号 p. 83-90

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The patient was a 75-year-old male who underwent surgical resection due to left maxillary gingival carcinoma in 1990. A maxillary defect from the right central incisor tooth to the left second molar tooth and which extended to the soft palate was observed (HS classification: H6S1DXT4). In 2008, the patient received a split type hollow obturator prosthesis with a magnetic attachment. In 2012, the patient re-visited this facility with the chief complaints of masticatory disorder, poor denture retention and instability, and requested a new maxillary prosthesis without a magnetic attachment. Therefore, improvement in denture retention and stability was attempted by modifying the hollow obturator in a new maxillary prosthesis. As a result, we devised a maxillary prosthesis with a cap mechanism where the interior can be washed. After insertion of the new maxillary prosthesis and dentures, a more hygienic state, satisfactory stability, and improved masticatory function were obtained with minimal adjustment.

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