PDF | Numerous classifications and nomenclatures exist in literature to Aramany presented a classification for maxillectomy defects in Obturator ppt. 1. Basic Principles of Obturator design for partially edentulous patients. Part I: Classification Aramany MA. Basic principles of. Yadav P. has mentioned that Brown’s classification is simple to use. But, as prosthodontists, we commonly use Aramany’s classification since Brown’s.

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Hence there is an utmost need of a comprehensive classification system for maxillectomy defects, which takes into account the multitude of factors necessary to rehabilitate such patients and which has been critically evaluated by the managing multidisciplinary team to reach a consensus. Skip to main content. Modifying surgical obturator prosthesis into an interim obturator prosthesis. Subtotal Maxillectomy- Maxillectomy in which atleast two walls of the antrum are removed including the palatal wall.

The aim was to organize and define the complex nature of the restorative decision making process. D were calculated for age. The optimal reconstructive therapy of maxillary defects remains controversial 6. Clefts can occur in the maxilla, mandible and the face; clefts of maxilla are most common.

Presurgical planning by the prosthodontist and surgeon is essential. Please review our privacy policy.

Jahnur Ikramul Islam, Dr. A total of 38 patients with postsurgical maxillary defects were included in the study.

A modified classification for the maxillectomy defects. Report of 71 cases and a new classification scheme for bony, soft-tissue, and neurologic defects.

The Aramany classification is helpful in providing basic design framework and enhances communication among prosthodontists. This unilateral defect is the one most commonly seen in the maxillofacial rehabilitative practice. Design principles must also consider the size and retentive qualities of the defect, access to the defect maximum mandibular opening, and classifiation of tissues and oral condition as a result of adjunctive radiation therapy.


Prosthodontic principles in the framework design of maxillary obturator prostheses.

The remaining posterior teeth are usually in a relatively straight line. Memon MR, Ghani F. If there is complete closure then a line is drawn along the dots towards square 11, if closure is not present then a line is drawn along the dots towards square J Surg Oncol ; John Marquis Clqssification, V. Most often it results from a congenital anomaly or trauma such as an automobile accident or a self-inflicted wound that removes the entire premaxillae and clazsification include a portion of one or both of the maxillaeleaving a single bilateral aramanh located anterior to the remaining teeth.

J Prosthet Dent ; Clefts of the lip with or without an alveolar cleft- Harkins a. Limited Maxillectomy- Any maxillectomy in which one wall of the maxillary antrum is removed.

Prosthodontic principles in the framework design of maxillary obturator prostheses.

Surgery is first choice for early cancers and for cancers that do not respond to radiation and chemotherapy in the form of salvage. Classification of mandibular defects.

The classification is as follows- Class classificatipn There were 28 men and 10 women, age ranged from 37 to 75 years with a mean of 56 years. Horizontal Component- Letter a: The modified classification had several advantages over the original classification, i. Their proposed classification is as follows: Remember me on this computer.

Recent advances in head and neck cancer reconstruction. The classification is as follows- H- Lateral defects of any length up to midline including condyle. Cantor and Curtis Classification of Mandibular Defects9: A favorable defect must be designed at the time of tumor removal to provide proper support and sufficient retention and stability of the obturator for the prosthesis to function adequately. The class VI defect is a rare surgical creation. The surgical site can be easily examined after removing the obturator prosthesis, and tumor recurrence may be detected in a timely manner.


Classification of maxillectomy defects: This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. Conclusion Oral rehabilitation of head and neck cancer patient is a challenge for the prosthodontists in term of defect prostheses design and its periodic care.

The amount of protrusion can be depicted by varying the length of the line. The circle 12 represents the velopharyngeal closure. Prosthetic management of edentulous mandibulectomy patients. Their aim was to develop a simple, comprehensive and easy to use classification which should also act as a guide for the clinician regarding reconstructive and afamany options. Classification of Mandibular Defects by Urken et al These classifications are not only useful for descriptive Received: Unilateral maxillary defect class I was most commonly found and class VI defect was least commonly seen in study sample.

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Reconstruction of maxillectomy and midfacial defects with free tissue transfer.

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