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Prosthodontic rehabilitation of completely edentulous patient with partial glossectomy

View Article: PubMed Central - PubMed

ABSTRACT

Oral cancer accounts for about 40% of all cancers inflicting the human beings. Those involving the tongue results in mild to severe deficiencies of phonation, deglutition, mastication, and taste depending upon the degree and extent tissues involved. Often rehabilitation of such patient is a challenge for the prosthodontist and involves a careful observation and evaluation of the residual oral function and ways to restore them. This article presents a case report of prosthodontic rehabilitation completely edentulous patient, who underwent partial glossectomy following surgical resection of the squamous cell carcinoma involving left lateral borders of the tongue. An attempt was made to restore the comfort and function of the patient with the help of palatal augmentation prosthesis, with additional assistance through speech therapy and simple oral exercises.

No MeSH data available.


Palatal augmentation prosthesis using functional palatal impression technique using impression compound and acrylized maxillary denture with palatal augmentation prosthesis
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Figure 4: Palatal augmentation prosthesis using functional palatal impression technique using impression compound and acrylized maxillary denture with palatal augmentation prosthesis

Mentions: The maxillary denture was modified after acrylization by palatal augmentation. Functional palatal impression technique was followed, whereby modeling compound was softened and added to the palatal aspect of the denture on the left side. The patient was instructed to functionally manipulate the modeling compound with the tongue by repeating the lingual alveolar sounds /k/and/g/for the posterior palatal tracing, and the lingual alveolar sounds/t/and/d/for the anterior palatal tracing.[8] This enabled the tongue to make palatal articulations. Additional compound was added to the anterior palatal region, allowing the mandibular anterior teeth to indent into the compound. This resulted in a significant improvement for the fricative and affricative (hard) palatal lingual sounds /s/,/sh/,/z/,/zh/ [Figure 4]. For tracing the swallowing patterns, patient was asked to swallow blenderized, soft diet. A proper balance was made between speech and swallowing tracings, making sure that none of them is restricted.[9] The patient was able to communicate and swallow effectively. The entire traced area is processed with heat cure acrylic resin [Figure 4].


Prosthodontic rehabilitation of completely edentulous patient with partial glossectomy
Palatal augmentation prosthesis using functional palatal impression technique using impression compound and acrylized maxillary denture with palatal augmentation prosthesis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4837780&req=5

Figure 4: Palatal augmentation prosthesis using functional palatal impression technique using impression compound and acrylized maxillary denture with palatal augmentation prosthesis
Mentions: The maxillary denture was modified after acrylization by palatal augmentation. Functional palatal impression technique was followed, whereby modeling compound was softened and added to the palatal aspect of the denture on the left side. The patient was instructed to functionally manipulate the modeling compound with the tongue by repeating the lingual alveolar sounds /k/and/g/for the posterior palatal tracing, and the lingual alveolar sounds/t/and/d/for the anterior palatal tracing.[8] This enabled the tongue to make palatal articulations. Additional compound was added to the anterior palatal region, allowing the mandibular anterior teeth to indent into the compound. This resulted in a significant improvement for the fricative and affricative (hard) palatal lingual sounds /s/,/sh/,/z/,/zh/ [Figure 4]. For tracing the swallowing patterns, patient was asked to swallow blenderized, soft diet. A proper balance was made between speech and swallowing tracings, making sure that none of them is restricted.[9] The patient was able to communicate and swallow effectively. The entire traced area is processed with heat cure acrylic resin [Figure 4].

View Article: PubMed Central - PubMed

ABSTRACT

Oral cancer accounts for about 40% of all cancers inflicting the human beings. Those involving the tongue results in mild to severe deficiencies of phonation, deglutition, mastication, and taste depending upon the degree and extent tissues involved. Often rehabilitation of such patient is a challenge for the prosthodontist and involves a careful observation and evaluation of the residual oral function and ways to restore them. This article presents a case report of prosthodontic rehabilitation completely edentulous patient, who underwent partial glossectomy following surgical resection of the squamous cell carcinoma involving left lateral borders of the tongue. An attempt was made to restore the comfort and function of the patient with the help of palatal augmentation prosthesis, with additional assistance through speech therapy and simple oral exercises.

No MeSH data available.