Анотація
Introduction: Prosthetic rehabilitation of mandibular discontinuity defects poses a great challenge to prosthodontists especially when surgical reconstruction is not carried out prior to rehabilitation.
Method: A 25 year old young man was referred to the prosthetic unit of the Dental Centre, University College Hospital Ibadan with an anterior discontinuity defect following resection of a mandibular tumour. After clinical and laboratory procedures, the prosthesis used to rehabilitate the patient is unique because it is simple, made of heat cure acrylic resin, affordable and aesthetically pleasing. It is essentially a single piece removable acrylic partial denture retained with wrought wire clasps.
Result: Patient was satisfied with the prosthesis.
Discussion: Although a number of studies have reported procedures for prosthetic rehabilitation of mandibular discontinuity defects, there is a dearth of information on single piece acrylic prosthesis in the management of discontinuity defects. The effect of acrylic denture on residual soft tissue was weighed against the quality of life of patient if left untreated.
Conclusion: It is recommended that the National Health Insurance Scheme includes simple interim prostheses as part of its package to improve the quality of life of the people.
Keywords: Mandibular resection, discontinuity defects, acrylic partial denture.
Abstrait
Introduction: La réhabilitation prothétique des défauts de discontinuité mandibulaires pose un grand défi aux prothésistes dentaires, surtout lorsque la reconstruction chirurgicale n’est pas faite avant la réhabilitation
Méthode: Un jeune homme de 25 ans a été admis à l’unité prothétique du Centre dentaire au Centre hospitalier universitaire d’Ibadan avec un défaut de discontinuité d’une tumeur mandibulaire suivi d’une résection antérieure. Après les procédures cliniques et de laboratoire, la prothèse utilisée pour réhabiliter le patient est unique car elle est simple, une guérison obtenue par chauffage de résine acrylique, abordable et esthétique. Il s’agit essentiellement d’une seule pièce d’une amovible prothèse acrylique partielle retenue par des agrafes métalliques bouclées.
Résultat: Le patient a été satisfait de la prothèse.
Discussion: Bien qu’un certain nombre d’études aient rapporté des procédures pour la réhabilitation prothétique de défauts de discontinuité mandibulaires, il y a un manque d’information sur l’acrylique de prothèse d’une seule pièce dans la gestion des défauts de discontinuité. L’effet de la prothèse en acrylique sur les tissus mous résiduelle a été comparé à la qualité de vie du patient s’il n’est pas soigné.
Conclusion: Nous recommandons que le Programme National d’Assurance Sanitaire prenne en compte de simples prothèses provisoires dans le cadre de son paquet d’amélioration de la qualité de vie des personnes.
Correspondence: Dr. Oluwole Oyekunle Dosumu, Department of Restorative Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: oodosumu17mm@mail.com
Посилання
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