Page 134 - 7. FINAL draft Compendium 2019 2020_22072022

OBTURATORS TO FACILITATE SPEECH AND SWALLOWING IN A MAXILLECTOMY PATIENT
WITH DEMENTIA AND CEREBRAL INFARCTION: A CASE REPORT

Yuka IS, Kamarul HK, Mariko H, Ayuko K, Toshimitsu N, Shuichi I

Introduction: The purpose of dental treatments normally includes the recovery from the
functional impairments and aesthetic problems. Case report: This case report describes the
rehabilitation of a maxillectomy patient with dementia and cerebral infarction, using
obturators made of different materials to facilitate speech and swallowing. The patient had
difficulty inserting the original prosthesis by himself and would sometimes bite down on
the obturator to position it in his mouth instead of using his hands. As a result, the
obturator caused irritation and bleeding, especially in the sensitive maxillectomy area.
Ultimately, a new obturator with a base made of heat-cured acrylic resin and a bulb made
of silicone was delivered. Conclusion: In this article, we describe the case and discuss the
use of obturator to recover swallowing and speech function in this patient.

Published in International Journal of Maxillofacial Prosthetics 2019; 1:33-35.
Dr Yuka I. Sumita
Dr Mariko Hattori
Department of Maxillofacial Prosthetics
Graduate School
Tokyo Medical and Dental University
Japan
Dr Kamarul Hisham Kamarudin
Kuala Lumpur Dental Clinic
WP Kuala Lumpur
Dr Ayuko Kamiyanagi
Sato Dental Clinic
Chiba Japan

Dr Toshimitsu Namba
Namba Dental Clinic
Tokyo Japan

Shuichi Ino
Human Informatics Research Institute
AIST Tsukuba Japan

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