Drg.

Windriyatna, SpPros
KSM Gigi dan Mulut
RSUP Dr.Kariadi Semarang
 Overview

Maxillofacial prosthetics is a branch of

prosthodontics in dentistry.

Main aim is to restore the function and esthetics

of an individual.

Its also approve a psychological state of a patien

after a trauma or surgery.
 Maxillofacial Prosthetics

The art and science of anatomic, functional,

or cosmetic reconstruction by means of
nonliving substitutes of those regions in the
maxilla, mandible, and face that are missing
or defective because of surgical
intervention, trauma, pathology, or
developmental or congenital malformations
Type of Maxillofacial Prosthesis

Intra-Oral
Extra-Oral
Indications of Maxillofacial Prosthesis

After surgical intervention

After trauma
Congenital defects
Acquired defects
 Contraindications

•If adequate retention is not available for the basic

prosthesis (very large defect)

•If the palate is not displaceable

•Un-cooperative patients

•Poor general health

 Intraoral and Extraoral
Intraoral : Mandible
Maxilla mostly functional

Extraoral : Ear
Nose cosmetics
Orbit
 Management of patient for
maxillofacial prosthesis

Personal history of a patient should be obtained.

Dental and medical history also should be obtained.
Intra and external examination of a patient by a oral and maxillofacial
surgeon and prosthodontist should be done.
Patients risk assessment should be done.
A surgeon should consulate with a dentist (prosthodontist) about a
surgery so that there should be a team work.
All surgical alterations should be demonstrated for a dentist
(prosthodontist) on a cast and obturator should be made for a day of a
surgery.
Dental impression

Surgeon has marked resection for prosthodontic

planning.
 Post surgical management

After a surgery and even before it’s a team work

for a rehabilitation of a patient that includes:
1. Oncologist Surgeon
2. Oral and Maxillofacial surgeon.
3. Plastic surgeon specialist.
4. Prosthodontics.
5. Phyciastrist.
6. Speech rehabilitation specialist.
 PALATAL DEFECTS

DEFINITION :
Lack of continuity of originally intact palatal structures
through the whole or part of its length.

ETIOLOGY :
•Surgical e.g. tumor removal.
•Traumatic fracture of maxilla
•Pathological conditions e.g. osteomyelitis, T.B.,
and syphilis.
Prosthetic rehabilitation of acquired maxillary
defect :
The main priority for the patient with traumatic injury
and traumatic surgery is to stabilize the patient and
control immediate damage and/or defect.
Three phases of prosthodontic treatment
Includes :
•Surgical procedures + Immediate obturator
•Transitional/Interim obturator
•Definitive/Permanent obturator
 Obturator
Restores oro-nasal partition.
At times can be added to prior dentures.
Prosthetic Materials

Acrylics
Polyurethanes
Silicone Elastomers
Room-temperature vulcanizing
High-temperature vulcanizing
Conclusion
Foto-foto Kronologi Perawatan
DEFINITIVE OBTURATOR PROSTHESIS
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