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Ten patients who had had maxillectomy will be assigned to two groups employing two types of 'temporary obturators. The obturators in the first group will be made from heat cure acrylic resin, whereas those in the second group from flexible resin.
A comparison will be made between the two materials in terms of oral-nasal seal using the drinking water test as well as the mirror test.
Oral rehabilitation following partial maxillectomy presents numerous clinical and technical issues. Using soft-tissue undercuts in the palatal side of the upper jaw is so useful for prostheses' retention over and above the abutment teeth. The use of flexible materials can serve this aim. The current study aims to compare the efficacy of nasal-oral seal using flexible materials against the traditional method of using heat activated acrylic materials.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional Obturators | No Intervention | Patients will use traditional obturators which are going to be made from ordinary heat-activated acrylic resin. | |
| Flexible Obturators | Experimental | Patients will use the new obturators made from flexible resin. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Flexible resin | Other | This material 'Flexible resin' is going to be used in the construction of the 'flexible obturators'. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Amount of leaking water drops from the nose | Each patient is asked to drink an amount of water and keep a specific amount of water in the mouth for two to three minutes. He/she is asked to rotate his/her head 20-30 degrees downward and forward. During this period the amount of leaking water drops from the nose is collected and weighted. | 30 minutes following appliance insertion in the mouth |
| Amount of air flow through the nose during speech | Each patient is asked to utter the following letters: K, T, D. A cold small mirror is placed in front of the nose during the utterance of these consonants. If a fogginess is observed on the mirror, this means that there is an oral-nasal leakage of air. | 30 minutes following appliance insertion in the mouth |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Huda Yahia, DDS | MSc student, Removable Prosthodontic Department, University of Damascus Dental School | Principal Investigator |
| Eyad Al-Shaarani, DDS MSc PhD | Professor of Removable Prosthodontics, University of Damascus Dental School | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Removable Prosthodontics, University of Damascus Dental School | Damascus | Rif-dimashq Governorate | DM20AM18 | Syria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11753303 | Background | Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: Design principles. 1978 [classical article]. J Prosthet Dent. 2001 Dec;86(6):562-8. doi: 10.1067/mpr.2001.121619. No abstract available. | |
| 16126082 | Background | Grossmann Y, Savion I. The use of a light-polymerized resin-based obturator for the treatment of the maxillofacial patient. J Prosthet Dent. 2005 Sep;94(3):289-92. doi: 10.1016/j.prosdent.2005.06.014. |
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| 10842133 | Background | MacCarthy D, Murphy N. Replacement of an obturator section of an existing two-piece implant-retained edentulous obturator. J Prosthet Dent. 2000 Jun;83(6):652-5. |
| 11012850 | Background | Kanazawa T, Yoshida H, Furuya Y, Shimodaira K. Sectional prosthesis with hollow obturator portion made of thin silicone layer over resin frame. J Oral Rehabil. 2000 Sep;27(9):760-4. doi: 10.1046/j.1365-2842.2000.00584.x. |