Fabrication of Interim Obturator After Marsupialization – An Exigent Case Scenario
Divya Doddamani1*, Basappa Nadig2, Saraswathi V Naik3 and Renuka D Shashidhara4
1Pedodontics and Preventive Dentistry, Pediatric Dentist at Dental Hub, Badiadka, India
2Pedodontics and Preventive Dentistry, Professor and Head of the Department, Bapuji Dental College and Hospital, Davangere, Karnataka, India
3Pedodontics and Preventive Dentistry, Professor, Bapuji Dental College and Hospital, Davangere, Karnataka, India
4Pedodontics and Preventive Dentistry, Post Graduate Student, Bapuji Dental College and Hospital, Davangere, Karnataka, India
*Corresponding Author:Divya Doddamani, Pedodontics and Preventive Dentistry, Pediatric Dentist at Dental Hub, Badiadka, India.
Received: March 07, 2022; Published: March 24, 2022
Abstract
Surgical obturator and interim obturators are fabricated before the surgical intervention in usual scenario to avoid the difficulties faced during impressions in open surgical wound. This case report describes the fabrication of interim obturator in a child patient aged 9-year-old reported with an open wound after marsupialization. Various challenges were faced starting from the clinical examination till insertion of the appliance such as complex anatomy of the defect, making an accurate impression of an open surgical wound and behavior. Technique of Cryoanalgesia (2-4 degree Celsius) was followed throughout the impression procedure. A helical spring incorporated interim acrylic resin obturator was fabricated. Considerable healing of soft tissue was seen at the end of 1 month and bony healing was observed at the end of 3 months follow up. This case documents the role of obturator in early healing of the lesion as well as the management of challenges that are faced during the procedure in such unique case.
Keywords:Obturator; Marsupialization; Dentofacial; Cryoanalgesia
References
- Newton JT., et al. “A preliminary study of the impact of loss of part of the face and its prosthetic restoration”. Journal of Prosthetic Dentistry 82 (1999): 585-590.
- McGrouther DA. “Facial disfigurement: The last bastion of discrimination”. The British Medical Journal134 (1997): 991.
- Shekhar C., et al. “Dentigerous cyst: A rare presentation”. Indian Journal of Otolaryngology and Head and Neck Surgery4 (2006): 382-384.
- Guven Y., et al. “Preservation of Involved Teeth Associated with Large Dentigerous Cysts”. International Scholarly Research Notices (2014): 289463.
- Koca H., et al. “Outcome of dentigerous cysts treated with marsupialization”. Journal of Clinical Pediatric Dentistry2 (2009): 165-168.
- Hou R and Zhou H. “Articles of marsupialization and decompression on cystic lesions of the jaws: A literature review”. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology4 (2013): 299-304.
- Dalkiz M and Dalkiz AS. “The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions”. Dentistry Journal (Basel)3 (2018): 22.
- Desjardins RP. “Obturator prosthesis design for acquired maxillary defects”. Journal of Prosthetic Dentistry 4 (1978): 424-435.
- Wang TF., et al. “Associations between dental anxiety and postoperative pain following extraction of horizontally impacted wisdom teeth: A prospective observational study”. Medicine (Baltimore)47 (2017): e8665.
- Mattoo k and Urahman S. “Eliminating problems associated with making impressions of arch bars in jaw fractures”. International Journal of Research in Medical Sciences and Technology1 (2014): 1-5.
- Gao X., et al. “Dental fear and anxiety in children and adolescents: qualitative study using YouTube”. Journal of Medical Internet Research 2 (2013): e29.
- Chew CL, Chee WW, Donovan TE. “The influence of temperature on the dimensional stability of poly (vinyl siloxane) impression materials”. International Journal of Prosthodontics 6 (1993): 528-532.
- PJD EVANS. “Cryoanalgesia: The application of low temperatures to nerves to produce anaesthesia or analgesia”. Anaesthesia11 (1981): 1003-1013.
- Katge F., et al. “Customizing Impression Trays for Children: A Novel Technique”. International Journal of Preventive and Clinical Dental Research 1 (2015): 88-90.
- Farrier S., et al. “Gagging during impression making: techniques for reduction”. Dental update3 (2011): 171-176.
- Dalkiz Mehmet and Dalkiz Ahmed. “The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions”. Dentistry Journal3 (2018): 1-17.
- RC M. “Cryoanesthesia as a Supplementary Aid to the Mandibular Anesthetic Technique in Endodontics: A Preliminary Experience”. Open Access Journal of Biomedical Science3 (2019).
- Goel S., et al. “Cryoanalgesic preparation" before local anaesthetic injection for lid surgery”. Orbit2 (2006): 107-110.
- Park R., et al. “Cryoanalgesia for postsurgical pain relief in adults: A systematic review and meta-analysis”. Annals of Medicine and Surgery 69 (2021): 102689.
- Townsend JA. “Behaviour guidance of the paediatric dental patient”. In: Casa Massimo PS, Fields HW, McTigue DJ and Nowak AJ. “Paediatric Dentistry-Infancy through Adolescence. 5th Philadelphia: Elsevier Saunders (2013): 358.
- Taylor T. “Clinical maxillofacial prosthetics”. Chicago: Quintessence (2000).
-
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