Obturator Prostheses with Intramucosal Retention System in Patients with Maxillectomy

Overview

Journal Oral Maxillofac Surg

Specialties Dentistry
General Surgery

Date 2024 Jul 4

PMID 38963534

Authors

Maria Claudia Alves

Isadora Franca Vieira-Silva

Maria Luiza Araujo Almeida

Nathallia Duarte Ferreira

Emanuelly da Silva Leite

Ricardo de Oliveira Correa

Aline Araujo Sampaio

Amalia Moreno

Francisca Daniele Moreira Jardilino

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the intramucosal retention system in patients' masticatory efficiency and quality of life in this case series.

Material And Methods: A total of 3 individuals with maxillectomy were included for rehabilitation with a complete obturator prostheses with an intramucosal retention system (OPI). The complete obturator prostheses was made for 60 days, and electromyography assessments and bite force were applied before, after 30, 60, and 90 days of surgery and prostheses installation. The University of Washington Quality of Life Questionnaire (UW-QoL) and the Obturator Functional Scale (OFS) were also administered at baseline and in the same follow-up periods. The electromyography was evaluated on both sides of the masseter, temporalis, and buccinator muscles while chewing hard and soft food. The maximum bite force was recorded in the central incisors and both sides of the first molar region.

Results: Bite force values increased in the first molar region, and muscular electrical activity remained constant. Items related to the taste and swallowing of the UW-QOL impacted. Most OFS questionnaire data responses indicated that patients improved in swallowing liquid foods and appearance.

Conclusions: The rehabilitative capacity improves masticatory efficiency and QoL in adults maxilectomized and rehabilitated with OPI analysis in the study. Further clinical studies should be encouraged to determine the effectiveness of this retentive system.

References

Sung H, Ferlay J, Siegel R, Laversanne M, Soerjomataram I, Jemal A . Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021; 71(3):209-249. DOI: 10.3322/caac.21660. View

Panarese I, Aquino G, Ronchi A, Longo F, Montella M, Cozzolino I . Oral and Oropharyngeal squamous cell carcinoma: prognostic and predictive parameters in the etiopathogenetic route. Expert Rev Anticancer Ther. 2018; 19(2):105-119. DOI: 10.1080/14737140.2019.1561288. View

Shi H, Ng C, Kwa C, Sim Q . Ameloblastoma: A succinct review of the classification, genetic understanding and novel molecular targeted therapies. Surgeon. 2020; 19(4):238-243. DOI: 10.1016/j.surge.2020.06.009. View

Cramer J, Burtness B, Le Q, Ferris R . The changing therapeutic landscape of head and neck cancer. Nat Rev Clin Oncol. 2019; 16(11):669-683. DOI: 10.1038/s41571-019-0227-z. View

Artopoulou I, Sarafianou A, Perisanidis C, Polyzois G . Effectiveness of prosthetic rehabilitation and quality of life of older edentulous head and neck cancer survivors following resection of the maxilla: a cross-sectional study. Support Care Cancer. 2022; 30(5):4111-4120. DOI: 10.1007/s00520-022-06850-9. View

Silva I, Omana-Cepeda C, Mari-Roig A, Lopez-Lopez J, Jane-Salas E . Survival of Dental Implants in Oncology Patients versus Non-Oncology Patients: A 5-Year Retrospective Study. Braz Dent J. 2020; 31(6):650-656. DOI: 10.1590/0103-6440202003622. View

Cranin A, CRANIN S . The intramucosal insert: a method of maxillary denture stabilization. J Am Dent Assoc. 1958; 57(2):188-93. DOI: 10.14219/jada.archive.1958.0144. View

Harianawala H, Kheur M, Jambhekar S . Zirconia Intra Mucosal Inserts as a Retentive Aid for Maxillary Complete Dentures: A Case Report. J Indian Prosthodont Soc. 2015; 14(Suppl 1):323-7. PMC: 4502036. DOI: 10.1007/s13191-014-0386-7. View

Goncalves F, Dias E, Cestary T, Taga R, Zanetti R, Zanetti A . Clinical and histopathological analysis of intramucosal zirconia inserts used for improving maxillary denture retention. Braz Dent J. 2009; 20(2):149-55. DOI: 10.1590/s0103-64402009000200011. View

10.

DAHL G . Some aspects of the use of intramucosal inserts. J Oral Implant Transplant Surg. 1966; 12:61-5. View

11.

Matsuyama M, Tsukiyama Y, Tomioka M, Koyano K . Clinical assessment of chewing function of obturator prosthesis wearers by objective measurement of masticatory performance and maximum occlusal force. Int J Prosthodont. 2006; 19(3):253-7. View

12.

Matsuyama M, Tsukiyama Y, Koyano K . Objective clinical assessment of change in swallowing ability of maxillectomy patients when wearing obturator prostheses. Int J Prosthodont. 2005; 18(6):475-9. View

13.

Sonego M, Coelho Goiato M, Dos Santos D . Electromyography evaluation of masseter and temporalis, bite force, and quality of life in elderly patients during the adaptation of mandibular implant-supported overdentures. Clin Oral Implants Res. 2016; 28(10):e169-e174. DOI: 10.1111/clr.12980. View

14.

Coelho Goiato M, Garcia A, Dos Santos D . Electromyographic activity of the mandible muscles at the beginning and end of masticatory cycles in patients with complete dentures. Gerontology. 2008; 54(3):138-43. DOI: 10.1159/000118099. View

15.

Amorim C, Vasconcelos Paes F, de Faria Junior N, de Oliveira L, Politti F . Electromyographic analysis of masseter and anterior temporalis muscle in sleep bruxers after occlusal splint wearing. J Bodyw Mov Ther. 2012; 16(2):199-203. DOI: 10.1016/j.jbmt.2011.04.001. View

16.

Lodetti G, Mapelli A, Musto F, Rosati R, Sforza C . EMG spectral characteristics of masticatory muscles and upper trapezius during maximum voluntary teeth clenching. J Electromyogr Kinesiol. 2011; 22(1):103-9. DOI: 10.1016/j.jelekin.2011.10.008. View

17.

Ferrario V, Sforza C, Colombo A, Ciusa V . An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects. J Oral Rehabil. 2000; 27(1):33-40. DOI: 10.1046/j.1365-2842.2000.00490.x. View

18.

Ferrario V, Sforza C . Coordinated electromyographic activity of the human masseter and temporalis anterior muscles during mastication. Eur J Oral Sci. 1996; 104(5-6):511-7. DOI: 10.1111/j.1600-0722.1996.tb00134.x. View

19.

Chen C, Ren W, Gao L, Cheng Z, Zhang L, Li S . Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation. Braz J Otorhinolaryngol. 2015; 82(2):177-83. PMC: 9449036. DOI: 10.1016/j.bjorl.2015.10.006. View

20.

Artopoulou I, Karademas E, Perisanidis C, Polyzois G . Quality of life in patients with soft palate resection: The relationship between reported functional prosthetic outcomes and the patient's psychological adjustment. J Prosthet Dent. 2021; 128(6):1387-1397. DOI: 10.1016/j.prosdent.2021.04.009. View