title: An endosseous, implant-retained obturator for the rehabilitation of a recurrent central giant cell granuloma: a clinical report.
abstract: The prosthodontic rehabilitation of a patient with a recurrent maxillary CGCG has been described. The patient's immense defect originally was rehabilitated with a scapular microvascular free flap, endosseous dental implants, and an ISP that became obsolete by virtue of the resection of recurrent disease and the subsequent need for velopharyngeal obturation. The patient was provided with a surgical obturator at the time of the resection of the recurrent CGCG. The surgical obturator thereafter was modified into an interim obturator to provide velopharyngeal competence while the soft tissues around the palatal defect healed. Finally, the construction of a bar-retained definitive obturator markedly improved the patient's speech, mastication, and deglutition.
authors.affiliation: Department of Hospitl Dentistry, Division of Maxillofacial Prosthetics, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1049, USA. jeffery-markt@uiowa.edu
authors.forename: J C
authors.initials: JC
authors.lastname: Markt
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003779:Denture Design; D003827:Denture, Complete, Upper; D003828:Denture, Overlay; D006101:Granuloma, Giant Cell / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008439:Maxillary Diseases / Q000534:rehabilitation* / Q000601:surgery; D010158:Palatal Obturators; D021362:Palate, Hard / Q000601:surgery; D011474:Prosthesis Design; D012008:Recurrence; D016038:Skin Transplantation; D013524:Surgical Flaps; D014681:Velopharyngeal Insufficiency / Q000534:rehabilitation
chemical_list: D015921:Dental Implants