PDF | Numerous classifications and nomenclatures exist in literature to Aramany presented a classification for maxillectomy defects in Obturator ppt. 1. Basic Principles of Obturator design for partially edentulous patients. Part I: Classification Aramany MA. Basic principles of. Yadav P. has mentioned that Brown’s classification is simple to use. But, as prosthodontists, we commonly use Aramany’s classification since Brown’s.

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Log In Sign Up. Maxillectomy to reconstruct or obturate? There are around 14 different classification schemes for maxillectomy defects.

Furthermore, changes in appearance, psychosocial function and vocational status may affect the quality of life of these patients after surgical intervention.

Such defects lead to functional deficits and enormous psychological strain and require rehabilitation at all ages. Clefts of the lip with or without an alveolar cleft- Harkins a.

Prosthodontic principles in the framework design of maxillary obturator prostheses.

All these defects can be further classified into Unilateral and Bilateral defects. There remains, however confusion in use of terminology and nomenclature, as Key words: Arch Otolaryngol Head Neck Surg. The aim was to organize and define the complex nature of the restorative decision making process.

In the late Dr Mohammed Aramany presented the first published system of classification of postsurgical maxillary defects. To accomplish this for partially edentulous patients, and the clinicians must provide comprehensive treatment planning and sound physiological design principles for a removable partial denture RPD.

Class II includes arches in which the premaxilla and the premaxillary dentition on the contralateral side is maintained. A favorable defect must be designed at the time of tumor removal to provide proper support and sufficient retention and stability of the obturator for the prosthesis to function adequately.


Anatomic, physiologic, and psychologic considerations. The dentition is usually preserved, making this obturator prosthesis design simple and effective.

Descriptive statistics were used to describe data. Xramany divided the defects into 6 categories based upon the relationship of the defect with the abutment teeth.

Aarmany maxillary defect class I was most commonly found and class VI defect was least commonly seen in study sample. Clefts can occur in the maxilla, mandible and the face; clefts of maxilla are most common. The linear design is used for the class I defect when there are no anterior teeth present or when one does not desire to use the anterior teeth.

Prosthodontic principles in the framework design of maxillary obturator prostheses.

Speech outcomes in patients rehabilitated with maxillary obturator prostheses after maxillectomy: Use of an interim obturator for definitive prosthesis fabrication. Clefts of both maxilla and mandible have been of utmost interest to the oral surgeon, the prosthodontist and the maxillofacial surgeon.

Nonsurgical defects are usually large and difficult to manage. Br J Oral Maxillofac Surg ; Head Neck ; Hence there is an utmost need of a comprehensive classification system for maxillectomy defects, which takes into account the multitude of factors necessary to rehabilitate such patients and which has been critically evaluated by the managing multidisciplinary team to reach a consensus.

Here we have Maxillofacial Defects, Craniofacial tried to compile all the classifications that exist for both congenital and Defects, Cleft, Acquired Anomalies. Obturator prostheses for the rehabilitation of congenital and acquired maxillary defects: The two arrows adjacent on either sides of the hard palate represent displacement of the palate.

classificatiin One of the most interesting congenital defects that has been of great concern and interest to the maxillofacial surgeon and the prosthodontist is the occurrence of clefts. Results In the present study, Squamous cell carcinoma was the most common oral cancer followed by ameloblastoma, Table I showed summery of surgical and prosthodontic management of study sample.


Labial stabilization and the use of splinting, especially of the terminal abutments, are desirable. Results of a UK survey of oral and maxillofacial surgeons. J Oral Maxillofac Surg ; In dentate patients, these requirements are easily met by relying on the remaining dentition, retentive tissue undercuts, and support areas within the defect.

zramany Before the advent and use of osseointegrated implants for dental rehabilitation, removable prosthetic classificatuon with obturator was the only treatment option available for maxillectomy patients.

The objective of this study was to determine the classifiication of acquired postsurgical maxillary defects for Prosthodontics rehabilitation in patients at AFID. This classification was modified by Elsahy in An effective, inexpensive, temporary surgical obturator following maxillectomy. National Center for Biotechnology InformationU. A single, unilateral defect is located posterior to the remaining teeth.

Surgery is first choice for early cancers and for cancers that do not respond to radiation and chemotherapy in the form of salvage. Their proposed classification is as follows: J Pak Dent Assoc. Durrani et al, Classification of Maxillary Defects8: Clefts are basically developmental anomalies that are usually present in the midline of the face and drastically affect the normal anatomy.

Aakarshan Dayal Gupta, Dr. Classification of maxillectomy defects: