Obturator prostheses with intramucosal retention system in patients with maxillectomy.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-07-04 DOI:10.1007/s10006-024-01278-3

Maria Cláudia Alves, Isadora França Vieira-Silva, Maria Luiza Araújo Almeida, Nathállia Duarte Ferreira, Emanuelly da Silva Leite, Ricardo de Oliveira Corrêa, Aline Araujo Sampaio, Amália Moreno, Francisca Daniele Moreira Jardilino

{"title":"Obturator prostheses with intramucosal retention system in patients with maxillectomy.","authors":"Maria Cláudia Alves, Isadora França Vieira-Silva, Maria Luiza Araújo Almeida, Nathállia Duarte Ferreira, Emanuelly da Silva Leite, Ricardo de Oliveira Corrêa, Aline Araujo Sampaio, Amália Moreno, Francisca Daniele Moreira Jardilino","doi":"10.1007/s10006-024-01278-3","DOIUrl":null,"url":null,"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.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral and Maxillofacial Surgery-Heidelberg","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s10006-024-01278-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/4 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

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.

查看原文本刊更多论文

在上颌骨切除术患者中使用带有粘膜内固定系统的闭孔假体。

目的：在本病例系列中评估粘膜内固位系统对患者咀嚼效率和生活质量的影响：材料：共有 3 名上颌骨切除术患者接受了带有粘膜内固位系统（OPI）的全闭锁义齿的康复治疗。全口闭锁义齿制作期为60天，在手术和义齿安装前、后30天、60天和90天分别进行肌电图评估和咬合力评估。华盛顿大学生活质量问卷（UW-QoL）和闭孔器功能量表（OFS）也在基线和相同的随访期进行了评估。在咀嚼软硬食物时，对两侧的咀嚼肌、颞肌和颊肌进行肌电图评估。记录了中切牙和第一磨牙区域两侧的最大咬合力：结果：第一臼齿区的咬合力值增加，肌肉电活动保持不变。UW-QOL 中与味觉和吞咽有关的项目受到影响。大多数 OFS 问卷数据显示，患者在吞咽流质食物和外观方面有所改善：在本研究中，康复能力提高了成人上颌骨切除术后通过 OPI 分析进行康复的患者的咀嚼效率和 QoL。应鼓励开展进一步的临床研究，以确定这种牵引系统的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.20

自引率

5.60%

发文量

118

期刊介绍： Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).