The purpose of this study was to evaluate the stress distribution on the alveolar bone surrounding abutment teeth and the displacement of the Aramany Class IV obturator prosthesis with two different clasp designs. Three-dimensional finite element models of an Aramany Class IV maxillary defect were constructed. Two different clasp designs on an obturator prosthesis (double Akers clasps and multiple Roach clasps) and two different load conditions (vertical and horizontal) were compared. Finite element analysis was used to calculate the equivalent stress. The difference in the clasp design of the Aramany Class IV obturator prosthesis affected the stress distribution of the alveolar bone surrounding the abutment teeth and the displacement of the obturator prosthesis. Multiple Roach clasps reduced the stress distribution on the alveolar bone surrounding the abutment teeth and the displacement of the Aramany Class IV obturator prosthesis compared to double Akers clasps.
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http://dx.doi.org/10.4012/dmj.2014-015 | DOI Listing |
Arch Craniofac Surg
December 2024
Department of Dentistry, All India Institute of Medical Sciences Bhopal, Bhopal, India.
J Prosthodont
January 2025
Department of Advanced Prosthodontics, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Purpose: This study aims to evaluate the effectiveness of a case-based reasoning (CBR) system in predicting the design of definitive obturator prostheses for maxillectomy patients.
Materials And Methods: Data from 209 maxillectomy cases, including extraoral images of obturator prostheses and occlusal images of maxillectomy defects, were collected from Institute of Science Tokyo Hospital. These cases were organized into a structured database using Python's pandas library.
Head Neck
December 2024
Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Background: To spare important anatomical structures from damage during treatment of cystic odontogenic lesions, decompression has become a conservative alternative to enucleation. Marsupialization, in combination with the use of a custom-made decompression prosthesis, is an effective method of inducing reduction and bony infill of cystic lesions of the jaw.
Methods: In this case series and review of the literature, we describe three patients with odontogenic cysts of the mandible who were treated with custom-made decompression obturator prostheses (DOP) at the Memorial Sloan Kettering Cancer Center Dental Service.
Cureus
November 2024
Advanced Prosthodontics, Institute of Science Tokyo, Tokyo, JPN.
Orbital defects can result from a myriad of underlying diseases and injuries. Treatment of malignant neoplasms and maxillofacial trauma are common reasons for orbital exenteration. Recently, a growing number of cases of orbital defects have been reported due to mucormycosis in patients with COVID-19.
View Article and Find Full Text PDFJ Surg Oncol
December 2024
Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
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