Rehabilitation of Class I Aramany Defect: A Case Report

Abstract

In patients with maxillary defects, oro-anatral communication causes difficulty in mastication and deglutition. It leads

to impaired speech and facial disfigurement. Prosthetic rehabilitation in such patients is faced with drawbacks such

as inadequate retention, stability and support. Prosthesis fabrication is usually influenced by the size and location of defect. An obturator prosthesis is the most commonly used treatment option for patients having maxillary defects. This paper describes a clinical report of fabricating a definitive obturator prosthesis. It was decided to fabricate a complete palatal plate to ensure maximum distribution of masticatory and functional load on the tissues. Direct retention was provided by C-clasp on the left lateral incisor and right first molar. Thus, this prosthesis was helpful in rehabilitation of the patient by providing better masticatory efficiency, clarity of speech, and enhancing the quality of life of the patient.

Key words: Maxillary defect, obturator, rehabilitation