the post-surgical prosthetic rehabilitation of a patient with squamous cell carcinoma faghrie meer...
TRANSCRIPT
![Page 1: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/1.jpg)
The Post-Surgical Prosthetic Rehabilitation of
a Patient with Squamous Cell Carcinoma
Faghrie Meer
BTech Student in Dental Technology
![Page 2: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/2.jpg)
Contents
Patient history Background and condition Clinical treatment options Technical treatment options Most desirable technical treatment
options
![Page 3: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/3.jpg)
Contents…continued
Chosen technical treatment option
Laboratory procedures
Final placement
References
![Page 4: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/4.jpg)
Patient History
68 years old
Female
Fair-skinned
Sun exposure
Fully edentulous
![Page 5: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/5.jpg)
Patient History…continued
Main Complaint: Inability to wear lower denture
Dental Faculty
Squamous cell carcinoma in 3rd quadrant
Chin and alveolar ridge
![Page 6: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/6.jpg)
Patient History…continued
April 2002- Fibula graft; Skin graft.
May 2002- Both plates broke.
June 2002 - Both plates removed and re-evaluated.
![Page 7: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/7.jpg)
Patient History…continued
July 2002 - Thinning of skin flap.
Sept. 2002 - 2 implants inserted.
Oct. 2002 - Liposuction in chin area.
![Page 8: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/8.jpg)
Background and Condition
Malignant epithelial tumour 1
Overgrowth of tissue cells
Destruction of living cells
![Page 9: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/9.jpg)
Background and Condition…continued
Common and fatal if unrecognized 2
Favourable prognosis
Curable
![Page 10: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/10.jpg)
Clinical Treatment Options
Two options:
a) Radiation or
b) Surgical removal
![Page 11: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/11.jpg)
Radiation
• Highly contra-indicated: 1
1) Not precise
2) Oral sensitivity
3) Destruction of oral structures:
![Page 12: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/12.jpg)
Radiation…continued
a) Dry oral cavity
b) Poor tissue healing
c) Difficulty in mastication
d) Difficulty in digestion
![Page 13: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/13.jpg)
Surgical Removal
• Desired treatment option
• Cancer and healthy tissue removed2
• Growth initiation
![Page 14: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/14.jpg)
Surgical Removal…continued
• Regular check-ups essential
• Unnoticed growth is fatal
![Page 15: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/15.jpg)
Technical Treatment Options
Bar and clips attachment system
![Page 16: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/16.jpg)
Technical Treatment Options…continued
Magnetic attachment system
![Page 17: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/17.jpg)
Technical Treatment Options…continued
Ball attachment system
![Page 18: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/18.jpg)
Most Desirable Technical Treatment Option
Bar and Clips Attachment System
Greatest retentive ability 3, 5, 6
Strong and rigid attachment Anti-corrosive clips Good load distribution
![Page 19: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/19.jpg)
Chosen Technical Treatment Option
Ball Attachment System
Most cost-effective system 3, 4, 6
Accurate and repeatable denture placement
Satisfactory retention and stability
![Page 20: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/20.jpg)
Ball Attachment System…continued
Maligned abutments not critical
Little space required
Better hygiene
Ease of fabrication
![Page 21: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/21.jpg)
Magnquateetic Attachment System
Accurate clinical techniques Inadequate shear loads Discolouration Allergic reactions Loses retentive abilities
![Page 22: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/22.jpg)
Laboratory Procedures
1° impressions
2° impressions
Surgical stent
Tissue integration
![Page 23: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/23.jpg)
Laboratory Procedures…continued
Temporary mandibular denture
Phase 2 treatment plan
2° impressions
Permanent denture
![Page 24: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/24.jpg)
Laboratory Procedures…continued
Female counterpart
Implant too far facially
Attachment selection difficult
![Page 25: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/25.jpg)
Laboratory Procedures…continued
Molloplast-B
Flasked and processed
![Page 26: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/26.jpg)
References
1) J. C. E. Underwood. Skin. General
and Systematic Pathology. 2nd ed. London: Churchill Livingstone. 1996: 764-765.
2) R. N. M. MacSween & K. Whaley.
Alimentary tract. Muir’s Textbook
of Pathology. 13th ed. London: Arnold. 1995: 680-681.
![Page 27: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/27.jpg)
References…continued
3) H. W. Preiskel. Stud attachments and
magnets, Bar attachments.
Overdentures Made Easy: A Guide to
Implant and Root Supported
Prostheses. Berlin: Quintessence
Publishing Co Ltd. 1996: 81-89, 101-
108, 119-133.
![Page 28: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/28.jpg)
References…continued
4) Guerra et al. Alternative retention for
an implant-retained prosthesis. Journal
Of Oral Implantology. 2002; 28(3): 117-120.
5) K. Bergstom. Anaplastological
technique for facial defects.
Osseointegration Anchorage Of
Craniofacial Prostheses. 1998: 101-106.
![Page 29: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/29.jpg)
References…continued
6) E. J. Penn & R. P. Renner. Overdentures-an
overview for the general practitioner.
Quintessence Of Dental Technology. 1991; 14: 131-141.
![Page 30: The Post-Surgical Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma Faghrie Meer BTech Student in Dental Technology](https://reader035.vdocuments.mx/reader035/viewer/2022062421/56649e375503460f94b2812a/html5/thumbnails/30.jpg)
Acknowledgements
Dr Van Zyl Prof. Morkel Mrs Nortje Mrs Wright Mr Steyn Mr Mazema Mr Lategan