“
“Extensive maxillary

resection has generally been reconstructed with free skin flaps. Because drooping of the transferred flap causes instability of the obturator prosthesis, maxillary reconstruction often incorporates a slit-shaped oronasal fenestration. Although obturator prostheses for edentulous patients are stabilized AP24534 purchase with the help of oronasal slits, those for dentate patients are unstable because of flap mobility, resulting in a harmful lateral force exerted on the abutment teeth, causing dislodging of the denture. This report evaluates the benefits of a movable obturator prosthesis for a 60-year-old dentulous patient with maxillary sinus carcinoma. The patient underwent left-sided total maxillectomy, and the defect

was reconstructed with a slit-shaped fenestration using a rectus abdominis flap. A conventional obturator prosthesis was inserted; however, drooping of the flap caused instability of the obturator, resulting in nasal regurgitation and fracture of the clasp. To solve this problem, we designed an obturator prosthesis with a movable connection consisting of a ball attachment (patrix) in the metal base and a socket (matrix) in the obturator, which acted as a stress breaker against the harmful force exerted by the flap. Application of this movable obturator prosthesis was a useful solution for a compromising situation created by the surgical procedure. No clinical disorders were observed at the 3-year follow-up. “
“Purpose: To evaluate the influence of horizontal misfit Talazoparib chemical structure change and bar framework material on the distribution 上海皓元 of static stresses in an overdenture-retaining bar system using finite element (FE) analysis. Materials and Methods: A 3D FE model was created including two titanium implants and a bar framework placed in the anterior part of a severely resorbed jaw. The model set was exported to mechanical simulation software, where horizontal displacement (10, 50, 100, and 200 μm) was applied

simulating the settling of the framework, which suffered shrinkage during laboratory procedures. Four bar materials (gold alloy, silver–palladium alloy, commercially pure titanium, and cobalt–chromium alloy) were also simulated in the analysis using 50 μm as the horizontal misfit. Data were qualitatively evaluated using von Mises stress, given by the software. Results: The misfit amplification presented a great increase in the stress levels in the inferior region of the bar, screw-retaining neck, cervical and medium third of the implant, and cortical bone tissue surrounding the implant. The higher stiffness of the bar presented a considerable increase in the stress levels in the bar framework only. Conclusion: The levels of static stresses seem to be closely linked with horizontal misfit, such that its amplification caused increased levels of stress in the structures of the overdenture-retaining bar system.