“ Past, Present and Future of Dental Implants and Gerodontology ” “ Past, Present and Future of Dental Implants and Gerodontology ” “ Past, Present and Future of Dental Implants and Gerodontology ”, İstanbul, Türkiye, 9 - 11 Kasım 2023, cilt.27, sa.62, ss.174
Objective: It is aimed to present the rehabilitation of a 64-year-old male patient with a
large maxillary and mandibular defect after tumor resection with implant-supported hollow
bulb obturator in the maxilla and implant-supported hybrid prosthesis in the mandible.
Case: A 64-year-old male patient was treated for squamous cell carcinoma of the left maxillary sinus in 2017
and for squamous cell carcinoma of the left mandibular soft tissue due to metastasis in 2020. The patient
applied to our clinic for the rehabilitation of the large defects that occurred. With the digital modeling made as
a result of the measurements taken, 3 implant-supported hollow bulb obturators were planned for the upper
jaw but one of them failed becauuse of the radiotherapy dose which is 60 gray and implant-supported hybrid
prosthesis was planned for the lower jaw. In addition to addressing the eating and speaking problems of the
patient with oronasal opening, lip and check support, and aesthetically acceptable appearance was provided.
Conclusion: In post-treatment follow-up, implant-supported prostheses provide a higher level of retention
and stabilization in patients with such large defects, as long as the financial situation allows.
Keywords: Hollow Bulb Obturator, Implant, Prosthetic Rehabilitation, Tumoral Defect