J Korean Acad Prosthodont.  2018 Apr;56(2):161-165. 10.4047/jkap.2018.56.2.161.

Fabrication of palatal lift prosthesis for a patient with palatal defect

• Jeon HI
• Lee YC
• Kim JH
• Park KH
• Cha IH
• Park YB

• KMID: 2410120
• DOI: http://doi.org/10.4047/jkap.2018.56.2.161

Abstract

This report is a case of 38-year old female patient who had a chief complaint about having pronounciation disorder after going under mass excision due to mucoepidermoid carcinoma. She was referred to department of prosthodontics, Yonsei university. Palatal lift prosthesis was fabricated which was then relined with tissue conditioner. Evaluations on phonetics and swallowing were done and improvements were shown. Tissue conditioner was replaced with heat polymerizing resin and the patient was satisfied with the results of treatment.

Keyword

Palatopharyngeal insufficiency; Speech aid prosthesis; Palatal lift prosthesis

MeSH Terms

Carcinoma, Mucoepidermoid
Deglutition
Female
Hot Temperature
Humans
Phonetics
Polymers
Prostheses and Implants*
Prosthodontics
Polymers

Figure

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  Fig. 1. Intraoral photos. (A) Maxillary dentition, (B) Mandibular dentition.

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  Fig. 2. Intraoral photo during “Ah” phonation. Note palatopharyngeal insufficiency.

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  Fig. 3. Palatal lift prosthesis after relining with Coe-comfort. (A) Inner surface or prosthesis, (B) Intraoral photo after delivery.

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  Fig. 4. Inner surface of palatal lift prosthesis after additional relining with Coe-comfort.

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  Fig. 5. Delivery after material replacement with heat polymerizing resin. (A) Inner surface or prosthesis, (B) Intraoral photo after delivery.

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  Fig. 6. Change of internal surface of prosthesis. (A) Lateral view, (B) Rear view.

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  Fig. 7. Delivery. (A) Inner surface or prosthesis, (B) Intraoral photo after delivery.

Reference

1.Schneider E., Shprintzen RJ. A survey of speech pathologists: current trends in the diagnosis and management of velopharyngeal insufficiency. Cleft Palate J. 1980. 17:249–53.

2.Johns DF., Rohrich RJ., Awada M. Velopharyngeal incompetence: a guide for clinical evaluation. Plast Reconstr Surg. 2003. 112:1890–7.

3.Beumer J., Marunick MT., Esposito SJ. Maxillofacial rehabilitation: prosthodontic and surgical management of cancer-related, acquired, and congenital defects of the head and neck. 3rd ed.Illinois: Quintessence Pub.;2011. p. 213–54.

4.Gibbons P., Blommer H. A supportive-type prosthetic speech aid. J Prosthet Dent. 1958. 8:362–9.

5.Raj N., Raj V., Aeran H. Interim palatal lift prosthesis as a constituent of multidisciplinary approach in the treatment of velopharyngeal incompetence. J Adv Prosthodont. 2012. 4:243–7.

6.Marshall RC., Jones RN. Effects of a palatal lift prosthesis upon the speech intelligibility of a dysarthric patient. J Prosthet Dent. 1971. 25:327–33.

7.Kipfmueller LJ., Lang BB. Treating velopharyngeal inadequacies with a palatal lift prosthesis. J Prosthet Dent. 1972. 27:63–72.

8.La Velle WE., Hardy JC. Palatal lift prostheses for treatment of palatopharyngeal incompetence. J Prosthet Dent. 1979. 42:308–15.