Maxillary Obturator Phases and Occlusal Therapy Principles
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Treatment Phases for Acquired Maxillary Defects
Phase 1: Surgical Obturator
Immediate Surgical Obturator
- Functions:
- Obturate the defect
- Support surgical dressing
- Improve speech and swallowing
- Maintain facial contour
- Minimize psychological impact
- Advantages:
- Functional: Support surgical pack placement, improve postoperative speech, and aid deglutition.
- Hygienic: Separate the surgical site from oral contamination.
- Psychological: Provides immediate psychological benefits.
Delayed Surgical Obturator (6–10 Days)
- Alternative placement after surgery
- Used for edentulous defects
Phase 2: Interim Obturator (2–3 Weeks)
- Defect stabilization with minimal changes
- Bridges the gap between the surgical obturator and definitive prosthesis