Turkish Journal of Physiotherapy and Rehabilitation; 32(3) ISSN 2651-4451 | e-ISSN 2651-446X www.turkjphysiotherrehabil.org 35572 Management of Maxillary defect via Obturator: A Case Report with Review of Literature Mudit Kumar Trivedi 1 , Garima Guddu 2 , Mimansa Daftary 3 , T.C. Devikaa 4 , Ranjeet Kumar Chaudhary 5 , Prince Kumar 6 1 BDS, Rama Dental College Hospital & Research Centre, Kanpur, UP, India 2 Senior Lecturer, Department of Prosthodontics, Mithila Minority Dental College and Hospital, Darbhanga, Bihar, India 3 BDS, Rama Dental College Hospital & Research Centre, Kanpur, UP, India 4 Post Graduate Student, Department of Prosthodontics, Rama Dental College Hospital &Research Centre, Kanpur, UP, India 5 Senior Lecturer, Department of Prosthodontics, College of Dental Science and Hospital, Amargadh, Bhavnagar, Gujarat, India 6 Professor, Department of Prosthodontics, Rama Dental College Hospital &Research Centre, Kanpur, UP, India Corresponding Author: 1 Mudit Kumar Trivedi 1 Email: mudit.trivedi2512@gmail.com ABSTRACT Fatality of maxillofacial structures brings about an inconsolable physical and psychological agony to a person. To plan and execute rehabilitation of such forlorn patients is the most challenging task of a prosthodontist since it demands both intellectual as well as derwent technical knowledge. Prosthodontic management involves the use of a prosthesis known as obturator prosthesis. This obturator prosthesis can be of different shape and size depending upon the extent of defect or lesion. This paper highlights different clinical steps and related review for the management of maxillary defect via oburator. The maxillary defect of an oro-nasal fistula was clinically detected in middle aged male patient, which was managed by giving an obturator. The procedure constitutes of fabricating an acrylic plate on the palate with missing teeth. Obturator placement to manage the defect yielded very satisfactory results in restoration of both form and function. The management of such patients with maxillofacial disorders such as congenital or acquired palatal defects, tumors in the maxillary region which ultimately before or after treatment leads to the communication between oral and nasal cavity or maxillary sinus, leading to facial disfigurement affecting esthetics as well as life of patient. These defects can be of any shape, size, and form and can extend to nasal cavity, orbital cavity or even brain. These problems make it tough and costly to treat surgically. Thus very economical way to rehabilitate is the use of an obturator. In simple words it is an acrylic plate which covers the defect and act as a barrier between two cavities.