Acta Scientific Dental Sciences (ISSN: 2581-4893)
Volume 5 Issue 12 December 2021
Prosthetic Management of Maxillary Defect Due to Mucormycosis - A Case Report
Case Report
Hemant Gadge
1
*, Mahesh Gandhewar
2
, Sumanth Kori
3
, Suresh
Nagaral
4
, Nageshnath Waghmare
5
and Ashwini Pungle
5
1
Reader, Department of Prosthodontics, A.C.P.M Dental College, Dhule,
Maharashtra, India
2
Professor and Head of Department, Department of Prosthodontics, A.C.P.M Dental
College, Dhule, Maharashtra, India
3
Head of Dental Department, Alia International Hospital, Kuwait
4Professor, Department of Prosthodontics, A.C.P.M Dental College, Dhule,
Maharashtra, India
5
Post graduate student, Department of Prosthodontics, A.C.P.M Dental College,
Dhule, Maharashtra, India
*Corresponding Author: Hemant Gadge, Reader, Department of Prosthodontics,
A.C.P.M Dental College, Dhule, Maharashtra, India.
Received: October 14, 2021
Published: November 30, 2021
© All rights are reserved by Hemant Gadge.,
et al.
Abstract
This clinical report describes management of old diabetic patient with mucormycosis by surgical debridement, systemic antifun-
gal administration and prosthetic adjunctive therapy and using hollow obturator. Restoration of esthetic and cosmetic appearance of
patient along with restoration of function, protection of tissues, therapeutic and healing effect, psychological therapy and improving
the quality of life are main objectives of rehabilitation.
The rehabilitation successfully done with a hollow bulb obturator in a case presented with subtotal maxillectomy is explained in
given case report.
Keywords: Hemi-maxillectomy; Mucormycosis; Hollow Obturator; Oro-antral Communication
Introduction
Resection of maxilla due to tumours or any infection leads to
facial disfigurement, impaired functions like speech due to hyper-
nasality, rumination, and a significant impact on patients quality
of life. Post COVID-19 sepsis is that which occurs after SARS-CoV-2
had a rampage in the human body. It leads to secondary bacterial
and fungal infections, especially in critically ill patients subjected
to invasive emergency procedures, mechanical ventilation, pro-
longed hospital stays, and breaches in asepsis. Further, corticoste-
roid treatment in these highly susceptible hosts and high fungal
spore counts in the environment creates the favourable condition
for mold infections. Antifungal agents along with surgical debride-
ment or resection are treatment modalities for such kind of infec-
tion. This article discusses an innovative fabrication technique
of obturator to treat an acquired maxillary defect due to post Co-
vid-19 mucormycosis [2].
Multidisciplinary approach is required for management of such
maxillary defects treated with surgical resection. The most practi-
cal convenient and cost effective treatment mode along with advan-
tage of removable prosthesis which helps in evaluation of infected
side efficiently is provided by prosthodontic rehabilitation.
Case Report
Examination and treatment planning
A 60 years old male patient visited with chief complain of nasal
regurgitation, inability to chew food with existing prosthesis and
loss of appearance.
Citation: Hemant Gadge., et al. “Prosthetic Management of Maxillary Defect Due to Mucormycosis - A Case Report". Acta Scientific Dental Sciences 5.12
(2021): 114-118.