Influences of Size and Form of Maxillectomy Defect, and Remaining Maxillary Teeth on Oral Functions of Patients Receiving Prosthetic Therapy with Obturator
M. S. Islam,
M. M. Rahman,
Piarul Islam,
Ashraful S. M. Hayet,
Syed A. Rahman,
M. S. Azam
Issue:
Volume 1, Issue 1, April 2015
Pages:
1-7
Received:
12 April 2015
Accepted:
21 April 2015
Published:
24 April 2015
DOI:
10.11648/j.ijdm.20150101.11
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Abstract: Background: Maxillectomy defect causes an oro-nasal opening affecting oral functions; inability to chew and swallow disorders in phonation, aesthetics and psychological depression of patients. Obturator prosthesis can result improvement in oral functions by re-establishing oro-nasal separation. Objectives: The study was done to investigate the effects of maxillary defect form, size, and remaining maxillary teeth on oral functions in post-maxillectomy patients. Materials and Methods: The study was conducted over 16 post-maxillectomy patients, age (mean±SD = 37.56±13.07 years) ranged from 18 to 70 years, male 9(56.20%) and female 7(43.80%), partially dentate, treated with obturator prosthesis at the prosthodontic department of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. All patients had continuously worn the obturator prostheses for at least 3 months during the study. Data of each patient were recorded on the basis of size and form of maxillary defect, and remaining maxillary teeth, and mastication, speech and swallowing. The data were tested with statistical software (SPSS V.19). Results: Form and size of the maxillectomy defect has significant relationship with the masticatory performance (P= .007 for defect form & .003 for defect size) and articulation of speech (P= .003 for defect form & 0.001 for defect size). Remaining maxillary teeth has no significant relation to masticatory performance (P = .66) and articulation of speech (P = .386). Form and size of the maxillectomy defect, and remaining maxillary teeth has no significant relationship with the swallowing obturator function (P-value= .13 for defect form .09 for defect size and .49 for remaining teeth). Conclusion: Size and form of maxillary defect significantly influence the masticatory performace and articulation of speech, they also affect in swallowing efficacy but it is not statistically significant. Remaining maxillary dentition has not significant effects on oral function of obturator.
Abstract: Background: Maxillectomy defect causes an oro-nasal opening affecting oral functions; inability to chew and swallow disorders in phonation, aesthetics and psychological depression of patients. Obturator prosthesis can result improvement in oral functions by re-establishing oro-nasal separation. Objectives: The study was done to investigate the effe...
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Use of Lugol’s Iodine Solution in Screening of Oral Premalignant and Malignant Lesions
Md. Abdul Alim,
Quazi Billur Rahman,
Shakhawat Hossain
Issue:
Volume 1, Issue 1, April 2015
Pages:
8-12
Received:
15 April 2015
Accepted:
21 April 2015
Published:
24 April 2015
DOI:
10.11648/j.ijdm.20150101.12
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Views:
Abstract: Background: This study also will help to identify the specific site of biopsy of oral pre-malignant and malignant lesions and to correlate lugol’s iodine solution staining of oral tissue with histological findings. Objective: The aim of this study to detect any suspicious of oral cancerous and pre-cancerous lesions as an early diagnostic tool. Methods: Sixty cases of oral lesions were selected irrespective of age, sex, religion or socioeconomic status of the patient considering the inclusion and exclusion criteria. Patient selection was based on history, clinical examination and oral ulcers that do not heal more than two weeks. After staining of oral ulcer by Lugol’s iodine, histopathological examination was done from lightly staining area (Lugol’s iodine positive area) and another was deeply brown staining area (Lugol’s iodine negative area). Results: Out of 60 patients, 59(98.3%) patients were lightly stain, out of 59 patients, 35 were diagnosed as squamous cell carcinoma (34 squamous cell carcinoma and one verrucous carcinoma), 22(36.7%) patients were pre-malignant (17 leukoplakias, 4 oral lichen planus and one erythroplakia) and 2(3.3%) patients were others (one hyperplastic change and one normal oral epithelium).One patient was deeply brown stain which was histopathologically normal oral epithelium. According to early screening of oral pre malignant and malignant lesions by Lugol’s iodine enhanced attention of the clinician to a suspicious site of malignant and pre-malignant lesions in oral cavity. Conclusion: Lugol’s iodine staining is more accurate than clinical or visual diagnosis.
Abstract: Background: This study also will help to identify the specific site of biopsy of oral pre-malignant and malignant lesions and to correlate lugol’s iodine solution staining of oral tissue with histological findings. Objective: The aim of this study to detect any suspicious of oral cancerous and pre-cancerous lesions as an early diagnostic tool. Meth...
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