Maxillary obturators after maxillectomy procedures for palatal or sinus carcinomas are well-tolerated and can provide excellent aesthetics and function. They have the added benefit of allowing for good visualization of possible small recurrences that would not be visible under a graft. Free vascularized grafts are a mainstay of treatment and if bulky may interfere with dental rehabilitation.
48 yr-old male post resection of mucoepidermoid carcinoma
75 yr-old female post resection of squamous cell ca requiring obturator
67 yr-old female post-resection of squamous cell ca of left sinus
26 yr-old male post resection of osteosarcoma
The cost of dental rehabilitation especially with implant-retained prostheses can be prohibitive. In Ontario, there are 2 programs that patients may utilize to assist in this regard. The Assistive Devices Program (ADP)(www.health.gov.on.ca/en/public/programs/adp )and the Oral and Maxillofacial Rehabilitation Program (OMRP) (www.health.gov.on.ca/en/public/programs/omrp/) are available to certain providers in cancer centres.