University of Toronto

Maxillofacial Prosthetic Rehabilitation

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

Maxillofacial prosthetic rehabilitation
Maxillofacial prosthetic rehabilitation
Maxillofacial prosthetic rehabilitation

75 yr-old female post resection of squamous cell ca requiring obturator

Maxillofacial prosthetic rehabilitation
Maxillofacial prosthetic rehabilitation
Maxillofacial prosthetic rehabilitation

67 yr-old female post-resection of squamous cell ca of left sinus

Maxillofacial prosthetic rehabilitation
Maxillofacial prosthetic rehabilitation

26 yr-old male post resection of osteosarcoma

Maxillofacial prosthetic rehabilitation
Maxillofacial prosthetic rehabilitation
Maxillofacial prosthetic rehabilitation

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.