Maxillofacial Prosthetics
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
![Figure 1: 48 yr-old male post resection of mucoepidermoid carcinoma](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf1.jpg)
![Figure 2: 48 yr-old male post resection of mucoepidermoid carcinoma](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf2.jpg)
![Figure 3: 48 yr-old male post resection of mucoepidermoid carcinoma](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf3.jpg)
75 yr-old female post resection of squamous cell ca requiring obturator
![Figure 1: 75 yr-old female post resection of squamous cell ca requiring obturator](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf4.jpg)
![Figure 2: 75 yr-old female post resection of squamous cell ca requiring obturator](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf5.jpg)
![Figure 3: 75 yr-old female post resection of squamous cell ca requiring obturator](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf6.jpg)
67 yr-old female post-resection of squamous cell ca of left sinus
![Figure 1: 67 yr-old female post-resection of squamous cell ca of left sinus](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf7.jpg)
![Figure 2: 67 yr-old female post-resection of squamous cell ca of left sinus](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf8.jpg)
26 yr-old male post resection of osteosarcoma
![Figure 1: 26 yr-old male post resection of osteosarcoma](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf9.jpg)
![Figure 2: 26 yr-old male post resection of osteosarcoma](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf10.jpg)
![Figure 3: 26 yr-old male post resection of osteosarcoma](http://pmdh.wpengine.com/wp-content/uploads/2020/03/mf11.jpg)
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.