pet Perspective / Follow Up 1.5 Yr + (Bulb Obturator)
I repaired this palatal defect 1.5yr ago. This case was posted on the forum a while back. I got the referral after the patient had several attempts to close the defect. The previous surgeries left the patient edentulous. We designed a custom bulb obturator w multiple holes for screw fixation. The device was stable for over 1.5 years. The proximal interface opened up letting food enter the nasal cavity causing chronic food impaction, sinusitis, and discomfort for the patient.
Very reluctant to remove the device due to the compromised site ( poor tissue and lack of supporting bone )
Treatment plan: remove the device clean the obturator, new impressions for new obturator, or reposition the old device filling the defects perm soft denture re-liner.
Case demonstrates re lining the bulb, 2 Ti screw fixation for the old obturator, defect filling and painting the material to cover the palate and plate for additional comfort
If needed the new impressions can be used for a new modified palatal obturator. No clue what that will be yet.....