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PDF | Numerous classifications and nomenclatures exist in literature to Aramany presented a classification for maxillectomy defects in Obturator ppt. 1. Basic Principles of Obturator design for partially edentulous patients. Part I: Classification Aramany MA. Basic principles of. Yadav P. has mentioned that Brown’s classification is simple to use. But, as prosthodontists, we commonly use Aramany’s classification since Brown’s.

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Acquired postsurgical maxillary defects, Aramany classification. He divided the defects into 6 categories based upon the relationship of the defect with the abutment teeth. Hence there is an utmost need of a comprehensive classification system for maxillectomy defects, which takes into account the multitude of factors necessary to rehabilitate such patients and which has been critically evaluated by the managing multidisciplinary team to reach a consensus.

The class VI defect is a rare surgical creation. Articles from Indian Journal of Plastic Surgery: J Prosthet Dent ; The anterior margin of these defects lies within the pre-maxilla.

L- Lateral defects excluding the condyle.

Prosthodontic principles in the framework design of maxillary obturator prostheses.

Click here to sign up. There were 28 men and 10 women, age ranged from 37 to 75 years with a mean of 56 years. Clefts are basically developmental anomalies that are usually present in the midline of the face and drastically affect the normal anatomy. Subclasses f and z: Labial stabilization and the use of splinting, especially of the terminal abutments, are desirable.


Discussion Cancer surgery, malformation or trauma may cause broad facial defects that cannot be covered by patients because of their exposed site. Presurgical planning by the prosthodontist and surgeon is essential.

Enter the email address you signed up with and we’ll email you a reset link. Oromandibular reconstruction using microvascular composite free flaps. Cordeiro PG, Santamaria E. The objective of this study was to determine the pattern of acquired postsurgical maxillary defects for Prosthodontics rehabilitation in patients at AFID.

Prosthodontic principles in the framework design of maxillary obturator prostheses.

Among these 28 The amount of closure can be depicted by varying the length of the line to be drawn. Prosthodontic guidelines for surgical reconstruction of the maxilla: Jahnur Ikramul Islam, Dr.

Orofacial and mandibular reconstruction with the iliac crest free flap: Arch Otolaryngol Head Neck Surg. Reconstruction of maxillectomy and midfacial defects with free tissue transfer. One of the most interesting congenital defects that has been of great concern and interest to the maxillofacial surgeon and the prosthodontist is the occurrence of clefts.

All these defects can claesification further classified into Unilateral and Bilateral defects.


Their aim was to classify maxillectomy in a rational fashion aramwny to provide a reconstruction algorithm for these classificatuon. John Marquis Converse, V. The classification is as follows- Class 1: Hybrid gate design frameworks for the rehabilitation of the maxillectomy patient. Liverpool Classification of Maxillectomy Defects5: Horizontal Component- Letter a: Results of a UK survey of oral and maxillofacial surgeons.

This arch is similar to a Kennedy class II in that a bilateral, tripodal design can always be used. An algorithm for maxillectomy defect reconstruction. Please review our privacy policy.


Data for the study were collected from pretreatment and post treatment hospital records. It, however lacks in description of the surgical defect. Modified Kernahan and Stark Classification 2: Clsssification of obturators in rehabilitation of maxillectomy defects.

The Aramany classification is helpful in providing basic design framework and enhances communication among prosthodontists. Such kind of ablative surgeries gives classificatiin to a wide range of maxillofacial defects; such defects are called as acquired defects of the maxillofacial region. An classificatuon, inexpensive, temporary surgical obturator following maxillectomy.

Obturators can be used for provisional or definitive rehabilitation. He divided all defects into 6 categories based on the relationship of the defect to the remaining teeth and the frequency of occurrence of the defect in a relatively small patient population that he observed over a 6-year period at the Regional Center for Maxillofacial Rehabilitation in the Pittsburg Eye and Ear Hospital.

Cancer surgery, malformation or trauma may cause broad facial defects that cannot be covered by patients because of their exposed site.

The classification is as follows- C- Central defects of mandible from canine to canine. These Acquired postsurgical maxillary defects were classified according to Aramany Classification system.

J Prosthet Dent ;