Concept for immediate surgical obturator (ISO) fabrication

  • Sumita Yuka
    Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Haraguchi Mihoko
    Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Hattori Mariko
    Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Otomaru Takafumi
    Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Murase Mai
    Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Yoshi Shigen
    Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Yamaguchi Satoshi
    Department of Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Harada Hiroyuki
    Department of Oral and Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University (TMDU)
  • Taniguchi Hisashi
    Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU)

Bibliographic Information

Other Title
  • イミディエイトサージカルオブチュレータ(ISO)製作のコンセプトについて

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Description

Since the Clinic for Maxillofacial Prosthetics, Tokyo Medical and Dental University Dental Hospital was established in 1979, maxillofacial prostheses for defects and appliances for treatment were fabricated for over 6,000 cases in cooperation with surgeons. Among various types of prostheses, an immediate surgical obturator (ISO) was also fabricated for more than 200 cases and applied to the patient after the surgical operation in order to cover the surgical area to enhance healing and improve the functional impairments caused by the surgical operation. This article introduces the fabrication procedures and our concept of ISO in order to share knowledge of ISO with surgeons. Before conducting surgical operation, surgeons refer the patient to us, then we carry out an examination and diagnosis, explain to the patient the objective of ISO, and take an impression. In order to avoid occusal pressure that would prevent the healing process, artificial teeth are not set in the ISO. The ISO is applied soon after the surgical operation in order to improve the functional impairments and to train the patient to wear the prosthesis, and is expected to be widely used in the surgical field.

Journal

  • Toukeibu Gan

    Toukeibu Gan 43 (1), 95-99, 2017

    Japan Society for Head and Neck Cancer

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