Indian Journal of Public Health Research & Development

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Management of Veau Group III Defect - a Velopharyngeal Obturator


Affiliations
1 Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
2 Department of Paedodontics, Government Dental College, Lucknow, U.P., India
     

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Treatment of cleft lip and palate requires multidisciplinary management but the patient usually becomes a prosthodontist's responsibility, once all the surgical treatments have been attempted or discussed. The final onus lies on prosthodontist to compensate for remaining oral deficiencies.

This article describes and discusses the fabrication of Velopharyngeal obturator (using cast metal framework, heat cure acrylic resin and silicone soft liner) wherein an interim obturator was delivered before the final prosthesis was fabricated.

Impression technique for recording the defect required intraoral extension of loop tray in the mouth as reduced mouth opening contraindicated dual impression technique. Due the non availability of retentive features in the mouth i.e. short teeth, parallel walled extensive defect a cast metal framework was fabricated so as to achieve retention, stability and support for the prosthesis.


Keywords

Velopharyngael Obturator, Cleft Lip and Palate
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  • Management of Veau Group III Defect - a Velopharyngeal Obturator

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Authors

Swati Gupta
Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
Amrit Tandan
Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
N. K. Gupta
Department of Prosthodontics, Babu Banarsi Das College of Dental Sciences, Lucknow, U.P., India
Seema Sohal
Department of Paedodontics, Government Dental College, Lucknow, U.P., India

Abstract


Treatment of cleft lip and palate requires multidisciplinary management but the patient usually becomes a prosthodontist's responsibility, once all the surgical treatments have been attempted or discussed. The final onus lies on prosthodontist to compensate for remaining oral deficiencies.

This article describes and discusses the fabrication of Velopharyngeal obturator (using cast metal framework, heat cure acrylic resin and silicone soft liner) wherein an interim obturator was delivered before the final prosthesis was fabricated.

Impression technique for recording the defect required intraoral extension of loop tray in the mouth as reduced mouth opening contraindicated dual impression technique. Due the non availability of retentive features in the mouth i.e. short teeth, parallel walled extensive defect a cast metal framework was fabricated so as to achieve retention, stability and support for the prosthesis.


Keywords


Velopharyngael Obturator, Cleft Lip and Palate

References