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Article: Volume 42 Number 4 Page 326 - May 2015

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  Dent Update 2015; 42: 326-335

Restorative dentistry:  Rehabilitation of Oncology Patients with Hard Palate Defects Part 1: The Surgical Planning Phase

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Abstract: This article is the first in a series of three papers that will discuss the conventional non-implant retained prosthodontic rehabilitation of oncology patients with surgically acquired hard palate defects. In this first paper, the dental challenges posed by the oncology patients will briefly be discussed. The interface between the specialist restorative dentist and the maxillofacial surgeon when planning the conventional dental rehabilitation of an oncology patient with a hard palate defect will be discussed in detail.

Clinical relevance: To highlight the importance of the restorative dentistry/surgical interface when planning a treatment for a patient requiring a maxillectomy and conventional obturation.

Author notes: Rahat Ali, BSc(Hons), BDS, MSc, MFGDP (UK), MFDS RCS, PGCHE, Specialist Registrar in Restorative Dentistry, Asmaa Altaie, BDS, MSc, MFDS RCS(Ed), Clinical Teaching Fellow in Restorative Dentistry, Brian Nattress, BChD, FDS RCS, MRD RCS, PhD, Senior Lecturer/Honorary Consultant in Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK.

Objective: To describe the importance of the pre-radiotherapy dental assessment, the interface between restorative dentistry and maxillofacial surgery to ensure that an optimal denture-bearing area is left post resection and the construction of a surgical obturator.