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 Table of Contents  
CATEGORY: CASE REPORT
Year : 2020  |  Volume : 20  |  Issue : 5  |  Page : 26

Palliative Prosthesis: Bridging the Chasm between oral health and quality of life


Department of Dental Surgery, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication8-Jan-2021

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.306382

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How to cite this article:
Nanda A. Palliative Prosthesis: Bridging the Chasm between oral health and quality of life. J Indian Prosthodont Soc 2020;20, Suppl S1:26

How to cite this URL:
Nanda A. Palliative Prosthesis: Bridging the Chasm between oral health and quality of life. J Indian Prosthodont Soc [serial online] 2020 [cited 2021 Jan 28];20, Suppl S1:26. Available from: https://www.j-ips.org/text.asp?2020/20/5/26/306382



Introduction: Antero-lateral thigh graft is often used to replace buccal mucosa lost due to resection in surgical management of oral cancer. This graft is characterized by excessive thickness and hence may be accompanied by cheek bite. Repeated injury to the grafted tissue can compromise its healing and the subsequent uptake.

Methodology: A 70 year old man reported with ulcer and entrapment of reconstructed left buccal mucosa between teeth. Resection was done 1 month before reporting due to squamous cell carcinoma. Reconstruction was done by using graft from the antero-lateral thigh region. Sectional and blended interceptor prosthesis was designed to deflect the grafted buccal mucosa away from the teeth. The prosthesis was designed to be made of three layers. The use of the prosthesis provided palliative care by promoting healing of the ulcer, and preventing continuous entrapment of the grafted tissue. The patient was followed for 1 year. OHIP-14H questionnaire was used to assess change in quality of life as perceived by patient before the appliance (score 49), at 3 months (score 21), and at 12 months (score 9) of appliance use.

Conclusion: The palliative prosthesis brought about improvement in six dimensions through its performance: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. An overall improvement quality of life as observed by reduction of OHIP-14 scores was observed throughout the follow up. This provided a preliminary evidence of the palliative prosthesis improving the quality of life through Prosthodontic intervention thereby bridging the chasm between oral health and quality of life.






 

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