Prosthetic rehabilitation of a patient after partial maxille
Malignant melanoma of the oral cavity is very rare. This clinical report, published in the journal Clinical Contemporary Dentistry, describes a method for prosthetic rehabilitation of a patient with malignant melanoma of the palate following partial maxillectomy with a closed hollow interim obturator.

A 69-year-old man, diagnosed with malignant melanoma of the maxilla, had undergone a partial maxillectomy. Immediate surgical reconstruction was not recommended due to the need for further treatment with radiation therapy. The patient received postoperative external beam radiation therapy by anterior direct beam on a telecobalt machine with a total dose of 60 Gy in 30 fractions over a period of 6 weeks.

The patient tolerated the radiation well and was subsequently referred for possible prosthetic restoration of the oral defect after radiation therapy. On examination of the defect, it was noted that the partial maxillectomy was done on the right side.

Various modalities of prosthetic reconstruction were discussed with the patient and the patient indicated a desire for an economical solution. Hence, a heat-polymerizing interimacrylic resin prosthesis was planned, and the expectations of this prosthesis were explained to the patient.

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