Comprehensive Management of Dentigerous Cyst with Hollow Bulb Obturator: From Immediate to Definitive Prosthesis

Background: This case report details the comprehensive prosthodontic management of a 17-year-old female diagnosed with a dentigerous cyst on the left side of the maxillary arch, requiring an Aramany class 2 maxillectomy. The report emphasizes the use of a hollow bulb obturator from interim to definitive stages to restore function and aesthetics. Case Description: The patient underwent an immediate surgical obturator fabrication and insertion post-surgery, followed by an interim hollow bulb obturator after three months of primary healing. The definitive obturator was introduced at six months post-secondary healing, incorporating root canal-treated teeth with a cast partial denture framework to enhance stability and retention. Results: The sequential use of immediate, interim, and definitive obturators effectively restored oral function, aesthetics, and patient confidence. Regular follow-ups ensured optimal fit, comfort, and adaptation to the prostheses. Conclusion: The staged approach using hollow bulb obturators provided significant clinical benefits in managing a maxillary dentigerous cyst. Despite the complexity of the fabrication process and the need for patient adaptation, the outcomes highlight the importance of personalized treatment plans and interdisciplinary collaboration in achieving successful prosthodontic rehabilitation.