Reabilitação oral com prótese obturadora parcial removível em paciente acometido por leishmaniose tegumentar americana muco cutânea em palato: um relato de caso

Abstract

American cutaneous leishmaniasis (ATL) is an infectious, non-contagious, chronic, serious disease with a high capacity to produce deformities. It constitutes a public health problem in 88 countries, including Brazil. This disease is transmitted through the bite of female sandflies of the genus Lutzomiya infected with the Leishmania species, the most common being L. braziliensis in Brazil. ATL can present as cutaneous Leishmaniasis or cutaneous mucus. In some cases, patients affected by ATL may present oral impairments resulting from the loss of anatomical structures, with the soft palate being one of the most affected sites. The present work reports the oral rehabilitation of a 41-year-old male patient who underwent surgical excision in the region of the nasal septum and part of the hard and soft palate due to mucus-cutaneous American tegumentary leishmaniasis. Due to the extensive maxillary defect, it was proposed as a treatment plan the creation of a partial obturator prosthesis in the upper arch aiming to restore chewing, phonetic and aesthetic functions and consequently quality of life to the patient. During the return consultations, within two months after installation, it was possible to notice an improvement in the functions mentioned above