PMC7644794_01
Unhealed sockets in maxillary anterior region and exposed necrotic maxillary bone and palatal area with a necrotizing ulcer.
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The ulcer was approximately 5 x 5 cm in size and was covered by a yellowish slough (Fig. 1).
OPG showing discontinuity in rhinomaxillary area.
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Perforation of the palate was also evident (Fig. 2, Fig. 3).
Surgical debridement.
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After the control of diabetes, surgical excision of the maxilla was done along with debridement of the nasal vault. An obturator was given to cover the defect (Fig. 4, Fig. 5).
Postoperative healing.
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The patient was closely followed up and the healing was uneventful (Fig. 6).'
Exposed necrotic bone in left maxilla.
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On intra-oral examination, a grayish-colored bone, denuded of its mucoperiosteum, was seen on the left side of the maxillary alveolus, extending to involve the hard palate (Fig. 7).
CBCT revealed thickening of maxillary sinus lining.
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A Computed Tomography scan revealed a thickening of the maxillary sinus lining (Fig. 8).
Post operative palatal obturator.
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An obturator was fabricated by the prosthodontist to cover the palatal defect (Fig. 9).