What is a Maxillofacial Prosthodontist?

Michael L Bleeker, DMD
Scottsdale Center for Implant Dentistry
Board Certified Maxillofacial Prosthodontist

Maxillofacial Prosthetics is the subspecialty of Prosthodontics that involves rehabilitation of patients with defects or disabilities that were present when born or developed due to disease or trauma. Prostheses are often needed to replace missing areas of bone or tissue and restore oral functions such as swallowing, speech, and chewing. In other instances, a prosthesis for the face or body may be indicated for cosmetic and psychosocial reasons. Prosthetic devices may also be created to position or shield facial structures during radiation therapy. Patients that typically desire prosthetic care are those that have been in an accident, have had surgical removal of diseased tissues, or have a neuromuscular disorder from ALS or a stroke. Children can also be born without full development of ears, teeth, or palate and need specialized care. Maxillofacial Prosthodontists are accustomed to working cooperatively with ENTs, oral surgeons, general and specialty dentists, plastic surgeons, neurologists, radiation oncologists, speech pathologists, anaplastologists and various ancillary personnel. The overall goal of all maxillofacial prosthetic treatment is to improve the quality of life.    

Featured below are some examples of prosthetic treatment which are not all-inclusive. Often these prostheses are combined with traditional dental therapy to restore health, function and esthetics to the oral cavity. This comprehensive care is possible because Dr. Michael Bleeker completed the Maxillofacial Prosthetics Fellowship program at the prestigious M D Anderson Cancer Center at Houston, Texas. If you believe that you might benefit from one of the following services or related treatment, please contact Dr. Michael Bleeker for further information.

Extraoral Prostheses:

  • Ocular Prosthesis - Replaces the Eye
  • Orbital Prosthesis - Replaces the Eye and surrounding tissues
  • Auricular Prosthesis - Replaces the Ear
  • Nasal Prosthesis - Replaces the Nose
  • Midfacial Prosthesis- Replaces parts of the face which may involve more than one structure
  • Somatic Prosthesis - Replaces a body part like fingers, hands, etc
  • Radiation Shield - Worn during radiation therapy for protection of normal tissues

Intraoral Prostheses:

Surgical Obturator Prosthesis

This used at the time of surgery. This prosthesis will close an opening between the mouth and sinus cavity. It is fabricated when there is a partial or total loss of the maxilla (upper jaw). This is used after surgery to provide closure of the surgical wound. Typically, there are no teeth on this prosthesis.

Interim and Definitive Obturator

This is fabricated after a period of healing. This prosthesis will close an opening between the mouth and sinus cavity. The denture base will covers the palate after partial or total loss of maxilla or due to trauma, surgery or a cleft palate. There will be teeth on this prosthesis. This prosthesis is necessary for proper swallowing, eating, chewing, and speaking.

Palatal Lift Prosthesis

Helps position the soft palate to improve speech quality and volume. This is used when the patient has nerve damage to the soft palate.

Palatal Augmentation Prosthesis

Alters the palate prosthetically for enhanced speech and swallowing. This is used when the tongue has lost mobility.

Mandibular Resection Prosthesis

Replaces portion of the jaw that has been lost and restores the gums and teeth.

Fluoride Carrier

Custom made trays used to hold Fluoride gel intimately against the teeth. This treatment is used for patients with dry mouth from medications, radiation therapy, or certain medical conditions. The fluoride gel helps to strengthen, protect and preserve compromised teeth from dental decay.

Reviews

What our patients are saying

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I have been a patient of Dr. Bleeker’s for many years, and it has always been a pleasure to be under his care. His professionalism is truly beyond the highest standard. He consistently demonstrates exceptional skill, integrity, and genuine concern for his patients. Several years ago, I had veneers placed, and they performed beautifully without any issues for many years. When one of the veneered teeth later came off, Dr. Bleeker recommended placing a full crown, which worked perfectly. About a week later, a second tooth veneer came loose. Rather than simply replacing it, he chose to place another full crown to ensure a stronger, longer-lasting result. What impressed me most was that both crowns were provided free of charge—far beyond what I ever expected. Dr. Bleeker truly went above and beyond to stand behind his work and ensure I was completely satisfied. I am incredibly grateful for his dedication, expertise, and commitment to excellence. I highly recommend Dr. Bleeker to anyone seeking outstanding dental care.
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William Mcardle
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I am a general dentist in Phoenix and I needed Dr Bleeker’s help with a complex denture where my patient had to have his mandibular bone removed and replaced with a leg bone. I successfully help my patients with dentures in my office, but this particular case was beyond my skill level. Dr Bleeker has been exactly what this patient needed—knowledgeable, kind, easy to work with, and full of solutions. I will definitely refer other complex patients to Dr Bleeker.
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Paul Nielson
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I’ve been to quite a few dentists in my time. I have implants and crowns and hands down Dr. Bleeker and his fabulous assistant, Cheryl make it worthwhile to drive from the Biltmore area to North Scottsdale. I highly recommend this dental practice.
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Sherrie Kelly
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Best office ever! Dr Bleeker is so talented and Cheryl and Melinda are so knowledgeable and kind! Always leave there laughing and having a great time!!!!
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Interiors professional
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I met Dr Bleeker on a referral; I was able To get right away because of a cancellation. I love the easy manner Dr Bleeker has and how relaxed he is. His PA Cheryl is very professional, however, she will always make you smile. They have all the latest technology including lasers for healing and Yomi for robotic surgery implant placement.
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Beverly Schwartz
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Very clean office great atmosphere! Very professional staff! Dr Bleeker is very artistic
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Lyn Chi
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This is the best place to go for any and all dental work! The staff and the doctor know what they’re doing. I can’t believe the difference in knowledge, experience and technology that they have. Just don’t go anywhere else you will regret it. That’s what happened to me…all of the time and money I wasted at these other dental offices ..I can’t say enough good things about Dr. Bleeker and his staff.
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