The characteristics of a good obturator will improve swallowing, speech function, minimise nasal fluid leakage from the antrum and nasal spaces, restore facial aesthetics including the teeth and facilitate masticatory function and speech. A surgical obturator can be provided at the time of surgery to facilitate function and haemostasis in the immediate post-operative period, and this can subsequently be replaced with a more definitive prosthesis once the maxillary defect has healed to a more stable condition.

To date, no literature exists on the fabrication of an implant-retained maxillary obturator for a paediatric patient, and this case presentation describes the use of zygomatic oncology implants together with the rationale for their use in a paediatric patient.