Prosthetic Rehabilitation of an Orbital Defect: A Case Report

Mutilation of a portion of a face can cause a heavy impact on the self image and personality of an individual. Surgical removal of an eye is a severe handicap to a patient because the most important sensory organ of communication is lost. Depending on the severity of the defect Ocular/Orbital prosthesis are required in these patients for rehabilitation. This case report details the clinical management of a patient following enbloc removal of an eye. Fabrication of a sectional two piece orbital prosthesis has been detailed. The importance of meticulous treatment planning to tackle the challenges faced in fabricating an orbital prosthesis is explained with relevant literature.     

Prosthodontic Management of a Completely Edentulous Patient with Microstomia: A Case Report

Patients with microstomia who need to wear removable dental prosthesis often face difficulty of being unable to insert or remove the prosthesis because of restricted opening of the oral cavity. Prosthetic rehabilitation of patients with microstomia presents difficulties in all the clinical steps. In such patients, it is difficult to make impressions and fabricate dentures using conventional method. This clinical report describes prosthodontic management of a completely edentulous patient with microstomia developed due to oral sub mucous fibrosis. Sectional maxillary denture was fabricated using a sectional impression tray technique. With the use of magnets and palatal midline press button attachment, the denture could be easily inserted and removed in two parts. Mandibular denture was fabricated by the conventional method.     

Prosthetic Rehabilitation of a Post Evisceration Patient with Custom Made Ocular Prosthesis: A Case Report

It is the god given right of human being to appear human, and the face is a person’s visiting card. We can hide everything but we can’t hide our face. Eyes are generally the first feature of the face to be noticed and the presence of a pair of eyes is quite essential to maintain the balance and the esthetics of the face. Loss of eye has a crippling effect on the psychology of the patient. The aim of all ocular prosthetic procedure is to enable rehabilitation of the patient in the society with a normal appearance and self esteem. This article describes a clinical report of rehabilitating post evisceration patient due to glaucoma of right eye with custom made artificial prosthesis using stock eye shell that can create esthetically pleasing results.     

Prosthetic Rehabilitation of Patient with Ameloblastoma: A Case Report

Loss of the continuity of the mandible destroys the balance and the symmetry of mandibular function, leading to altered mandibular movements and deviation of the residual fragment towards the surgical side. To regain normal mandibular function for surgical resection of the ameloblastoma, initial rehabilitation was done using avascular fibular bone graft. Prosthetic rehabilitation was done by Placement of four implants in the anterior region followed by fabrication of suprastructure using UCLA abutments and ceramic crowns.     

Prosthetic Rehabilitation of an Edentulous Patient with Microstomia Using Both Digital and Conventional Techniques: A Clinical Report

This clinical report describes prosthetic rehabilitation applied to an edentulous patient with microstomia. Intraoral scanning was used for preliminary impressions, edentulous models were printed using a 3D printer, custom 2‐piece impression trays for definitive impressions were made, and a 2‐piece collapsible maxillary and a conventional mandibular denture were fabricated. Intraoral scanning is a useful alternative to conventional impression techniques and can be used safely in patients with microstomia for preliminary impressions.     

Relining an Ocular Prosthesis: A Case Report

There are times when a patient who has an ocular prosthesis may need surgery to correct an anophthalmic socket defect or to replace an implant. When such a situation arises, it may not be possible to construct a new prosthesis soon after surgery. In this article, a technique for relining an ocular prosthesis is described.     

Prosthetic Rehabilitation of a Patient with an Orbital Defect: A Simplified Approach

Large oro-facial defects consequences in serious functional as well as cosmetic deformities. Acceptable cosmetic results usually can be obtained with a facial prosthesis. This article describes prosthetic rehabilitation of a 35 year-old female having a left orbital defect with HTV silicone material. A modified technique to fabricate an acrylic substructure in heat-polymerizing polymethyl-methacrylate to support silicone facial prosthesis was illustrated. The resultant facial prosthesis was structurally durable and esthetically acceptable with satisfactory retention. This technique is advantageous as there is no need to fabricate the whole prosthesis again in case of damage of the silicone layer because the outer silicone layer can be removed and repacked on the substructure if the gypsum-mold is preserved.     

Prosthetic Rehabilitation of a Marginally Resected Mandibular Arch With a Metal Reinforced Telescopic Overdenture

Success of the prosthesis after mandibular resection is related directly to the amount of the remaining bone and soft tissue present. The prognosis for mandibulectomy patients becomes less favorable as the size of the resection increases. Prosthetic rehabilitation for such patients is a challenge for clinicians. Without preprosthetic reconstructive surgery, denture fabrication for mandibulectomy patients becomes extremely difficult. Telescopic dentures is a modality of treatment consisting of an inner or primary telescopic coping which is permanently cemented to an abutment and an outer or secondary telescopic coping which is attached to the prosthesis. These copings protect the abutment from dental caries and thermal irritations and also provide retention and stabilization of the secondary coping. The secondary coping engages the primary copings to form a telescopic unit and it provides retention and stability to the prosthesis. This clinical report aims at utilizing the remaining natural teeth for a mandibular overdenture with telescopic coping.     

Using a Visible Light‐Polymerized Resin to Fabricate an Interim Partial Removable Dental Prosthesis

An interim partial removable dental prosthesis (RDP) is any dental prosthesis that replaces some teeth in a partially dentate arch designed to enhance esthetics, stabilization, and/or function for a limited period of time, after which it is to be replaced by a definitive dental prosthesis. This article describes a technique that uses a visible light‐polymerized (VLP) resin as the base material for an interim partial RDP. This technique can be easily accomplished in a dental office or laboratory and results in a predictable dental prosthesis. This technique eliminates the need for laboratory processing.     

Use of a Magnetic Attachment to Retain an Obturator Prosthesis for an Osseous Defect

Tooth loss accompanied by a massive defect of the alveolar bone can cause serious problems such as food deposit and esthetic impairment. This report describes procedures for the fabrication of an osseous defect obturator prosthesis connected to a fixed partial denture by a magnetic attachment along with the clinical outcome.     

Prosthetic Rehabilitation of Ocular Defect Using Digital Photography: A Case Report

The fundamental objective in restoring a congenital as well as acquired defect of eye with an ocular prosthesis is to enable the patient to cope better with the difficult process of rehabilitation after an enucleation or evisceration. A cosmetically acceptable prosthesis is that reproduces the color, form and orientation of iris and allows the patient to return to accustomed lifestyle. A sequence of steps for construction of custom-made ocular prostheses is outlined in this case report using the advantages of digital imaging technique.     

Maxillary Rehabilitation Using Fixed and Removable Partial Dentures with Attachments: A Clinical Report

Despite requiring dental crown preparation and possible root canal treatment, besides the difficulty of clinical and laboratory repairs, and financial burden, the association between fixed (FPD) and removable partial dentures (RPD) by means of attachments is an important alternative for oral rehabilitation, particularly when the use of dental implants and FPDs is limited or not indicated. Among the advantages of attachment‐retained RPDs are the improvements in esthetics and biomechanics, as well as correction of the buccal arrangement of anterior teeth in Kennedy Class III partially edentulous arches. This article describes the treatment sequence and technique for the use of attachments in therapy combining FPD/RPD.     

Nasal Prosthesis Rehabilitation: A Case Report

Facial defects resulting from neoplasm, congenital malformation or trauma can be restored with facial prosthesis using different materials and retention methods to achieve life-like look and function. A nasal prosthesis can re-establish esthetic form and anatomic contours for mid-facial defects, often more effectively than by surgical reconstruction as the nose is relatively immobile structure. For successful results, lot of factors such as harmony, texture, color matching and blending of tissue interface with the prosthesis are important. The aim of the presented case report is to describe the non-surgical rehabilitation, with polymethyl meth-acrylate resin, nasal prosthesis for a patient who received partial rhinectomy as a result of squamous cell carcinoma of the nose. The prosthesis was made to restore the esthetic appearance of the patient with a mechanical retained design using a spectacle glass frame without inserting craniofacial implants.     

Prosthetic Rehabilitation of a Patient with a Large Mid Face Defect Secondary to Basal Cell Carcinoma

The art of maxillofacial prosthetics restores esthetics and function in patients with gross developmental or acquired defects of face and helps them to restore hope and ambition to lead a useful life. This valuable service provided by maxillofacial prosthodontist lifts the morale of the patient and thus aids in physical well being and quality of life. Diagnosis and treatment planning should include attention to each detail prior to rehabilitation process. This paper describes a clinical case of mid face defect due to basal cell carcinoma, rehabilitated with facial prosthesis and intraoral obturator.     

Rehabilitation of Partial Maxillectomy Defect with Implant Retained Hollow Bulb Obturator Prosthesis: A Case Report

Tissue integrated oral implants have initiated a new perspective in oral rehabilitation of tumor patients who have had undergone surgical resection procedure. The present case demonstrated a simple and predictable approach to rehabilitate a patient who had partial maxillectomy using dental implants. The use of an implant in conjunction with hollow bulb obturator shared remarkable improvement in retention and stability of the existing complete denture prosthesis.     

A Technique for Fabrication of an Interim Ocular Prosthesis

Several ocular and orbital disorders require surgical intervention that may result in ocular defects. Immediate intervention is required to preserve the anophthalmic socket size and prevent scar tissue contractures that may follow surgery. Unfortunately, immediate fitting of an anophthalmic socket with an artificial eye may not always be possible, and a delayed prosthesis delivery may result in settling and sinking of the prosthesis into the socket, therefore requiring orbital cavity conformation. This article presents a short review of the most commonly used techniques for processing an ocular prosthesis, while suggesting a practical transition to the application of some of them. A technique for fabricating a custom‐made provisional ocular prosthesis using digital imaging technology is described. This technique may be considered in order to avoid costly procedures that might be required as a result of delayed artificial eye insertion. The technique described in this article provides a cost‐effective choice for optimal orbital cavity conformation and serves as a diagnostic aid for predicting the patient's compliance to ocular prosthetic treatment. The esthetic advantages and the relative ease of fabrication of this interim prosthesis allow it to be considered a first step in the management of untreated anophthalmic sockets.     

Early Prosthetic Management of Maxillectomy,Hemimandibulectomy Patient with a Lateral Mid Facial Defect: A Case Report

Maxillofacial prostheses for acquired defects have become more complex and sophisticated with advances in surgical, physical, and rehabilitative dentistry, but before planning, orofacial structures must be analyzed as to the specific cause and the consequent objectives of rehabilitation. Also retention of facial prostheses is very much challenging. Hence, we are presenting the fabrication of an interim prosthesis obturator and cheek prosthesis to restore the speech, help in deglutition and prevent drooling of saliva.     

A Preliminary Study to Analyze the Cranio-facial Growth of an Ectodermal Dysplasia Patient After Prosthetic Rehabilitation

An experimental study on craniofacial development and jaw growth pattern of an ectodermal dysplasia patient was performed and was compared with normal individual. An ectodermal dysplasia patient with complete anodontia was prosthetically rehabilitated with complete dentures at age of 6 and 8 years. Two sets of complete dentures were made with age-appropriate denture teeth and a lingualized occlusal scheme. Periodic follow up and adjustment whether needed was done to maintain proper oral function and aesthetics. Serial cephalometric analysis exhibited a marked restriction of forward growth at the ANS point during 6–8 years of age although there was a little change from average in the anteroposterior length of mandibular body and the height of mandibular ramus. So, the maxillary growth was reduced but there was no significant change in the mandibular growth. Cast analysis showed that increase in arch length was greater than in arch width for both maxilla and mandible. There was a little increase in alveolar ridge height in the anterior region but there was a considerable increase in the height of the alveolar ridge in the middle and the posterior region. Our findings concluded that the absence of teeth did not affect the growth of the jaws and probably the denture flange did not arrest the jaw growth, rather it improved the masticatory function by providing good denture stability and retention.     

A Collapsible Partial Denture for a Patient with Limited Mouth Opening Induced by Scleroderma: A Clinical Report

A limited opening of the mouth is defined as microstomia. Microstomia is caused by burns, postoperative head and neck trauma, radiotherapy, or scleroderma. The prosthetic treatment of microstomia presents particular challenges, and patients often complain of an inability to insert or remove the prosthesis. The cause and severity of microstomia can influence the approach to treatment. Different treatment methods have been suggested, including the fabrication of two‐piece partial dentures. This clinical report describes the construction of a sectional impression tray and a collapsed partial denture using a hinge attachment for a patient with microstomia.