Maxillary defects can occur due to certain bacterial, fungal and viral infections. But in recent time mucormycosis has become prevalent secondary to covid-19 infection. Mucormycosis is an opportunistic fungal infection, which primarily affects diabetic and immunocompromised patients. Surgical excision and debridement of the affected areas can result in significant defects. Reconstruction and rehabilitation of these defects remains a significant challenge for the clinicians because 3-D anatomy of the maxilla serves speech, swallowing and aesthetic roles. This review article discusses the reconstructive and rehabilitative methods of mucormycosis maxillary defects.
Complete edentulism for longer period of time and aging causes flaccid of facial musculature which leads to sunken cheeks and unpleasing appearance of face. In order to get a supplemental support for the drooping cheek muscles, fabrication of conventional complete denture with adjunct detachable cheek plumpers are simple, acceptable non-invasive and economical. Despite the discussion of various attachment used for cheek plumper in literature each have their own disadvantages. The present clinical report demonstrated the use of chairside available lingual sheath and stainless steel wire for the attachment of cheek plumpers to the maxillary complete denture.
The goal of modern dentistry is to be conservative, preserving teeth but also maintaining the stability of the remaining alveolar ridge and the periodontium's proprioceptive capabilities. Cu-sil denture is the simplest approach in the preservation of teeth and maintaining proprioception. It is a type of transitional denture that provides an alternative treatment plan for the patients willing to replace their missing teeth while retaining their remaining natural teeth. It gives potential psychological benefits to the patients by avoiding extractions. It's a tissue-bearing acrylic appliance with a soft viscoelastic wrap that clasps the neck of each dentition, sealing out food and water simultaneously protecting and splinting each remaining tooth from the rigid acrylic denture base. This case reports series describes chairside techniques to fabricate Cu-sil dentures in the usual dental set-up
Dental implants are commonly thought of as an alternative to dentures or fixed bridges, but they are also frequently the best treatment option for replacing a single missing tooth. Implant can be placed at the site of the missing tooth without affecting surrounding teeth. Present case report illustrates implant supported prosthesis in the maxillary anterior region with single wall bony defect, which was augmented by synthetic bone graft.
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