The prosthodontic rehabilitation of maxillary defects is a challenging and demanding task which requires careful pre-surgical and post-surgical planning. Maxillary defects can be congenital or acquired. Acquired defects include those following trauma or surgical treatment of benign or malignant neoplasms. A prosthodontist encounters problems such as absence of support, poor retention, and lack of prosthesis stability in treating these patients. The present case report describes a procedure to fabricate a definitive hollow bulb obturator prosthesis for the rehabilitation of a total maxillectomy defect.

The study was undertaken to evaluate the biaxial flexural strength, biaxial flexural strength after etching with 9 % HF acid and fracture toughness of three commonly used pressable all ceramic core materials. Ninety glass ceramic specimens were fabricated from three commercially available leucite based core ceramic material (1) Esthetic Empress, (2) Cergo, and (3) Performance Plus. Thirty discs of each material were divided into three groups of 10 discs each. Biaxial flexural strength (30 discs,) Biaxial flexural strength for samples treated with 9 % HF acid (30 discs) and fracture toughness (30 discs) were evaluated. Core material Performance Plus had the lowest biaxial strength of 124.89 MPa, Cergo had strength of 152.22 MPa and the highest value of 163.95 was reported for Esthetic Empress. For samples treated 9 % HF, Performance Plus had the lowest biaxial strength of 98.37 MPa, Cergo had strength of 117.42 MPa and the highest value of 143.74 was reported for Esthetic Empress. Core material Performance Plus had the lowest fracture toughness of 1.063 MPa, Cergo had strength of 1.112 MPa and the highest value of 1.225 was reported for Esthetic Empress. The results shows that Esthetic Empress had better mechanical properties compared to Cergo had Performance Plus in relation to the parameters tested.

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Impression making is not only important but is also the most significant step in the fabrication of any fixed or removable prosthesis. Proper impression making may be hindered by certain pathologic conditions. Reduced mouth opening is one of the common mechanical obstructions for proper orientation of the impression tray in the patient's mouth. In patients with trismus induced by submucous fibrosis, the procedure may be even more difficult to carry out because of reduced tissue resiliency and obliteration of vestibular spaces. Use of sectional trays offers one of the alternatives to overcome the problem of restricted mouth opening. Fabrication of customized impression trays according to the patient dentition improves the accuracy of impression making. The present case reports describe the fabrication of sectional custom trays designed for dentulous patients with chronic tobacco-induced submucous fibrosis.

Nasal deformities can vary in the form of severity. Several different factors such as congenital, burn and traumatic nasal fractures or soft-tissue injury/loss, neoplastic: defects resulting from surgery for the treatment of cancers causing compromise the structural architecture and functional framework of the nose. This case report describes the prosthetic rehabilitation of two female patients, one who was reported with congenital arrhinia and another one who had accidental electrical burns of the face. The surgeon's team as well as the maxillofacial prosthetics team discussed the treatment options with the parents and decided to rehabilitate with a nasal prosthesis. This clinical report is imparting an accessible and economic method for prosthetic rehabilitation of a patient.