Surgical removal of benign or malignant tumors, congenital malformation, and trauma may lead to acquired maxillary defects. Surgery or trauma can result in cosmetic, functional, and psychological impairment greatly affecting the patient's quality of life (QoL). Surgical reconstruction of the maxillary defects can be carried out by using either a temporal flap or a wide range of microvascularized flaps. Rehabilitation via palatal obturators to obturate a palatal defect in a dentulous or edentulous patient is one of the choices in restoring masticatory function and improving speech, deglutition, and facial appearance. Rehabilitation of such patients is quite challenging and requires a multidisciplinary team approach for comprehensive care and optimal posttreatment functional outcomes. Hence, it is crucial to work in close collaboration with the team members who make the prosthesis and who evaluate the case for planning the surgical procedures and obtaining the necessary anatomical and functional information.
Residual ridge resorption is the reduction in size of the bony ridge under the mucoperiosteum. Prosthetic rehabilitation of severely atrophic ridges has always been difficult for the clinician due to decreased retention, stability and support. Because of such severe resorption the restorative space between maxillary and mandibular residual ridges is increased. Rehabilitation in such cases may result in increased height and weight of the prosthesis further compromising its retention and stability. This in turn overloads the underlying hard and soft tissues that cause further ridge resorption so, in order to keep down this undesirable sequence, the weight of the prosthesis needs to be reduced which can be achieved by making hollow prosthesis. This article describes a simple technique of fabricating a hollow maxillary complete denture.
The loss of an eye is an emotional and psychological setback to the patient. An ocular prosthesis is given to uplift the patient psychologically and to boost up patient's self esteem and their social acceptance in the society. To improve the comfort and matching of the prosthesis with that of the adjacent natural eye a custom made ocular prosthesis is preferred. Ocular prosthesis can be given as stock eye shell or by fabrication of custom-made eye prosthesis by sclera painting. Advantages of custom-made eye prosthesis are well established over stock eye shell so, this article presents a case report of a patient-wearing stock eye shell with poor esthetics, and the same was replaced with custom-made eye prosthesis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.