Loss of an eye can be caused by cancer, trauma, or congenital defects. A loss of eye creates functional, esthetic, and psychological lacunae in individual's personal and professional life. Rehabilitation of ocular defect can be done by a custom ocular prosthesis fabricated with heat cure polymethylmethacrylate. The custom-made prosthesis provides a better fit, is more comfortable to use and gives better cosmetic results than a stock prosthesis. The main objective of this article is to describe a new technique of customization using digital photograph of the patient's iris made using a digital camera to give excellent cosmetic results to the patient.
Body abnormalities or defects that compromise form, function and esthetics are sufficient to render an individual incapable of leading a normal life. Maxillofacial disfigurement can be the result of a congenital anomaly, trauma or tumour surgery. Multiple times due to size, location of the defect or because of patient's medical condition surgical reconstruction may not be possible so prosthetic rehabilitation is indicated in these cases. But the success of prosthetic rehabilitation is largely determined by the physical and mechanical properties of the material used. Materials commonly used these days for fabrication of facial prostheses are acrylic resins, acrylic copolymers, vinyl polymers, polyurethane elastomers and silicone elastomers. There has always been a quest for a maxillofacial prosthetic material that closely matches the defect tissues in appearance and properties. This article focuses on historical background, changing trends and future aspects of various materials used in rehabilitation of maxillofacial defects with their limitations and modifications.
Prosthodontic rehabilitation is the art and science of restoring and developing form, function and aesthetics of a patient. Treatment of severe worn out dentition with surface defects require full mouth rehabilitation to restore form and function of the masticatory apparatus to as near normal as possible. Full mouth rehabilitation continues to be the biggest challenge to any clinician in Restorative dentistry. It requires efficient diagnosis and elaborated treatment planning to develop ordered occlusal contacts and harmonious articulation in order to optimize stomatognathic function, health and aesthetics which then translates to patient's comfort and satisfaction. In this case report full occlusal reconstruction of generalized attrition with loss of vertical dimension was done using segmental arch technique with reorganizing approach following Pankey Mann Schuyler philosophy. Treatment plan requires an interdisciplinary approach with periodontal and endodontic therapies to achieve acceptable esthetics and function.
Maxillofacial defects can result from trauma, treatment of neoplasm, or congenital malformations. Many a time due to the size, location of the defect, or because of the patient's medical condition, surgical reconstruction may not be possible. In these cases, rehabilitation is indicated with the help of a maxillofacial prosthesis. Orofacial digital syndrome (OFDS) is a congenital anomaly that affects the development of the mouth, face, and digits. Such abnormalities or defects compromise form, function, esthetics, and social acceptance and deeply affect the psychological status of an individual. This report describes the comprehensive prosthetic rehabilitation of a case of OFDS with bilateral cleft lip and palate as well as syndactyly and brachydactyly of the foot. The individual was rehabilitated with a definitive obturator and a custom-made foot prosthesis using room-temperature-vulcanizing silicone. The prosthetic rehabilitation significantly improved esthetics, phonetics, and function as well as social and psychological status of the patient.
Prosthodontics is a constantly evolving branch of dentistry as a result of innovative treatment options based on new materials, treatment techniques, and technologies, with composite material revolutionised everything. With the advent of fiber reinforcement, it has further increased the potential uses of composites within dentistry. Fiber reinforced materials have highly favourable mechanical properties and their strength to weight ratios are superior to those of most alloys. When compared to metals they offer many other advantages as well, including non-corrosiveness, translucency, good bonding properties and ease of repair. They also offer the potential for chairside and laboratory fabrication. This article describes the use of fiber reinforced composites in Prosthodontics and also in other disciplines in dentistry.
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