Objective: This article described the facial rehabilitation of a patient with failed buccal mucosal graft using silicone cheek prosthesis.Methodology: Extra-oral defect in the left cheek, in which impression was made with irreversible hydrocolloid material. Wax trial done for the defect. Then the silicone prosthesis was processed using Room temperature vulcanized (RTV) material.
Results:The prosthesis was prepared using silicone material as it offers easy customization, less weight, tissue compatibility, easy fabrication, extrinsic and intrinsic coloring, and good dimensional stability [2]. In this present case, an extraoral prosthesis was given due to restricted mouth opening which was retained with tissue adhesive and elastic straps. Since the defect was large and tissue was movable next to defect, tissue adhesive was used as a retentive aid for the prosthesis. The seal and adaptability of the prosthesis was checked by instructing the patient to sip water during which no leakage of water was observed. The patient was satisfied due to proper color matching life-like appearance and ability to eat and drink with the silicone prosthesis in situ. Moreover the prosthesis alleviated the social stigma of the patient.
Conclusion:It is always a challenge for the prosthodontists to provide a better quality of life in case of surgically resected patient. In order to choose better aids for retention, specialists needs to familiarize all the available options used for prosthodontic rehabilitation.Thorough evaluation and proper treatment planning can give acceptable prosthesis to improves esthetics and functions of the patients.
Temporomandibular joint (TMJ) sounds are an important sign of temporomandibular disorder. Vibrations of different frequencies have been linked to certain types of disorders of the TMJ. Commercially available instrumentsemployed to record the vibrations of the TMJ are expensive and impractical to purchase in a clinical setup or for educational purposes. This article describes the development of a novel, innovative and inexpensive device using a pair of accelerometers, microphones and smartphones along with a developed software for the purpose of recording and analysing the recorded data from the TMJ.
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