Introduction:The abutment screw loosening has been a common clinical mishap affecting the success of the implant in the long run. With repeated insertion and removal of the implant abutment screw during fabrication of the restoration, frictional wear at the microscopic level in the screw threads had been reported.

Patients with orocutaneous fistulas suffer from discomfort in terms of facial esthetics, food spill over and lack of psychological confidence to present them socially. Prosthetic camouflaging of facial defects and use of silicone maxillofacial material are the alternatives to the surgical retreatment. Silicone elastomers provide more options to clinician for customization of the facial prosthesis which is simple, esthetically good when coupled with bio magnets for retention.

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