Auricular Prosthesis the Overlooked Skill in Prosthodontics: A Case Report

Description of the Surgical and Prosthetic Workflow of a Patient Rehabilitated with Implant-Retained Auricular Prosthesis

“…Besides, they are convenient and needless to using adhesives which help maintain tissue health and prolong prosthesis longevity (17,18). Consequently, using a bone-anchored implant to retain auricular prosthesis is recommended when the sufficient healthy bone is present in the defect site and the systemic and financial condition of the patient is appropriate (19).…”

“…Presurgical planning is an important step in determining the position of the implant which specifies the future location of the prosthesis (20,21). Digital technology helps in the reconstruction of the lost ear by scanning the contralateral healthy one and designing the form of the lost ear (19,20,(22)(23)(24).…”

“…Fast-set plaster (Rhombstone White; Ryoka Dental, Mie, Japan) was applied over the alginate to protect the elastic impression material from distortion after setting and stabilize the whole impression. Slightly moving the patient's head helped break the seal to lift the impression after the plaster setting was completed (Figure 1) (19,26).…”

“…The acrylic model was used to make a wax model to be used in the try-in procedure and radiographic stent fabrication (28). Wax-up try-in was done concerning inclination, projection, and vertical and horizontal measures of the opposing intact ear (19). As the scanning of the opposite ear was done, to obtain intimate symmetry and meticulous detail reproduction, little adjustment was done in the wax pattern.…”

“…The wax pattern was sealed in the correct position on the master cast (19). To simulate the natural texture of normal skin, damping with wet gauze was done (26).…”