ABSTRACT
Rehabilitation of facial defect with an intraoral communication is a difficult challenge for the maxillofacial prosthodontist. The use of magnets is the most efficient means of providing combination prostheses with adequate retention and stability. The aim of this report was to describe a simple method of fabricating an obturator-eye combination prosthesis using magnets. A 54-year-old edentulous female patient with the history of diabetes mellitus, hypertension and coronary bypass surgery was referred for definitive prosthetic rehabilitation 8 months after the surgical resection of a mucormycosis intraoral-facial combination defect. The patients underwent a partial left maxillectomy and left orbital exoneration which removed all adjacent tissues. Swallowing and mastication problems were experienced postoperatively, and the patient complained from her appearance. The proposed treatment plan included construction of a maxillary complete denture with a palatal obturator and a mandibular complete denture. Magnets were used to attach the oculopalpebral prosthesis to the maxillary obturator. The prosthetic rehabilitation of a patient with a combined intraoral-extraoral defect was presented. Use of retention magnets retains denture and makes it stable and comfortable for the patient. This treatment improves oral function as well as esthetics
ABSTRACT
The reconstruction of facial defect in patients has a great influence in improving social status and life expectancy. On the other hand, repair and reconstruction of facial defect has always been among the most difficult prosthetic treatments. Among the problems of this procedure are improper and movable underlying tissues, lack of retention in large prostheses, improper contour or color and patient's dissatisfaction and unacceptance. Nowadays implants can decrease these problems and provide retention possible for prosthesis reconstruction on the movable tissues and will increase the patient's satisfaction. The objective of this study was presenting a case of implant supported auricular prosthesis. Traumatic 10 year old male who had been lost his right ear patient who had been referred to the department of removable prosthesis in dental school of Mashhad university of medical sciences. After recons follow by considering of esthetic and complication related prosthesis the auricular prosthesis was success