RESUMEN
Exenteration surgery greatly affects a person in terms of function, esthetics, and psychological trauma. In such cases, restoration by silicone orbital prosthesis is a well-accepted treatment option. However, this is a difficult task, necessitating personalized design of method for each patient. This case report describes the technique for fabrication of a silicone orbital prosthesis for a male patient with left orbital defect due to exenteration of a Grade 3 squamous cell carcinoma of the left eye and surrounding tissues. The patient was delivered with a satisfactory silicone orbital prosthesis having good retention and finish. Multidisciplinary management and team approach are crucial in providing precise and effective rehabilitation for improving the patient's quality of life and help them return to their normal social life.
RESUMEN
Aims: For the orthodontic treatment of the complex cases, the interdisciplinary team work is of utmost importance, which leads to the predictable outcome with excellent treatment. The prime aim of this rare case report is to demonstrate the combined orthodontic-surgical-endodonticprosthodontic interdisciplinary management. Presentation of Case: This report describes the case of a 19 years old Malay male patient with the clinical problems of median diastema, mesio-buccally rotated maxillary left 1st premolar, mild mandibular incisor crowding along with impacted maxillary left lateral incisor and canine. Discussion: With the advantages of the orthodontic fixed appliance, auto-transplantation of maxillary upper left lateral incisor and canine, the case was completed in an ideal orthodontic occlusion along with improved oral condition, masticatory function and esthetics. The treatment outcomes were due to orthodontic-surgical-endodontic-prosthodontic treatment with stable occlusion in sequels visits. Conclusion: An Interdisciplinary management achieved successful functional and esthetic results in the present case.
RESUMEN
Introduction: Poor retention, stability and margin gap due to excessive bone lose following surgery is one of the major problems of rehabilitation in orbital defect with adhesive retained orbital prosthesis. Presentation of Case: This clinical report describes a simplified technique for the fabrication of an adhesive retained silicone orbital prosthesis by proper evaluation and using of remaining tissue undercuts to achieve ideal fit and aesthetics in a patient who has severely loss orbital bone after the surgery. Discussion: Aesthetics will be compromised if the proper evaluation of remaining tissue and treatment plan is not done prior prosthetic rehabilitation. To solve this issue sometimes maxillofacial prosthodontist may have to think for implant retained facial prosthesis. This is also sometime not possible due to several factors such as peri-implantitis, hygiene practice and dose of radiation etc. Conclusion: Proper use of remaining anatomical undercuts can be an alternative way to overcome the issue.