A 25-year-old male patient visited to the Department of Prosthodontics, with a chief complaint of deficient left auricular tissue and desire to get it replaced with an artificial prosthesis. Patient gave a history of trauma to the left ear due to a road traffic accident fifteen years back. On examination, the left ear showed loss of the helical tissue with no hearing impairment [Table/ Fig-1]. Clinical examination demanded the need of fabricating ear prosthesis to cover the damaged ear. The restorative options like surgical autogenous reconstruction implant retained auricular prosthesis, silicone prosthesis retained with soft tissue undercuts and skin adhesives were explained to the patient. As the patient was apprehensive for surgical procedures opted for the prosthetic approach. Thus, silicone prosthesis was the treatment of option. As the patient was working employee in a call center office, in silicone prosthesis use of blue tooth headset for retention & aesthetic purpose along with skin adhesive was considered as innovative method.
procedureThe patient was seated in a dental chair in upright position and viewed the existing condition of both right and left ear. The left auricular area was confined in boxing wax, and the area prepared for impression by applying petroleum jelly (Bioline,Bangalore). Cotton was placed in ear hole. Impressions were made using alginate hydrocolloid impression material (Algitex, DPI, Mumbai) by standard impression procedure [1]. A backing of plaster was given to provide support to the impression. After setting, it was removed keeping in mind the angle of existing undercuts to prevent tearing. The impression was inspected for accuracy. The same procedure was followed for the contra lateral ear and also facial impression for reference and for sculpting of wax pattern was taken. Impressions were poured in dental stone (Kalstone, Kalabhai Karson Pvt Ltd, Mumbai) and casts were obtained.
sculpting techniqueAfter the casts were obtained the defective ear was reproduced in wax compared to the normal ear using mirror image technique [2] [Table /Fig-2]. Appropriate changes were made in the basic contours at the next (try in) appointment, when the wax ear was positioned
aBstRaCtThe absence of an ear is a considerable aesthetic problem which affects the patient's psychology and social behaviour. We are describing a case of 25-year-old male reporting to the Department of Prosthodontics, with a chief complaint of deficient left auricular tissue. This can be corrected surgically, prosthetically or through a combination of these approaches; but the choice of treatment depends on patient. The patient chose prosthetic rehabilitation over surgical procedures & retention becomes a critical issue in this approach. Out of many types of retentive methods, we selectively incorporated new materials and used the latest technology to ensure the highest quality prosthesis. Creative approach for each patient with a focus on their individual needs was considered as it gives more satisfaction to the patient. T...
The structure of the dental profession provides unique opportunities for both women and men to exercise a high degree of autonomy and flexibility and at the same time, enjoy the status awards associated with being a healthcare provider. Hence, dentists too encounter numerous sources of professional stress, beginning from the dental college. This stress can have a negative impact on their personal and professional lives. Of all workplace stress; bullying and harassment create a special danger as they operate destructively affecting the person's physical and mental wellbeing. Hence, this review is to give an insight about the workplace harassment, its short and long term deleterious effects& the legal aspects.
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