Prosthodontic rehabilitation is the art and science of restoring and developing form, function and aesthetics of a patient. Treatment of severe worn out dentition with surface defects require full mouth rehabilitation to restore form and function of the masticatory apparatus to as near normal as possible. Full mouth rehabilitation continues to be the biggest challenge to any clinician in Restorative dentistry. It requires efficient diagnosis and elaborated treatment planning to develop ordered occlusal contacts and harmonious articulation in order to optimize stomatognathic function, health and aesthetics which then translates to patient's comfort and satisfaction. In this case report full occlusal reconstruction of generalized attrition with loss of vertical dimension was done using segmental arch technique with reorganizing approach following Pankey Mann Schuyler philosophy. Treatment plan requires an interdisciplinary approach with periodontal and endodontic therapies to achieve acceptable esthetics and function.
Soft palate is a part of the palate composed of muscles and mucous membrane. It divides oropharynx from the nasopharynx. Soft palate along with lateral and posterior pharyngeal walls create a three-dimensional muscular valve which is known as velopharyngeal (VP) sphincter. This VP sphincter allows normal breathing and prevents regurgitation of food and fluids in the nasal cavity. It is also required in other functions such as swallowing, blowing, sucking, whistling and sneezing. Any defect in the soft palate, i.e., structurally or neurologically will lead to VP defect due to which normal functions were impaired. Pharyngeal obturator prosthesis restores the congenital and acquired defects of the soft palate and allows adequate closure of palatopharyngeal sphincter. In the present case report, a male patient suffering from pleomorphic adenoma of the soft palate was operated leading to VP insufficiency. This patient was rehabilitated by pharyngeal obturator prosthesis for the improvement of quality of life of the patient.
Background: Facial defects can be acquired or congenital, but irrespective of etiology, any maxillofacial structure if damaged or missing will result in an unaesthetic and unappealing personality of individual. Orbital defects are very evident and effect the appearance and social front of the individual. Many modalities are available to rehabilitate the defect of an orbit but prosthetic rehabilitation with silicone prosthesis is a simple and effective approach. Retention is generally achieved by engaging available undercuts or using mechanical accessories or skin adhesives etc. This case report describes successful rehabilitation of right orbital defect using a non-surgical approach with room temperature vulcanized silicone and skin adhesives. Case Report: A 45 yr old male reported with, chief complaint of missing right orbit and unaesthetic appearance secondary to gunshot wound. Patient was not ready for any more surgical procedures or additional accessories and available retentive undercuts were minimal. Hence, conventional silicone prosthesis was made using stock eye shell and room temperature vulcanized silicone retained with skin adhesives. The approach was simple to a complex problem and gave reliable result in very limited time. Conclusion: With extensive orbital defect, rehabilitation is difficult and complex as retention is compromised and it is difficult to match the shade of the prosthesis. This case represents a simple and predictable approach to a case of exenterated right orbit with conventional room temperature vulcanized silicone and silicone skin adhesives.
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