There was a definite variation in the thickness of the die spacer with all the three brands and at various points on the die. Two coat thicknesses were found to be in the range of tolerance of 20-40 microns. Thickness at occlusal groove was noted to be the maximum with least at occlusoaxial line angles. Thickness also showed a very significant increase when bottles were stored for a period of three to six months and then applied.
Complete dentures may suffer from a lack of proper border extension, but most important of all is the posterior palatal extension on maxillary complete dentures. The posterior border terminates on a surface that is movable in varying degrees and not at a turn of tissue as are the other denture borders. Locating and designing of posterior palatal seal after thorough understanding of the anatomic and physiological boundaries of this dynamic region greatly enhances border seal and increases maxillary complete denture retention.
The diagnostic evaluation and placement of posterior seal are often given only minor attention in complete denture construction. This article reviews the importance of the posterior palatal seal with regard to its anatomy, location, design and placement.
The rationale for doing full mouth rehabilitation are, when occlusal forces become traumatic hampering the health of periodontal tissues, extensive occlusal diseases, trauma, temporomandibular joint disease and congenital disorders with malformed dentition. Literature exposes that full mouth fixed rehabilitation is one of the taxing procedures in the field of Prosthodontics. A critical aspect for successful occlusal rehabilitation is to determine the aetiology, correct sequence of treatment and most importantly the occlusal vertical dimension and centric relation in which to plan the treatment. A systematic approach in managing these patients can lead to a predictable and favourable prognosis. This article presents the stages of prosthodontic rehabilitation, from diagnosis to final treatment and follow-up, of a bruxer patient with severely worn dentition.
Repairs of the cleft nose, lip, and palatal deformity remain challenging endeavors for reconstructive surgeons. Postsurgical nasomaxillary hypoplasia is a common finding in patients with extensive clefts. This complex deformity has a pronounced impact on the social behavior and self image of the subject. Esthetic and functional rehabilitation of this postsurgical defect is scarcely reported in the literature. Support in the form of prostheses or stents to prevent tissue collapse is usually required in these patients following surgery. This clinical case presentation discusses the fabrication of an internal nasal stent for a cleft nose, lip, and palate patient following surgical reconstruction. Two prostheses using two prosthetic materials (Polymethyl methacrylate, flexible resin) were prepared to compare their efficacy. The final prostheses improved the patient's appearance, making the postsurgical defect less conspicuous.
Acquired facial defects may cause functional and psychological impairments that adversely affect a patient's quality of life. Restoration of facial defects can be accomplished surgically, prosthetically or by using a combination of both the methods. The choice depends on many factors, like size, location of the defect and the age of the patient. Reduced vascularity, increased fibrosis and scarring of tissues bordering the defect increase the risk of complications associated with reconstruction. Maxillofacial prostheses have the advantage of not only improving the patient's appearance but also enabling early rehabilitation. This unusual case report details an attempt to rehabilitate a patient who has undergone total maxillectomy and orbital exenteration with the aid of intraoral obturator prosthesis and an extraoral orbital and cheek prosthesis.
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