Rehabilitation of a Midfacial Defect Using a Two-Piece Maxillofacial Prosthesis: A Case Report

Abstract

Maxillofacial defects and their rehabilitation are a major concern in this socially productive era. The rehabilitation of these massive defects in the oral and maxillofacial region poses a challenge to the prosthodontist in terms of selection of material, retentive aids, the adaptive capability of the patient, and cost. This case report describes the management of the midfacial defect involving the orbit, zygoma, maxilla, and their soft tissue counterparts with a removable silicone extraoral compartment and an acrylic intraoral compartment, which are retained with strong cobalt samarium magnets, an elastic loop around the occiput, and spectacles. The maxillofacial prosthesis fabricated for this patient restored the patient's facial esthetics, speech, dental articulation, lip support, mastication, and anterior maxillary seal.