title: Prosthetic rehabilitation of large mid-facial defect with magnet-retained silicone prosthesis.
abstract: Rehabilitation of maxillofacial defect patients is a challenging task. The most common prosthetic treatment problem with such patients is, getting adequate retention, stability, and support. In cases of large maxillofacial defect, movement of the prosthesis is inevitable. The primary objectives in rehabilitating the maxillofacial defect patients are to restore the function of mastication, deglutition, speech, and to achieve normal orofacial appearance. This clinical report describes maxillofacial prosthetic rehabilitation of large midfacial defect including orbit along with its contents, zygoma and soft tissues including half of the nose, cheeks, upper lip of left side, accompanying postsurgical microstomia and orofacial communication, which resulted from severe fungal infection mucormycosis. The defect in this case was restored with magnet retained two piece maxillofacial prosthesis having hollow acrylic resin framework and an overlying silicone facial prosthesis. The retention of prosthesis was further enhanced with the use of spectacles. This type of combination prosthesis enhanced the cosmesis and functional acceptability of prosthesis.
authors.affiliation: Assistant Professor, Department of Prosthodontics, People's Dental Academy, Bhopal, Madhya Pradesh, India.
authors.forename: Kirti Jajoo
authors.initials: KJ
authors.lastname: Shrivastava
authors.affiliation: RKDF Dental College, Bhopal, Madhya Pradesh, India.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Shrivastava
authors.affiliation: People's College of Dental Sciences, Bhopal, Madhya Pradesh, India.
authors.forename: Surendra
authors.initials: S
authors.lastname: Agarwal
authors.affiliation: People's College of Dental Sciences, Bhopal, Madhya Pradesh, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Bhoyar
keywords: Acrylic framework; combination prosthesis; magnets; maxillofacial rehabilitation; midfacial defect; silicone