extra oral defects,
TRANSCRIPT
EXTRA ORAL DEFECTS,OCCULAR & ORBITAL
DEFECTSDR. FEBEL HUDA, M.D.S,DICOI,FICOI,FAD,DLD.
ORAL MAXILLOFACIAL PROSTHODONTIST AND IMPLANTOLOGIST
DIPLOMATE FROM THE INTERNATIONAL CONGRESS OF ORAL IMPLANTOLOGYFELLOW FROM THE INTERNATIONAL CONGRESS OF ORAL IMPLANTOLOGYDIPLOMATE IN LASER DENTISTRY (UNIVERSITY OF GENOVA - ITALY)FELLOW IN AESTHETIC DENTISTRY (UNIVERSITY OF GREIFSWALD - GERMANY)
INTRODUCTION
HISTORY
5th century BC
15th century
16th century
HISTORY
Taicher, 1985Benson - 1977
OCULAR DEFECTS
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
CLASSIFICATIONACCORDING TO PEYMAN, SAUNDER &
GOLDBERG• ENUCLEATION
• EVISCERATION
• EXENTERATION
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
ENUCLEATION
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
EVISCERATION
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
EXENTERATION
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
IMPRESSION TECHNIQUES
• Direct impression/external impression, • Impression with a stock ocular tray or
modified stock ocular tray,• Impression with custom ocular tray, • Impression using a stock ocular prosthesis,• Ocular prosthesis modification,• The wax scleral blank technique.
Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
Direct impression/external impression
Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
Impression with a stock ocular tray
ALLEN
Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
Modified stock ocular tray
MALONEY
Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
Impression with custom ocular tray
• MILLER
Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
Impression using a stock ocular prosthesis
Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
Ocular prosthesis modification
CHALIAN
Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
vedio
SCLERA
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
COMPLICATIONS PTOSIS
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
EXTENDED SHELF
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
ECTROPION
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
CONTRACTED SOCKET
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
SAGGING LOWER EYELID
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
OCULAR IMPLANTS
• BURIED,NONINTERGRATED IMPLANTS
• BURIED, SEMI- INTERGRATED IMPLANTS
• NONBURIED, INTERGRATED HYDROXYAPATITE SPHERE IMPLANTS
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
HISTORY OF IMPLANTS
• MULES INTRODUCED GLASS IMPLANTS IN 1884
• RUDERMANN – NON- BURRIED INTERGRATED IMPLANTS – WAS ABANDONDED BY 1950’S
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
BURIED,NONINTERGRATED IMPLANTS
More than 19 mm
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
BURIED, SEMI- INTERGRATED IMPLANTS
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
NONBURIED, INTERGRATED HYDROXYAPATITE SPHERE IMPLANTS
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
ORBITAL DEFECTS
IMPRESSION PROCEDURE
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
SCULPTING
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
SCULPTING
GRAYS ANATOMY, 35 EDITION, PG 1130
PROCESSING
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
RETENTION
Maxillofacial rehabilitation prosthetic and surgical considerations ;John Beumer; 1996
CRANIOFACIAL IMPLANTS
Russell D. Nishimura; Osseointegrated implants and orbital defects: U.C.L.A. experience; J Prosthet Dent 1998;79:304-9
ORBITAL IMPLANTS
Russell D. Nishimura; Osseointegrated implants and orbital defects: U.C.L.A. experience; J Prosthet Dent 1998;79:304-9
IMPRESSION FOR ORBITAL IMPLANTS
Russell D. Nishimura; Osseointegrated implants and orbital defects: U.C.L.A. experience; J Prosthet Dent 1998;79:304-9
IMPRESSION FOR ORBITAL IMPLANTS
Russell D. Nishimura; Osseointegrated implants and orbital defects: U.C.L.A. experience; J Prosthet Dent 1998;79:304-9
IMPRESSION FOR ORBITAL IMPLANTS
Russell D. Nishimura; Osseointegrated implants and orbital defects: U.C.L.A. experience; J Prosthet Dent 1998;79:304-9
CONCLUSION
REFERENCES• Maxillofacial rehabilitation prosthetic and surgical
considerations ;John Beumer; 1996• Sunil Kumar Mishra ;Reproduction of custom made eye
prosthesis maneuver: A case report; Journal of Dentistry and Oral Hygiene Vol. 1(5), pp. 59-63, December 2009.
• Allen L, Webster HE: Modified impression method of artificial eye fitting. Am J Ophthalmol 1969; 67: 189.
• Kirti Somkuwar;Ocular prosthesis: Patient rehabilitation - A Case Report; People’s Journal of Scientific ResearchVol.2(2), July 2009.
• Ponnanna.A.A; Impressions Techniques for Ocular Prosthesis- A Clinical Review; International Journal Of Dental Clinics 2009:1(1): 27-31.
REFERENCES• Trakol Mekayarajjananonth, DDS, MS; A mold-making procedure
for multiple orbital prostheses fabrication; J Prosthet Dent 2003;90:97-100.
• Mark S. Chambers, DMD, MS; Anterior key method for indexing orbital prostheses; J Prosthet Dent 2002;87:102-5.
• Sudarat Kiat-amnuay, DDS, MS; Technique for fabricating a lightweight, urethane-lined silicone orbital prosthesis; J Prosthet Dent 2001;85:210-3.
• Russell D. Nishimura; Osseointegrated implants and orbital defects: U.C.L.A. experience; J Prosthet Dent 1998;79:304-9.
• Maureen Sullivan, DDS; Hyperostosis in an orbital defect with craniofacial implants and open-field magnets: A clinical report; J Prosthet Dent 2007;97:196-9.