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It is a well-known saying that the eyes are "windows to the soul." The absence or loss of any facial part, particularly the vision, can lead to severe physical as well as emotional trauma. Losing any part of the face causes the patient societal, physical, and psychological anguish. An ocular prosthesis aims to improve social acceptance and boost self-confidence by restoring the facial appearance. A pediatric dental specialist should be a part of the maxillofacial prosthesis team since maxillofacial prosthetic rehabilitation in young children can be challenging, especially with the less cooperative ones. The following case report describes these challenges in relation to a 5-year-old boy who had his eye enucleated due to trauma. The purpose of the case was to provide custom-built, acrylic ocular prostheses in as comfortable and atraumatic manner as possible by the maxillofacial prosthetic team. How to cite this article: Bansod AV, Pisulkar S, Beri A, et al. Rehabilitation of an Ocular Defect Using a Custom Ocular Prosthesis in a Pediatric Patient. Int J Clin Pediatr Dent 2024;17(4):479-482.
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This review focuses on fast prototyping advancements in the field of maxillofacial prosthodontics, as well as the various methods for fabricating maxillofacial prostheses. As of date, the interface and software used for processing and designing maxillofacial prostheses are costlier, atypical for the specific purpose, and only reachable to highly trained dental specialists or computer-aided design (CAD) engineers. This review is a summary of all rapid prototyping trials conducted in the mentioned context of three-dimensional (3D) printing of maxillofacial prostheses, treatment modalities, and future perspectives relating to rapid prototyping in dentistry. We performed a search of relevant articles on Google Scholar and PubMed, which yielded a total of 21 articles for full-text reviews. After excluding some articles based on the exclusion criteria, a review was conducted. This study gives a comprehensive discussion of current issues and future ideas for integrating digital technology with conventional techniques.
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Using natural teeth as denture abutments can significantly slow the progression of residual ridge resorption. The abutments and the denture-bearing areas can share the stress concentration. By providing sensory feedback, occlusal stability loss, aesthetic loss, and compromised mastication, overdentures can help reduce residual ridge resorption. Overdentures have been shown to be effective in reducing residual ridge resorption and increasing retention and stability. When edentulous areas are too large or numerous for the fixed prosthesis and cross-arch stabilization is required, a cast partial denture (CPD) is preferred. The insertion and removal of the denture, as well as regular oral hygiene, are simple procedures. The current case report describes the prosthetic rehabilitation of a partially dentate patient using a maxillary CPD and mandibular overdenture.
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The surgical repair of a bone deficiency in the skull caused by a prior procedure or accident is known as cranioplasty. There are various types of cranioplasties, but the majority entail raising the scalp and reshaping the skull using either the original piece of bone from the skull or a specially molded graft created from Titanium (plate or mesh), artificial bone in place of, a stable biomaterial (prefabricated customized implant to match the exact contour and shape of the skull). Cranioplasty, one of the oldest surgical treatments for cranial abnormalities, has undergone several changes throughout the years to discover the best material to improve patient outcomes. Various materials have been utilized in cranioplasty throughout history. As biomedical technology progresses, surgeons will have access to new materials. There is still no agreement on the optimum material, and research into biologic and nonbiologic alternatives is ongoing in the hopes of finding the finest reconstruction material. The materials and techniques used in cranioplasty are covered in this article.
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Following traumatic injury, pulpal and periapical pathosis in an immature anterior tooth is common, and treating open apices in these situations is a persistent problem for pedodontists. This is because there is no apical constriction, which would prevent the obturated material from forming an excellent three-dimensional seal or adaption within the canal system. Mineral Trioxide Aggregate (MTA) offers a good choice when employed to create an apical barrier. In this case report, an open apex and periapical lesion involving maxillary right central incisor #21 with the MTA are shown with a six-week follow-up result after being treated for four weeks with triple antibiotic paste as an intra-canal medication. The successful healing of tooth 21 and the diminution of the periapical radiolucency at one-week follow-up were observed.
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The increasing influence of alternative therapies reflects shifting demands and attitudes in modern society in general. Concerns about the negative impacts and rising expenses of traditional health care are also fueling the hunt for alternatives. Acupuncture, acupressure, homeopathy, Ayurveda, and hypnosis are examples of therapy modalities. Alternative therapies, on the other hand, are currently recommended as a supplement to traditional treatment. Although their efficacy as a standalone therapy is debatable, when used in conjunction with conventional treatment, they can be a valuable addition to the general dentist's therapeutic arsenal. When mainstream medicine cannot give a proper treatment or simply offers symptomatic alleviation for chronic diseases, the patient's desire for alternative therapies rises. This was found to be true for common medical conditions such as back pain and asthma. Surprisingly, patients seek conventional medical practice treatments for dental or oral health issues more frequently in emergencies (i.e., tooth pain or dental decay, temporomandibular joint disorder, periodontal disease, or dry mouth). Cloves and tea tree oil are the two topical or oral herbal or natural products that dental patients utilize most frequently. Furthermore, people worried about getting dental work done may find great benefits from using mind-body techniques.
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Tooth loss followed by complete denture rehabilitation can have significant psychological and social consequences for patients. Dentures restore a sense of normalcy and allow the sufferer to communicate with others in today's image-conscious world. Chewing discomfort, as well as unfavorable aesthetics and phonetics, are the most common denture complaints. A complete denture patient's prosthetic rehabilitation should never be confined to the replacement of lost teeth; rather, the ultimate goal should be the restoration of oral functions and aesthetics. The article describes a straightforward, cost-effective, practical, and aesthetic strategy for rehabilitating a complete denture patient with resorbed ridge, flabby tissue, and sunken cheeks. Thus, an effort has been made to restore the patient's stomatognathic system. Tooth loss followed by complete denture rehabilitation can have significant psychological and social consequences for patients. Dentures restore a sense of normalcy and allow the sufferer to communicate with others in today's image-conscious world. Chewing discomfort, as well as unfavorable aesthetics and phonetics, are the most common denture complaints. A complete denture patient's prosthetic rehabilitation should never be confined to the replacement of lost teeth; rather, the ultimate goal should be the restoration of oral functions and aesthetics. The article describes a straightforward, cost-effective, practical, and aesthetic strategy for rehabilitating a complete denture patient with resorbed ridge, flabby tissue, and sunken cheeks. Thus, an effort has been made to restore the patient's stomatognathic system.
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Introduction The main purpose of the study was to assess and compare bone mineral density (BMD) at prospective implant sites in the mandible in type 2 diabetes mellitus (T2DM) and non-diabetic patients using cone beam computed tomography (CBCT). Material and methodology A total of 40 patients were included in this type of cross-sectional study. They were divided into two groups, A and B, according to their haemoglobin A1c values. Group A consisted of patients with HbA1c between the range of 6.1%-8% and group B had patients with no history of T2DM. CBCT scans were made of the mandibular arches of both the patients to evaluate the BMD at lingual and buccal cortical plates and the trabecular regions in two successive slices with the assistance of PlanMeca Romexis software (PlanMeca Romexis®, Helsinki, Finland). The Shapiro-Wilk test was used to determine the normality of continuous data. The Mann-Whitney U test was used to compare the groups. Results There were no differences that were statistically significant between the two cohorts according to the Mann-Whitney U test at buccal cortical plate points 1 and 2. However, the diabetes group's mean bone density at implant sites-A, B, C, D, and E at trabeculae points 1 and 2 was considerably (7p>0.001) lower than the non-diabetic groups. The mean bone density of the diabetes group was marginally but significantly (p=0.009) lower than the non-diabetic group at lingual cortical plates. Conclusion Individuals with type 2 diabetes mellitus show significantly lower bone mineral density in the lingual cortical plate and trabecular region, however, implant therapy can be performed with certain mentioned guidelines in such regions. In the buccal cortical region, the bone mineral density is seen to be unaffected.
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The surgical removal of the maxilla and the orbit and its content, which leads to degraded esthetics, weakened functioning, and arrested psyche, has caused widespread fury among coronavirus disease (COVID-19)-produced mucormycosis patients. It has been stated that a patient with an ocular deformity due to surgical excision of a mucormycosis infection can be rehabilitated. Obtaining a healthy location for prosthesis acceptance is critical for the success of many resected patients. The advantages of anatomical and mechanical retention were fully exploited. The report includes an appropriate treatment plan for the rehabilitation of such faults, as well as a follow-up period and maintenance. Such rehabilitation not only improves the cosmetic outcome but also helps to elevate the patients' spirits mentally. The following case report defines the treatment guidelines for rehabilitation of a patient with orbital and intra-oral defect owing to COVID-19-induced mucormycosis. It also establishes the steps required for the fabrication along with materials required and suitable pertaining to the above-mentioned scenario. The text is duly supported by images wherever necessary.