A 65-year-old male came to the department for replacement of missing teeth and complained of sunken cheek appearance on either side. On examination, the patient has a completely edentulous maxillary and mandibular arch with a sunken buccal cheek []. The treatment plan decided was complete denture prosthesis with buccal cheek plumper on either side of the maxillary denture to improve esthetics.\nThe primary impression was taken with impression compound, and the primary cast was made with dental plaster. Self-cure acrylic resin special tray was fabricated, and border molding was completed using green stick compound, and the final impression was taken with zinc oxide eugenol impression paste. Record base was fabricated with self-cure acrylic resin, and occlusion rims were constructed. During the jaw relation procedure, it was found that the occlusal rim does not provide enough support for the cheek muscles. To improve the esthetics, the extra waxes were added on both sides of the occlusal rims near the first molar region until it provided enough support to the cheek muscles []. It was verified that the extra waxes did not cause dislodgment of record bases. Semi-anatomic teeth were selected according to the patient age, sex, and personality. The trial denture base was tried in the patient; the esthetics, phonetics, and jaw relation were verified. Facial esthetics was checked whether the wax buccal pad provided necessary esthetics without dislodging the wax trial denture base during functional movements of the cheek muscles. To reduce the weight of the prosthesis, the wax in the buccal pad was scooped out creating an open bulb with the border's thickness of 1.5 mm around the periphery []. The routine flasking, dewaxing, packing, and curing procedures were done. After deflasking, the complete denture was retrieved, trimmed, and polished. Since the open bulb could lead to food accumulation, the shellac base plate was used to form the lid for the buccal pouch []. After the extension and stability of maxillary complete denture with buccal pouch was checked in the patient mouth, lid with the shellac base plate material was replaced with heat cure acrylic, which was sealed with the hollow cheek plumper using self-cure acrylic resin [].\nThe maxillary complete denture with closed hollow bulb cheek plumper, and the mandibular complete denture was inserted []. The esthetics, the phonetics, and the stability of the prosthesis were checked. The patient was reviewed at 24 h, and the complete denture was found to be satisfactory both in esthetics and function.
A 60-year-old female patient reported to the Department of Prosthodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, seeking a prosthetic replacement for the missing left eye []. The patient gave a history of surgical removal of the eye due to infection. Examination revealed evisceration of the eye with healthy intraocular tissue bed []. Upper and lower fornices had sufficient depth to provide retention for the ocular prosthesis. Hence, it was decided to fabricate a custom ocular prosthesis and a magnetic holder for the retrieval of the prosthesis after taking an informed consent from the patient.\nCustom-made ocular prosthesis is fabricated. The prosthesis was delivered to the patient and was instructed on the home care. The patient was instructed to report back after 4 weeks [] On reporting for checkup, the patient has expressed difficulty in removing the prosthesis with fingers. Hence, it was decided to incorporate a metallic disc in the prosthesis and to fabricate a magnetic holder A putty index of the tissue surface of the prosthesis was made, so that it will serve as a conformer in the later stages to maintain the contour [] A stainless steel disc of dimension 8 mm × 0.5 mm (Stainless Steel alloy 316 LVM) was placed in a prepared recess of dimension 9 mm × 2.5 mm on the tissue surface of the prosthesis in the iris region. This ensured a cover of acrylic resin with a thickness of 2 mm on the tissue surface. The thickness of resin on the external surface including the iris was 7 mm. The disc was totally embedded with acrylic resin. The contour of the tissue surface was maintained with the putty index [] After curing, the prosthesis was trimmed and polished [Figures and ] The finished prosthesis was splinted in plaster and was subjected to pressure pot curing A magnetic holder was then custom fabricated. Two cylinder-shaped neodymium magnets (Technotone Electronics, Mumbai) were enclosed in an acrylic cylinder. The magnetic holder when brought near the custom-made prosthesis attracted the metallic disc kept inside the eye shell and thus facilitated removal of the ocular prosthesis [Figures and ] The patient was trained to remove the ocular prosthesis using magnetic holder [].