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 91-year-old male patient, presented with the loss of the left eye [] after orbital exenteration due to squamous cell carcinoma of left upper eyelid. At the time of tumor resection, the orbit was lined with a split-thickness skin graft taken from the thigh. The patient did not receive pre- or post-operative radiation treatment.\nDuring the examination, the patient was concerned with his facial disfigurement and wanted an acceptable solution as early as possible. Various prosthetic treatment modalities ranging from acrylic resin orbital prosthesis to implant retained silicone prostheses were explained and discussed with the patient. Due to socioeconomic reasons, the patient chose orbital prosthesis made of acrylic resin. The fabrication of PMMA resin orbital prosthesis was planned, and it was decided to use available anatomic undercuts to retain the prosthesis.