KARAKOCA NEMLİ, Seçil Gazi Üniversitesi - Diş Hekimliği Fakültesi - Protetik Diş Tedavisi Anabilim Dalı, Turkey , ÇAĞLAR, Alper Başkent Üniversitesi - Diş Hekimliği Fakültesi - Protetik Diş Tedavisi Anabilim Dalı, Turkey , SARISOY, Şenol Gazi Üniversitesi - Diş Hekimliği Fakültesi - Ağız Diş Çene Hastalıkları ve Cerrahisi Anabilim Dalı, Turkey

MARGIN ADAPTATION FOR IMPLANT-SUPPORTED AURICULAR PROSTHESIS: CASE REPORT

26166

Auricular defects can occur because of trauma, congenital disorders, and ablative tumor surgery and affect, quality of life, psychology, and social behavior. Treatment options are hair closure, autogenous reconstruction and auricular prostheses. Implant-supported auricular prosthesis is a treatment option successfully applied for patients with auricular defects. However, adaptation of the anterior margin may be compromised during mandibular movements or changes in head position. Loss of contact between prostheses and underlying skin is a great concern of esthetic. Current literature suggests that a functional impression should be made with the mouth open at a predetermined position to detail the maximum amount of soft tissue depression and controlled cast reduction to create an adaptable anterior margin for implant retained auricular prostheses. This case report describes creating an adaptable margin for an auricular prosthesis using a simple clinical and laboratory procedure. The advantages of this technique are impression is made in one stage, distortions of the impression is not critical fort he adaptation of final prosthesis, modifications on the master cast is not necessary and tissue surface of the wax pattern can be modified. Disadvantages are prolonged time for evaluation of wax pattern and attention is required for this technique.

201

Auricular prosthesis , implant , margin adaptation

Acta Odontologica Turcica

206