PMC8528630_01
Intraoral view of the lesion.
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fig1
The swelling extended from 23 to 26 region as shown in Figure 1.
Excised tissues.
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fig2
The anterior cut was undertaken through the left lateral incisor and limiting the posterior cut up to the 1st molar as seen in Figure 2.
Zygomatic implant.
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fig3
A 42.5 mm zygomatic implant (NobelZygoma, Nobel BioCare, United States) as seen in Figure 3 was placed in the left zygomatic bone with maximum stability, ensuring the retention of the obturator through proper positioning of the prosthetic head beneath the body of the prosthesis.
Intraoral view after 5 weeks of healing period.
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fig4
There was no evidence of infection with good healing of the soft tissues around the abutment as seen in Figure 4.
Definitive impression following mouth preparation.
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fig5
Following mouth preparation, a custom tray was fabricated to make an abutment level impression using heavy and light body consistency of polyvinyl siloxane impression material as seen in Figure 5.
IOPA of O-ball attachment secured with prosthetic screw over multiunit abutment.
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fig6
Two microballs of 2.5 mm diameter (Rhein 83, NY) were casted and secured using a prosthetic screw on the multiunit abutment, and the fit was confirmed using an IOPA as seen in Figure 6.
.STL file of the scanned cast and designing of cast partial denture.
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fig7
The definitive cast with ball attachment was scanned using an optical scanner, converted to .STL (Standard Tessellation Language) format for computer-aided designing of cast partial denture as seen in Figure 7.
Final prosthesis.
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fig8
The clinical outcome included improvement of esthetics; function and the sense of confidence and security were restored in the patient as seen in Figure 8.