PMC3169378_01
Intraoral view of the patient.
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Intraoral examination revealed bilateral missing maxillary posterior teeth and teeth present in premaxilla were 11, 21, 22, and 23 (Figure 1(a)). Reduced mouth opening of 1.5 cm was noticed (Figure 1(b)).
Preliminary and final impression of the maxillary arch.
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Oral prophylaxis was completed and a primary impression of the hard palate was made by an irreversible hydrocolloid impression material (Zelgan, Dentsply India Pvt Ltd, India) with modifying the stock tray in the defect region (Figure 2(a)). The patient was asked to perform the same movements during the final wash impression of soft palate with zinc-oxide eugenol impression paste (DPI Impression paste, Dental products of India, Mumbai, India), after scraping the impression compound about 0.5 mm (Figure 2(b)).
Final cast of the defect.
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Now proper beading and boxing of the soft palatal extended part was performed (Figure 3(a)) for making the master cast by Altered cast technique (Figure 3(b)).
Final Prosthesis.
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The tissue surface of the bulb was then finally relined with the soft liner (PermaSoft Denture Liner; Dentsply Austenal, York PA) (Figure 4).
Pretreatment and posttreatment intraoral view of the patient.
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The obturator was fully seated (Figure 5) and confirmed that the prosthesis was easily placed and removed by the patient.