PMC7580757_01
Presurgical intraoral picture
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F1
A 40-year-old male patient, a teacher by occupation, who reported with an ulcerative growth on right maxilla [Figure 1] underwent a computed tomography (CT) scan.
Diagnostic casts, scrapped teeth on the cast, and wax-up for immediate obturator
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F2
Diagnostic casts were prepared, and the area to be resected was marked on a duplicated cast from 11 to 17 and scraped [Figure 2]. Wax-up of the cast was done [Figure 2].
Postsurgical intraoral view with immediate obturator in place and relined with soft liners
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F3
An immediate obturator was inserted after carrying out the necessary adjustments [Figure 3], and instructions were given to the patient. Relining of the obturator was done with soft liners [Figure 3], and necessary modifications were done at each regular interval.
Intraoral view after complete healing and medium body sectional impression
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F4
As the defect was multilocular, sectional impression technique was followed to record the defect with putty addition silicone [Figure 4]. The superficial section of the defect part had come along with the medium body impression, and rest of the sections were oriented outside [Figure 4].
Master cast, wax pattern on the refractory cast, and metal framework on the cast
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F5
Master cast was obtained using this impression [Figure 5], and blocking out of the unfavorable undercuts was carried out. This blocked out master cast was used to obtain a refractory cast on which wax pattern was prepared using the pattern wax [Figure 5]. This finished metal framework was made to fit the cast [Figure 5], which was tried intraorally, and then jaw relation was recorded [Figure 6].
Metal framework try-in, jaw relation, and denture try-in
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F6
This finished metal framework was made to fit the cast [Figure 5], which was tried intraorally, and then jaw relation was recorded [Figure 6]. Teeth arrangement followed by try-in was done [Figure 6], and the trial denture was invested.
Packing lid portion with a tin foil, lid separated after deflasking, and hollowing out of the bulb
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F7
The lid portion was packed first with heat-cured acrylic resin, a piece of tinfoil was placed over this portion [Figure 7], and the rest of the defect was packed and processed. The bulb was hollowed out from within an acrylic trimming bur [Figure 7], and the lid was sealed with self-cured acrylic resin.
Final finished prosthesis and denture in place
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F8
The finished final prosthesis was delivered to the patient with appropriate instructions [Figure 8].