PMC8140848_01
(a) Extra oral view showing facial deformation of the right side; (b) maxillary and mandibular arch occlusion; (c) intraoral view of the maxilla showing defect.
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Extra oral examination revealed an asymmetrical face with the loss of lip support and sunken right cheek, depression of the right nasolabial fold, and ptosis on the right eye with many wrinkles around it (Figure 1(a)). The patient had not used an interim obturator (Figures 1(b) and 1(c)).
(a) Definitive obturator in maximum intercuspal position; (b) intraoral wax try-in of the plumper; (c) plumper impression hallowed.
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The prosthesis was cured with heat-cured acrylic resin and adequately finished and polished (Figure 2(a)). Wax was added on the buccal side of the maxillary obturator (Figure 2(b)), and border movements were done until the wax was well adapted. The plumper was hollowed (Figure 2(c)), and only a thin border was held back.
(a) Magnets attached to the removable part of the plumper; (b) magnets attached to the definitive obturator; (c) definitive obturator with plumper parts attached together, (d) intraoral view showing magnets attached to the definitive obturator; (e) intraoral view of the plumper; (f) occlusal view of the view of the plumper.
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Flasking and dewaxing of the plumper with both parts of the magnets (cobalt-samarium, Ambika Corporation) attached were done (Figure 3(a)). The resultant mold space was then packed with a clear heat-activated denture base resin, and curing procedures were completed (Figure 3(b)). After curing, the magnets of the obturator were attached (Figure 3(c)). Trimming, finishing, and polishing procedures were performed (Figures 3(d)-3(f)).
Postoperative frontal view of the patient wearing the lip and cheek plumper having and having better fullness.
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Within one week, the patient expressed satisfaction in his aesthetic (Figure 4) and even signed up for school.