PMC4821131_01
Stereolithography model with pilot drill orientation and surgical template
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F1
A mock surgery on the stereolithography model [Fig. 1] revealed optimal bone thickness along the inferolateral orbital rim composed of zygomatic bone while the lateral aspect of superolateral rim composed of frontal bone showed moderately optimal bone in terms of thickness and density.
Implant placement along the superolateral and inferolateral orbital rim
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F2
A 3.75 mm x 10 mm implant was placed in inferolateral region and 3.75 mm x 8 mm implant was placed in superolateral region [Fig. 2].
Extraoral radiographs-cephalogram and posteroanterior waters view showing position of implants
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F3
A healing period of 4 months was given following which the extra oral radiographs - posteroanterior waters and lateral cephalogram [Fig. 3] were made.
Facial moulage and direct implant level impression
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F4
The defect impression was made with implant components in place [Fig. 4].
Retentive assembly-pattern and casting with embedded keepers and cemented indigenous Samarium cobalt magnet
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F5
A metal framework was cast to attach it to the implant abutment with the magnetic keepers embedded in it [Fig. 5].
Trial of metal sleeve-retentive assembly and acrylic shim with magnets aligned with their keepers
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F6
The wax orbital prosthesis had the corresponding magnets embedded in it [Fig. 6].
Sculpted wax pattern trial in front view and lateral view
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F7
The wax trial was taken [Fig. 7].
Pretreatment and posttreatment photograph of the patient
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F8
Finally, the silicone orbital prosthesis was placed in situ [Fig. 8].