PMC9680695_01
Preoperative intraoral image.
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F1
The extraoral and intraoral examination revealed the absence of the left orbit and total maxilla [Figure 1].
Three-dimensional cone-beam computed tomography depicting the loss of zygomatic and orbital floor on the left side and subtotal maxillectomy on the right side of the face.
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F2
Postsurgical three-dimensional (3D) facial computed tomography (CT) revealed left total maxillectomy and right subtotal maxillectomy and left orbital decompression along with the resection of the left zygomatic arch and rim [Figure 2].
Virtual designing of the patient-specific implants.
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F3
The custom-made subperiosteal zygomatic implants were milled with titanium as designed following the anatomical contour of the residual bone [Figure 3].
Orthopantomagram inferring the position of the abutments.
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F4
The surgical procedure was conducted meticulously, and the abutments were positioned near optimum to align with the mandibular teeth [Figure 4].
Stabilization of open-tray copings with dental floss and pattern resin, bite registration, and impression.
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F5
The open-tray impression copings were stabilized with the dental floss and pattern resin, then made an impression using polyvinyl siloxane impression material [Figure 5].
Postoperative image figure.
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F6
Inter arch records were made using the aluminum-coated wax and a titanium metal bar was fabricated and tried in [Figure 6].