PMC10235729_01
(a) Close view (b) Full mouth view, swelling in palate bilaterally
NJMS-14-152-g001.jpg
PMC10235729_01_NJMS-14-152-g001.jpg
njms_441_21-f001
On examination, microtia was observed on the right ear [Figure 1].
PMC10235729_02
Preoperative CBCT
NJMS-14-152-g002.jpg
PMC10235729_02_NJMS-14-152-g002.jpg
njms_441_21-f002
On the scan, average 5--6 mm bone was evaluated in temporal region at 11 o'clock and 1 o'clock position [Figure 2].
Placement of implants
NJMS-14-152-g003.jpg
PMC10235729_02_NJMS-14-152-g003.jpg
njms_441_21-f003
After completing the osteotomy, two Dentium Simple line II  implants of diameter 4.8 mm and length 4 mm were placed in the pre-decided positions [Figure 3].
PMC10235729_03
PMC10235729_04
Final cast with magnetic assembly
NJMS-14-152-g004.jpg
PMC10235729_04_NJMS-14-152-g004.jpg
njms_441_21-f004
Before pouring the final cast in Type IV gypsum product [Figure 4], light body was poured to replicate the soft tissue till the transfer coping and implant analog junction.
PMC10235729_05
Evaluating the stent on the patient
NJMS-14-152-g005.jpg
PMC10235729_05_NJMS-14-152-g005.jpg
njms_441_21-f005
The entire assembly was tried on the patient to check for a passive fit [Figure 5].
Final prosthesis
NJMS-14-152-g006.jpg
PMC10235729_05_NJMS-14-152-g006.jpg
njms_441_21-f006
Cosmosil maxillofacial silicone by Technovent  USA following the manufacturer's instruction. Color matching was done using internal as well as external stains [Figure 6].
PMC10235729_06
Postoperative CBCT
NJMS-14-152-g007.jpg
PMC10235729_06_NJMS-14-152-g007.jpg
njms_441_21-f007
At 3 months a CBCT was taken to evaluate the bone surrounding the implants, which was found to be adequate [Figure 7].
2-year follow up
NJMS-14-152-g008.jpg
PMC10235729_06_NJMS-14-152-g008.jpg
njms_441_21-f008
At 2-year recall, it was observed that the prosthesis lost its color in sun due to the nature of the patient's job [Figure 8].