PMC5426154_01
Preoperative intraoral photograph of the patient
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F1
On intraoral examination, defect was Aramany's class I extending till floor of the orbit associated with depressed cheek, nasolabial fold, and lack of lip support [Figure 1].
Cast partial metal framework
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F2
Definitive impression of defect portion
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F3
Coltene Whaledent) [Figure 3]. Cast was poured by altered cast technique
(a) Fabrication of bulb portion by balloon. (b) Final acrylic bulb portion of the prosthesis
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F4
Bulb portion of the prosthesis was made hollow by sandwiching water filled balloon between two layers of heat cure resin [Figure 4a] and curing was completed using short curing cycle [Figure 4b].
(a) Intraoral frontal view. (b) Intraoral occlusal view
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F5
Final prosthesis was adjusted in the patient's mouth and occlusal adjustments were done to make passive contacts on defect side [Figure 5a and b].
(a) Extraoral preoperative frontal view. (b) Extraoral postoperative frontal view
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F6
Prosthesis was functionally and esthetically pleasing [Figure 6a and b].