Rehabilitation of Nose following Chemical Burn Using CAD/CAM Made Substructure for Implant Retained Nasal Prosthesis: A Clinical Report
Identifieur interne : 001B54 ( Pmc/Curation ); précédent : 001B53; suivant : 001B55Rehabilitation of Nose following Chemical Burn Using CAD/CAM Made Substructure for Implant Retained Nasal Prosthesis: A Clinical Report
Auteurs : Saurabh Chaturvedi [Arabie saoudite] ; Tushar Bhagat [Arabie saoudite] ; A. K. Verma [Inde] ; Vishwanath Gurumurthy [Arabie saoudite] ; Mariyam Ali [Inde] ; Preeti Vadhwani [Inde] ; Mudita Chaturvedi [Inde]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
Insufficient knowledge of medical chemicals and their improper use have destructive effects. Accidental exposure to chemicals on facial tissue may result in large facial defect. For ages the tradition of piercing nose is common but improper use of unknown chemical for piercing has deleterious effect. Mostly rhinectomy defects are acquired caused by trauma or malignant diseases. Prosthetic rehabilitation is the preferred treatment of choice for any large rhinectomy defects as medical and surgical interventions are ineffective in developing esthetics. Main concern with the prosthesis for such defects is retention. This article describes rehabilitation of a patient with large size nasal defect created by chemical burn in childhood during piercing. Implant retained customized silicone nasal prosthesis was fabricated using simple O-ring attachments and innovative modified polyamide acrylic resin substructure acting as skeleton.
Url:
DOI: 10.1155/2017/2784606
PubMed: 28702265
PubMed Central: 5494075
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<front><div type="abstract" xml:lang="en"><p>Insufficient knowledge of medical chemicals and their improper use have destructive effects. Accidental exposure to chemicals on facial tissue may result in large facial defect. For ages the tradition of piercing nose is common but improper use of unknown chemical for piercing has deleterious effect. Mostly rhinectomy defects are acquired caused by trauma or malignant diseases. Prosthetic rehabilitation is the preferred treatment of choice for any large rhinectomy defects as medical and surgical interventions are ineffective in developing esthetics. Main concern with the prosthesis for such defects is retention. This article describes rehabilitation of a patient with large size nasal defect created by chemical burn in childhood during piercing. Implant retained customized silicone nasal prosthesis was fabricated using simple O-ring attachments and innovative modified polyamide acrylic resin substructure acting as skeleton.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRID</journal-id>
<journal-title-group><journal-title>Case Reports in Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6447</issn>
<issn pub-type="epub">2090-6455</issn>
<publisher><publisher-name>Hindawi</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28702265</article-id>
<article-id pub-id-type="pmc">5494075</article-id>
<article-id pub-id-type="doi">10.1155/2017/2784606</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Rehabilitation of Nose following Chemical Burn Using CAD/CAM Made Substructure for Implant Retained Nasal Prosthesis: A Clinical Report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7832-3772</contrib-id>
<name><surname>Chaturvedi</surname>
<given-names>Saurabh</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bhagat</surname>
<given-names>Tushar</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Verma</surname>
<given-names>A. K.</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gurumurthy</surname>
<given-names>Vishwanath</given-names>
</name>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ali</surname>
<given-names>Mariyam</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vadhwani</surname>
<given-names>Preeti</given-names>
</name>
<xref ref-type="aff" rid="I5"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-4192-2514</contrib-id>
<name><surname>Chaturvedi</surname>
<given-names>Mudita</given-names>
</name>
<xref ref-type="aff" rid="I6"><sup>6</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia</aff>
<aff id="I2"><sup>2</sup>
College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia</aff>
<aff id="I3"><sup>3</sup>
Department of Prosthodontics, Career Post Graduate Institute of Dental Sciences, Lucknow, Uttar Pradesh, India</aff>
<aff id="I4"><sup>4</sup>
Department of Dental Technology, College of Applied Sciences, King Khalid University, Abha, Saudi Arabia</aff>
<aff id="I5"><sup>5</sup>
Department of Prosthodontics, Buddha Institute of Dental Sciences, Patna, Bihar, India</aff>
<aff id="I6"><sup>6</sup>
Department of Oral Pathology, Career Post Graduate Institute of Dental Sciences, Lucknow, Uttar Pradesh, India</aff>
<author-notes><corresp id="cor1">*Saurabh Chaturvedi: <email>survedi@kku.edu.sa</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Luis M. J. Gutierrez</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>6</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>2784606</elocation-id>
<history><date date-type="received"><day>16</day>
<month>2</month>
<year>2017</year>
</date>
<date date-type="rev-recd"><day>17</day>
<month>4</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>3</day>
<month>5</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2017 Saurabh Chaturvedi et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Insufficient knowledge of medical chemicals and their improper use have destructive effects. Accidental exposure to chemicals on facial tissue may result in large facial defect. For ages the tradition of piercing nose is common but improper use of unknown chemical for piercing has deleterious effect. Mostly rhinectomy defects are acquired caused by trauma or malignant diseases. Prosthetic rehabilitation is the preferred treatment of choice for any large rhinectomy defects as medical and surgical interventions are ineffective in developing esthetics. Main concern with the prosthesis for such defects is retention. This article describes rehabilitation of a patient with large size nasal defect created by chemical burn in childhood during piercing. Implant retained customized silicone nasal prosthesis was fabricated using simple O-ring attachments and innovative modified polyamide acrylic resin substructure acting as skeleton.</p>
</abstract>
<funding-group><award-group><funding-source>Career Postgraduate Institute of Dental Sciences, Lucknow, India</funding-source>
</award-group>
</funding-group>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Patient's face with large size nasal defect (frontal and profile view).</p>
</caption>
<graphic xlink:href="CRID2017-2784606.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>(a) Preoperative panoramic radiograph showing partially edentulous maxillary and mandibular arches. (b) Patient's face with O-ring post over implants in anterior nasal floor.</p>
</caption>
<graphic xlink:href="CRID2017-2784606.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>(a) CT image of defect area. (b) Polyamide acrylic substructure.</p>
</caption>
<graphic xlink:href="CRID2017-2784606.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Evaluation of wax pattern on patient.</p>
</caption>
<graphic xlink:href="CRID2017-2784606.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>Acrylic resin substructure on dewaxed master cast.</p>
</caption>
<graphic xlink:href="CRID2017-2784606.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>Definitive nasal prosthesis with metal encapsulator of O-ring attachment incorporated in resin substructure.</p>
</caption>
<graphic xlink:href="CRID2017-2784606.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label>
<caption><p>Definitive nasal prosthesis on patient.</p>
</caption>
<graphic xlink:href="CRID2017-2784606.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label>
<caption><p>Postoperative PNS water's view radiograph showing implant in position.</p>
</caption>
<graphic xlink:href="CRID2017-2784606.008"></graphic>
</fig>
</floats-group>
</pmc>
</record>
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