An Alternative Approach to Combine Orbital Prosthesis and Obturator: A Case Report
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Auteurs : Gokce Soganci [Turquie] ; Suat Yalug [Turquie] ; Mustafa Kocacikli [Turquie]Source :
- European Journal of Dentistry [ 1305-7456 ] ; 2011.
Abstract
This report describes a different approach for diminishing the movements of orbital prosthesis during mimic movements and chewing function. Mechanical devices such as magnets are used to enhance the retention in case lack of the implants. However rigid fixation of obturator and orbital prosthesis can result in movements of the orbital prosthesis during mastication. In this case obturator and orbital prosthesis are combined by magnets. However this combination is not rigid because of an active part which provides movement. This active part allows movements in a space constructed in the acrylic base of orbital prosthesis. Thus, the movements that may occur on orbital prosthesis during chewing can be diminished by this simple mechanism. Due to the fact that designing such a mechanism that minimizes the movements of the orbital prosthesis contributes patient’s comfort.
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PubMed: 21912502
PubMed Central: 3170030
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<author><name sortKey="Soganci, Gokce" sort="Soganci, Gokce" uniqKey="Soganci G" first="Gokce" last="Soganci">Gokce Soganci</name>
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<wicri:regionArea> Research Assistant, Gazi University, Faculty of Dentistry, Department of Prosthodontics, Ankara</wicri:regionArea>
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<author><name sortKey="Yalug, Suat" sort="Yalug, Suat" uniqKey="Yalug S" first="Suat" last="Yalug">Suat Yalug</name>
<affiliation wicri:level="1"><nlm:aff id="af2-dent05_p0459"> Professor, Gazi University, Faculty of Dentistry, Department of Prosthodontics, Ankara, Turkey</nlm:aff>
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<front><div type="abstract" xml:lang="en"><p>This report describes a different approach for diminishing the movements of orbital prosthesis during mimic movements and chewing function. Mechanical devices such as magnets are used to enhance the retention in case lack of the implants. However rigid fixation of obturator and orbital prosthesis can result in movements of the orbital prosthesis during mastication. In this case obturator and orbital prosthesis are combined by magnets. However this combination is not rigid because of an active part which provides movement. This active part allows movements in a space constructed in the acrylic base of orbital prosthesis. Thus, the movements that may occur on orbital prosthesis during chewing can be diminished by this simple mechanism. Due to the fact that designing such a mechanism that minimizes the movements of the orbital prosthesis contributes patient’s comfort.</p>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Eur J Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Eur J Dent</journal-id>
<journal-id journal-id-type="publisher-id">Eur J Dent</journal-id>
<journal-title-group><journal-title>European Journal of Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">1305-7456</issn>
<issn pub-type="epub">1305-7464</issn>
<publisher><publisher-name>Dental Investigations Society</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21912502</article-id>
<article-id pub-id-type="pmc">3170030</article-id>
<article-id pub-id-type="publisher-id">dent05_p0459</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Articles</subject>
</subj-group>
</article-categories>
<title-group><article-title>An Alternative Approach to Combine Orbital Prosthesis and Obturator: A Case Report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Soganci</surname>
<given-names>Gokce</given-names>
</name>
<xref ref-type="corresp" rid="c1-dent05_p0459"></xref>
<xref ref-type="aff" rid="af1-dent05_p0459"><sup>a</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yalug</surname>
<given-names>Suat</given-names>
</name>
<xref ref-type="aff" rid="af2-dent05_p0459"><sup>b</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kocacikli</surname>
<given-names>Mustafa</given-names>
</name>
<xref ref-type="aff" rid="af3-dent05_p0459"><sup>c</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-dent05_p0459"><label>a</label>
Research Assistant, Gazi University, Faculty of Dentistry, Department of Prosthodontics, Ankara, Turkey</aff>
<aff id="af2-dent05_p0459"><label>b</label>
Professor, Gazi University, Faculty of Dentistry, Department of Prosthodontics, Ankara, Turkey</aff>
<aff id="af3-dent05_p0459"><label>c</label>
Lecturer, Gazi University, Faculty of Dentistry, Department of Prosthodontics, Ankara, Turkey</aff>
<author-notes><corresp id="c1-dent05_p0459">Corresponding author: Gokce Soganci, Department of Prosthodontics, Faculty of Dentistry, Gazi University, 8.Cd. 82.Sk. No:4 Emek, 06510, Ankara, Turkey. Phone: + 90 532 642 04 86, Fax: + 90 312 223 92 26, E-mail: <email>dtgokcesoganci@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2011</year>
</pub-date>
<volume>5</volume>
<issue>4</issue>
<fpage>459</fpage>
<lpage>464</lpage>
<permissions><copyright-statement>Copyright 2011 European Journal of Dentistry. All rights reserved.</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><p>This report describes a different approach for diminishing the movements of orbital prosthesis during mimic movements and chewing function. Mechanical devices such as magnets are used to enhance the retention in case lack of the implants. However rigid fixation of obturator and orbital prosthesis can result in movements of the orbital prosthesis during mastication. In this case obturator and orbital prosthesis are combined by magnets. However this combination is not rigid because of an active part which provides movement. This active part allows movements in a space constructed in the acrylic base of orbital prosthesis. Thus, the movements that may occur on orbital prosthesis during chewing can be diminished by this simple mechanism. Due to the fact that designing such a mechanism that minimizes the movements of the orbital prosthesis contributes patient’s comfort.</p>
</abstract>
<kwd-group><kwd>Combined prostheses</kwd>
<kwd>Magnets</kwd>
<kwd>Movement</kwd>
<kwd>Obturator</kwd>
<kwd>Orbital prosthesis</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="f1-dent05_p0459" position="float"><label>Figure 1</label>
<caption><p><bold>A.</bold>
Intra-oral view before treatment. <bold>B.</bold>
Extra-oral view of the orbital defect.</p>
</caption>
<graphic xlink:href="DENT-5-461-g1"></graphic>
</fig>
<fig id="f2-dent05_p0459" position="float"><label>Figure 2</label>
<caption><p>Acrylic resin core with ocular part adjusted according to the symmetrical eye.</p>
</caption>
<graphic xlink:href="DENT-5-461-g2"></graphic>
</fig>
<fig id="f3-dent05_p0459" position="float"><label>Figure 3</label>
<caption><p>Cobalt samarium magnet used to combine the prostheses.</p>
</caption>
<graphic xlink:href="DENT-5-461-g3"></graphic>
</fig>
<fig id="f4-dent05_p0459" position="float"><label>Figure 4</label>
<caption><p><bold>A.</bold>
Schematic view of active part and spherical hole in the acrylic resin core. The active part can move in all directions inside this hole during chewing. <bold>B.</bold>
Spherical hole prepared in the acrylic resin core adjacent to the oral cavity.</p>
</caption>
<graphic xlink:href="DENT-5-462-g4"></graphic>
</fig>
<fig id="f5-dent05_p0459" position="float"><label>Figure 5</label>
<caption><p>Active part with round shaped acrylic resin on the tip.</p>
</caption>
<graphic xlink:href="DENT-5-462-g5"></graphic>
</fig>
<fig id="f6-dent05_p0459" position="float"><label>Figure 6</label>
<caption><p><bold>A.</bold>
Schematic view of combined prostheses. <bold>B.</bold>
Obturator and orbital prosthesis combined with magnets by means of active part.</p>
</caption>
<graphic xlink:href="DENT-5-462-g6"></graphic>
</fig>
<fig id="f7-dent05_p0459" position="float"><label>Figure 7</label>
<caption><p>View of the orbital prosthesis and lip support whilst the obturator is in situ after treatment.</p>
</caption>
<graphic xlink:href="DENT-5-463-g7"></graphic>
</fig>
</floats-group>
</pmc>
</record>
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