Fabrication of Custom Ocular Prosthesis Using a Graph Grid: A Case Report

Patients  requiring  treatment  with  custom  ocular  prosthesis  are  those  who  have  lost  ocular  structures through orbital evisceration or orbital enucleation which was necessary as a surgical intervention for a congenital  defect,  pathology  or  an  accident.  The  disfigurement  associated  with  eye  loss  can  cause significant  physical  and  emotional  disturbance.  As  iris  placement  is  a  technique  sensitive  procedure, visual assessment alone may not be accurate.The  present article  is an illustration of a case report  of  a lady chosen for a custom ocular prosthesis. The method described here uses a transparent grid template from which the iris is traced. An attempt is also made to mimick the shade and colour of the sclera in the wax  pattern  itself;  using  white  paraffin  wax.  This  gives  an  accurate  registration  of  the  position  and  alignment of iris disc assembly, giving a natural look.  Key  words: Custom  ocular  prosthesis,  graph  grid. &nbsp

Split obturator: An innovative approach

A palatal prosthesis can improve function by closing the palatal defect, preventing regurgitation, and improving swallowing and speech. Although techniques have been previously described for fabrication of palatal obturator, but there has not been any technique to devise an obturator for a patient with palatal defect with a quadhelix orthodontic appliance overlying it. One cannot wait in such patients for completion of lengthy orthodontic treatment and then think of devising prosthesis as the patient cannot carry out normal functions like swallowing and speech without the closure of defect. This article focuses on an innovative method of fabricating a palatal obturator which aims at restoring the above-mentioned functions along with improving aesthetics. It also enables us to devise the fabrication of prosthesis in two parts for easy insertion and removal and as well as to be self-cleansable. Such prosthesis would markedly improve patient psychology and confidence

Peripheral giant cell granuloma

Peripheral giant cell granuloma or the so-called “giant cell epulis” is the most common oral giant cell lesion. It normally presents as a soft tissue purplish-red nodule consisting of multinucleated giant cells in a background of mononuclear stromal cells and extravasated red blood cells. This lesion probably does not represent a true neoplasm, but rather may be reactive in nature, believed to be stimulated by local irritation or trauma, but the cause is not certainly known. This article reports a case of peripheral giant cell granuloma arising at the maxillary anterior region in a 22-year-old female patient. The lesion was completely excised to the periosteum level and there is no residual or recurrent swelling or bony defect apparent in the area of biopsy after a follow-up period of 6 months