Prosthetic rehabilitation of a patient with finger amputation using silicone material

2014 ◽  
Vol 39 (4) ◽  
pp. 333-337 ◽  
Author(s):  
Amita Goyal ◽  
Hemant Goel

Aim: Finger and partial finger amputations are commonly due to traumatic injuries; digit loss may also be attributed to congenital malformations and disease. Finger prostheses are difficult to fabricate as they demand both aesthetic and function. When dealing with these types of prostheses, the only method of gaining successful retention is to sleeve the remnant stump with thin silicone. Case description and methods: A 28-year-old man reported with a chief complaint of unaesthetic look due to amputated ring finger of left hand. In this case, the remnant stump was missing, the adjacent ring finger was splinted and an adhesive retained prosthesis instead of ring retained or glove-on prosthesis was planned. The retention was achieved by extending the prosthesis to palmar crease. Findings and outcome: This article describes the rehabilitation of a finger with prosthesis, which is simple to construct, aesthetic, retentive and easy to maintain. The prosthesis thus fabricated merged with the adjacent tissues providing desired aesthetics and psychological boost to the patient. Conclusion: Final prosthesis was found with adequate retention. The patient was satisfied with the aesthetic of the prosthesis. Clinical relevance Because of the missing residual stump, functional limitations were also there. This clinical report describes a technological process of designing and manufacturing a silicone rubber prosthesis for a patient who has a finger loss caused due to trauma.

2007 ◽  
Vol 01 (02) ◽  
pp. 115-118 ◽  
Author(s):  
Aslı Seçilmiş ◽  
A. Nilgün Öztürk

ABSTRACTFacial defects resulting from neoplasms, congenital malformations, or trauma can be restorated with facial prostheses using different materials and retention methods to achieve a lifelike look and function. For the successful result, a lot of factors as harmony, texture, color matching, and blending of tissue interface of prosthesis is important. This clinical report describes treatment using a silicone prosthesis with a mechanical - retentined design for a patient who received a partial rhinectomy. Defects resulting from diseases as squamous cell carcinoma can be managed with the prosthetic rehabilitation so that the patient more comfortably and confidently resumed regular daily activity. Mechanical retention alone was sufficient to retain the prosthesis; thus, prosthetic adhesives were not necessary. (Eur J Dent 2007;2:115-118)


2016 ◽  
Vol 6 (3) ◽  
pp. 214-219
Author(s):  
Naisargi P Shah ◽  
Jyoti B Nadgere ◽  
Bhoomi A Parmar

ABSTRACT Ectodermal dysplasia (ED) is a rare group of inherited disorders characterized by aplasia or dysplasia of two or more tissues of ectodermal origin, such as hair, nails, teeth, and skin. The dental characteristics of this syndrome include anodontia or hypodontia of the primary and/or permanent teeth, hypoplastic conical teeth, and underdevelopment of the alveolar ridges. Patients with ED have psychosocial issues due to the orofacial manifestations; therefore, restoring appearance and function is more challenging than usual. The options for a definitive treatment plan include removable, fixed, or implant-supported prostheses, single or in combination. This clinical report describes the prosthetic rehabilitation of a patient having ED. How to cite this article Nadgere JB, Parmar BA, Ram SM, Shah NP. Prosthetic Rehabilitation of a Patient with Ectodermal Dysplasia. J Contemp Dent 2016;6(3):214-219.


2016 ◽  
Vol 40 (6) ◽  
pp. 763-766 ◽  
Author(s):  
Himanshi Aggarwal ◽  
Saumyendra Vikram Singh ◽  
Arun K Singh ◽  
Pradeep Kumar ◽  
Balendra P Singh

Background: Traumatic injuries are the most common cause of finger amputations. Therapeutic amputations are less common but may be essential in some patients with congenital malformations of digits. Case description and methods: A 21-year-old female patient reported for esthetic management of malformed middle and ring finger of right hand. Examination revealed clino-syndactyly with unusual dermatoglyphics. She was successfully rehabilitated by collaborative efforts of plastic surgeon and prosthodontist, by therapeutic amputation with surgical recontouring and fabrication of somatoprosthesis. Findings and outcomes: The patient was satisfied with esthetics of the prosthesis and somatoprosthesis improved function. At 6-month recall, no alterations or repair of prosthesis was required. Conclusion: Individualized treatment planning with integration of modifications involving a multidisciplinary approach is required to meet needs of patients with congenital digital malformations. The duplication of unusual dermatoglyphics made the prosthesis more realistic. Clinical relevance An individualized treatment plan with modifications to conventional techniques is required to cater to rehabilitative needs of patients with congenital digital malformations.


2021 ◽  
Vol 10 (10) ◽  
pp. e287101018692
Author(s):  
Brenda Gonçalves de Carvalho ◽  
Daniel Zuluaga Goyeneche ◽  
Laís Ranieri Makrakis Makrakis ◽  
Cláudia Helena Lovato da Silva Silva

The absence of an eyeball results in physical, psychosocial and functional alterations on an individual. Therefore, rehabilitation procedures are essential to repair the patient’s self-esteem, self-confidence and physiological features. The aim of this study is to describe a case of ocular prosthetic rehabilitation in a pediatric patient. A female teenager, 17 years old, was referred to the maxillofacial prosthetic clinic to replace her former prosthesis fabricated two years ago. The new ocular prosthesis was confectioned with termopolymerizable acrylic resin and hand painted with acrylic paint on a colorless acrylic ocular bottom. The prosthesis was installed and the instructions were explained. In teenage patients the prothesis must be elaborated as soon as possible with periodic replacements in accordance with the growth period. The awareness of legal guardians and patients is essential to the success of the treatment in pediatric patients. In the present case, the patient was satisfied with the aesthetic and functional outcome.


2012 ◽  
Vol 108 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Ahran Pae ◽  
Chul-Ho Choi ◽  
Kwantae Noh ◽  
Yong-Dae Kwon ◽  
Hyeong-Seob Kim ◽  
...  

Author(s):  
Jesús Peláez Rico ◽  
Jorge Cortés-Bretón Brinkmann ◽  
María Carrión Martín ◽  
Mabel Albanchez González ◽  
Celia Tobar Arribas ◽  
...  

The aim of this clinical report is to describe a maxillary full-arch implant supported restoration with immediate loading performed by means of an entirely digital workflow with photogrammetric system and intraoral scanning. A female patient with an edentulous maxillary arch attended the dental clinic seeking a maxillary fixed restoration. After treatment planning, six implants were placed using a surgical splint fabricated digitally by intraoral scanning of her previous removable prosthesis. Multi-unit abutments were fitted and two digital impressions were taken, one with a photogrammetric system for determining implant positions, and the other with an intraoral scanner for soft tissue registration. The acrylic resin structure of the immediate prosthesis was milled and placed within 8 hours of implant surgery. This provisional structure fitted correctly and provided adequate esthetics and function. Radiographic and clinical follow-up after 24 months observed adequate implant evolution.


2017 ◽  
Vol 5 (11) ◽  
pp. 1739-1742 ◽  
Author(s):  
Shailendra Kumar Sahu ◽  
B.K. Motwani ◽  
Anurag Dani

2012 ◽  
Vol 21 (3) ◽  
pp. 200-204 ◽  
Author(s):  
T. V. Padmanabhan ◽  
Kasim Mohamed ◽  
Devi Parameswari ◽  
Sumathi K. Nitin

2016 ◽  
Vol 15 (2) ◽  
pp. 278-282
Author(s):  
Humberto Ferreira Arquez

Background: The purpose of this paper is to describe an anatomical variation of the hand extensor on the little finger of the right hand which receives four tendons, condition unknown, as it is the first case reported so far in the literature. The human extensor tendons of hand often display an array of variations. Awareness of the anatomy and variations of the extensor tendons on the dorsum of the hand is necessary not only for the anatomist but also for surgeons when considering tendons for hand surgery, tendon rerouting or transplants. Materials and Methods: Bilateral anatomical variation in the upper limb was found during routine dissection in a 75-year-old male cadaver in the Morphology Laboratory at the University of Pamplona. The variations were recorded and photographed. Result: In the left hand the extensor digitorum there was a single tendon to the index, double tendon to the middle, triple tendon to the ring finger, a single tendon to the little finger or digiti minimi. The extensor digiti minimi has double tendon. In the right hand the extensor digitorum there was a single tendon to the index, triple tendon to the middle finger, triple tendons to the ring finger, a double tendon to the little finger. The extensor digiti minimi has double tendon. The little finger receives four tendons, 2 of extensor digitorum and 2 of extensor digiti minimi. The dorsum of the left hand and right showed juncturae tendinum type 2, between the extensors tendons in the 3rd intermetacarpal space; type 3, between the extensors tendons in the 4th inter metacarpal space. Conclusion: The presence of multiple tendons may alter the kinematics around the site of attachment to the phalanx. Knowledge of anatomical variations and normal anatomy of the extensor tendons, may be helpful while performing graft and tendon transfer operations.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.278-282


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