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CASE REPORT
Year : 2012  |  Volume : 3  |  Issue : 3  |  Page : 215-219

Prosthodontic rehabilitation of hemifacial microsomia


1 Department of Dentistry, Veer Chandra Singh Garhwali Government Medical Sciences and Research Institute, Srinagar Garhwal, Uttrakhand, India
2 Department of Prosthodontics, K D Dental College, Mathura, India
3 Department of Oral Medicine, Institute of Dental Sciences, Bareilly, Uttarpradesh, India
4 Department of Prosthodontics, Bapuji Dental College, Davangere, Karnataka, India

Correspondence Address:
Laxman Singh Kaira
Department of Prosthodontic, Crown and Bridge and Maxillofacial Prosthestics, Institute of Dental Sciences, Institute of Dental Sciences, Pilibhit Bypass Road, Bareilly, Uttar Pradesh
India
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DOI: 10.4103/0976-433X.107407

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Hemifacial microsomia, a developmental anomaly involving the first and second branchial arches, is one of the most common craniofacial anomalies. This disorder affects orofacial structures with varying clinical features. It is also associated with underdevelopment of the temporomandibular joint, mandibular ramus, masticatory muscles, ears, and occasionally defects in facial nerve and muscles. Physical deformities affecting face, ears, eyes, and oral cavity can pose esthetic and functional problems. The rehabilitation of these patients should be multidisciplinary including prosthodontic management as these patients present with complex clinical features. Treatment approach depends on patient's age, extent of physical and psychological deformity. The fabrication of auricular prosthesis is considered to be one of the most difficult replacements in maxillofacial rehabilitation. The severe undercuts and pronounced convolutions of the ear's surface present a challenge in simulating a natural proportioned prosthesis. This paper presents an outline in basic fabrication of prosthetic ear by conventional technique where the wax pattern is fabricated from the impression of an individual with a similarly proportioned ear.


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