Citation Information :
Dutta V, Wate S, Khalikar A, Wankhede S, Deogade S, Kapadia A, Doibale P. Fabrication of a Two-piece Magnet-retained Orbital Prosthesis in a Post-COVID-19 Mucormycosis Case: A Simplified Evidence-based Approach. World J Dent 2022; 13 (S2):S231-S235.
Aim: To bring into light an evidence-based approach to fabricate an orbital prosthesis in a post-coronavirus disease 2019 (COVID-19) mucormycosis-affected individual, which is simple, efficient, and economically advantageous.
Background: Rehabilitation of facial defects becomes a demanding task as it is noticed distinctly and might be a socially awkward situation for the individual. Especially, a missing eye/contents of the orbit have a negative impact on the patients, which necessitates immediate rehabilitation. Various treatment modalities are at hand to rehabilitate such patients, of which implant-supported prosthesis has a finer retentive outcome. However, it cannot be administered among all patients due to economic or other unfavorable surgical limitations.
Case description: This case report projects a 54-year-old male; a case of exenterated orbit secondary to post-COVID-19 mucormycosis surgery. The reconstruction of this patient was planned by a two-piece magnet-retained prosthesis with a silicon outer prosthesis. A heat-processed acrylic conformer was fabricated for the defected part, and a silicon superstructure to reconstruct the missing anatomy was done. Retention was achieved using natural undercuts, magnet, and adhesive.
Conclusion: A systematic and meticulous approach is warranted based on the tissue makeup, material handling, and retentive aids as per the patient's expectations and affordability for maxillofacial rehabilitation. An evidence-based, multidisciplinary approach with the skill of the clinician is essential in providing effective and optimum rehabilitation. The treatment strategy adopted in this case is simple and economical and can be adapted for mass rehabilitation of orbital defects at an accelerated pace.
Clinical significance: Much research is necessary in the digital domain of maxillofacial prosthodontics such that it is financially affordable, accessible, and an approach that reduces chairside time. Also, retentive aids which have a more predictable outcome, like implants, should be considered so as to improve the quality of life of the patient.
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