1. Fabrication of an Implant- Supported Prosthetic Ear A Presentation by T. MARNEWICK In partial fulfilment of the BTech: Dental Technology

2. Content 1.Patient’s history and background 2.Possible treatment plans 3.Most suitable treatment plan and treatment plan of choice 4.Laboratory procedures 5.References

3. Patient’s History and Background Patient was involved in a motorcar accident in 1999 Lost left ear and fractured left side of his mandible Undergone four operations

4. Patient’s History and Background cont. Internal implants were placed in the mandible Implants were rejected due to active Hepatitis B Implants were removed

5. Patient’s History and Background cont. A prosthetic ear was made in 2000 by Mr. A Jansen a former student Due to active Hepatitis B implants could not be used Mechanical retention was used with aid of spectacles Patient has now recovered from Hepatitis B This year the prosthesis needs to be replaced

6. Possible Treatment Plan #1 Placement of implants into the left side of patients’ skull Using a dolder bar attachment to attach prosthetic ear 1

7. Possible Treatment Plan # 2 Using old mechanical retention to keep prosthesis in place Fabricating a new ear prosthesis

8. Possible Treatment Plan # 3 Fabricating a new prosthesis Using a medical adhesive for prosthesis retention. 2

9. Most suitable treatment plan Implants with dolder bar attachment  Reasons: Excellent retention Maximum patient confidence Patient comfort 3

10. Laboratory procedures Impression arrives Model is poured with laboratory analogues Plastic sleeves attached to analogues

11. Laboratory procedures cont. Dolder bar waxed up Wax bar removed from analogues Wax bar invested and cast Metal bar finished Now the prosthesis can be made

12. Laboratory procedures cont. The ear is sculpted on the model The sculpted ear is tried on patient 4

13. Laboratory procedures cont. Mould is made Mould is packed After polymerization prosthesis is removed from mould

14. Laboratory procedures cont. Extrinsic colouring added Final fitment on patient 3

15. Thank you

16. REFERENCES 1.Hobskrik J. Watson R. Searson L. Introducing Dental Implants. London: Churchill Livingstone. 2003:123-130. 2.Wardbooth P. Eppley B. Schemlzeisen R. Maxillo Trauma and Esthetic Facial Reconstruction. London: Churchill Livingstone. 2003: 445-459. 3.Taylor T. Clinical Maxillo Facial prosthesis.London:Quintessence publising Co. 2000:233-244,245-264. 4.McKinstry R. Fundementals of facial prosthesis.Arlington: ABI Professional publications. 1995:19-30,59-78,79-98,147-98.