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Rnr ocular prosthesis /certified fixed orthodontic courses by Indian dental academy
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Rnr ocular prosthesis /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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  • 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com GOOD AFTERNOON www.indiandentalacademy.com
  • 2. www.indiandentalacademy.com OCULAR PROSTHESIS ( a conventional approach ) Guided by Dr. P. MAHESH . M.D.S. Prof& HOD RAO Dept of Prosthodontics By Dr. M.REDDI NARASIMHA
  • 3. CONTENTS          Introduction Historical aspects Indications Types of ocular prosthesis Materials Case discussion Complications Maintenance Conclusion www.indiandentalacademy.com
  • 4. Introduction    Eyes are the most important organs in the face. Loss of eye or disfigured eye has a severe impact on individuals psychology. The goal www.indiandentalacademy.com
  • 5.  Maxillo facial prosthetics- “the branch of prosthodontics concerned with the restoration and or replacement of the stomatognathic and craniofacial structures with prostheses that may or may not be removed on a regular or elective basis”. www.indiandentalacademy.com
  • 6. Ocular prosthesis  Orbital prosthesis A maxillofacial prosthesis that artificially replaces an eye missing as a result of trauma, surgery or congenital absence . The prostheses does’t replace missing eyelids or adjacent skin , mucosa or muscle.  A maxillofacial prosthesis that artificially restores the eye , eye lids and adjacent hard and soft tissues. www.indiandentalacademy.com
  • 7. History First artificial eye were made by Egyptians ( 2500 B C ) Used in mummification process & made from precious stone , silver , gold. “AMBROSE PARE” – first to use of artificial eyes in humans. Glass material. PMMA In 1944 a dentist created an acrylic eye for his son. Today 90 % of ocular prostheses www.indiandentalacademy.com are made of acrylic plastic.
  • 8. Indications Congenital deformities   Acquired deformities Anophthalmia Microphthalmia    Irreparable traumatic damage Malignancy Cosmetic reasons. www.indiandentalacademy.com
  • 9. Types of prosthesis Ocular prosthesis    Orbital prosthesis Prosthetic contact lens Scleral shell Full thickness prosthesis    Spectral mounted Adhesive retained Magnetic retained www.indiandentalacademy.com
  • 10. Materials    Glass Poly methyl methacrylate Silicon www.indiandentalacademy.com
  • 11. Case discussion Examination www.indiandentalacademy.com
  • 12. Steps in fabrication of ocular prosthesis Ocular impression Gauge placement www.indiandentalacademy.com
  • 13. Plaster reinforcement Retrieval of impression www.indiandentalacademy.com
  • 14. Split- cast Beading & boxing First pour of cast www.indiandentalacademy.com
  • 15. Split-cast Second pour of cast Cast retrieval www.indiandentalacademy.com
  • 16. Custom tray Custom tray www.indiandentalacademy.com
  • 17. Custom tray with a syringe Custom tray with holes www.indiandentalacademy.com
  • 18. Final impression with light body elastomer www.indiandentalacademy.com
  • 19. Final impression Final impression www.indiandentalacademy.com
  • 20. Cast preparation Master cast www.indiandentalacademy.com
  • 21. Scleral wax pattern Pupil centralisation www.indiandentalacademy.com
  • 22. Crown flask Investing of scleral pattern www.indiandentalacademy.com
  • 23. Dewaxing Processed scleral pattern www.indiandentalacademy.com
  • 24. Stock ocular prosthesis Iris of stock prosthesis www.indiandentalacademy.com
  • 25. Creation of space for iris Iris sealed with wax www.indiandentalacademy.com
  • 26. Trial of scleral prosthesis Trial of scleral prosthesis with iris www.indiandentalacademy.com
  • 27. Characterization Fine embroidery threads characterization www.indiandentalacademy.com
  • 28. Characterization Characterization Characterization www.indiandentalacademy.com
  • 29. Finishing & polishing Processed prosthesis Finished prosthesis www.indiandentalacademy.com
  • 30. Ocular prosthesis insertion Before After www.indiandentalacademy.com
  • 31. Ocular prosthesis insertion Ocular prosthesis removal www.indiandentalacademy.com
  • 32. Complications Papillary conjunctivitis Post enucleation socket syndrome  Lower eye lid is stretched Cell mediated down wards hypersensitivity reaction  Deep hollow under the  Local irritation , sticky superior orbital rim discharge, hyperemic Management— conjunctiva, massive  New prosthesis papillary hyperplasia.  surgery Management—  sodium chromoglycate eye drops  Topical steroids www.indiandentalacademy.com 
  • 33. Maintenance DOs      DONOTs Cleaning of eye lids with baby shampoo Clean the secretions from eye lids Cleaned before insertion with a mild soap or baby shampoo    Never soaked in alcohol , bleach. Never sterilize in an autoclave Too much handling Remove the prosthesis as necessary Store it in water or soft contact lens saline solution. www.indiandentalacademy.com
  • 34. Case 2 www.indiandentalacademy.com
  • 35. Case 3 www.indiandentalacademy.com
  • 36. Conclusion www.indiandentalacademy.com
  • 37. References     Clinical maxillo facial prosthetics—Thomas D Tayler Maxillo facial rehabilitation—John Beumer Ocular prosthesis,review—contactlens &anterior eye 2007;30:152-162 ( the journal of british contact lens association ) Ocular prosthesis and contact lenses1cosmetic devices ( British medical journal 1991;302:1010-2 ) www.indiandentalacademy.com
  • 38. Thank you www.indiandentalacademy.com