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INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
GOOD AFTERNOON

www.indiandentalac...
www.indiandentalacademy.com

OCULAR
PROSTHESIS

( a conventional approach )

Guided by
Dr. P. MAHESH . M.D.S.
Prof& HOD
RA...
CONTENTS










Introduction
Historical aspects
Indications
Types of ocular prosthesis
Materials
Case discussi...
Introduction






Eyes are the most important organs in the
face.
Loss of eye or disfigured eye has a severe
impact on...


Maxillo facial prosthetics- “the branch of

prosthodontics concerned with the restoration and or
replacement of the sto...
Ocular prosthesis


Orbital prosthesis

A maxillofacial prosthesis that
artificially replaces an eye
missing as a result ...
History
First artificial eye were made by
Egyptians ( 2500 B C )
Used in mummification process &
made from precious stone ...
Indications
Congenital deformities



Acquired deformities

Anophthalmia
Microphthalmia






Irreparable
traumatic d...
Types of prosthesis
Ocular prosthesis





Orbital prosthesis

Prosthetic contact
lens
Scleral shell
Full thickness
pro...
Materials




Glass
Poly methyl methacrylate
Silicon

www.indiandentalacademy.com
Case discussion
Examination

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Steps in fabrication of ocular prosthesis
Ocular impression

Gauge placement

www.indiandentalacademy.com
Plaster reinforcement

Retrieval of impression

www.indiandentalacademy.com
Split- cast
Beading & boxing

First pour of cast

www.indiandentalacademy.com
Split-cast
Second pour of cast

Cast retrieval

www.indiandentalacademy.com
Custom tray

Custom tray

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Custom tray with a syringe

Custom tray with holes

www.indiandentalacademy.com
Final impression with light body
elastomer

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Final impression

Final impression

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Cast preparation

Master cast

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Scleral wax pattern

Pupil centralisation

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Crown flask

Investing of scleral pattern

www.indiandentalacademy.com
Dewaxing

Processed scleral pattern

www.indiandentalacademy.com
Stock ocular prosthesis

Iris of stock prosthesis

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Creation of space for iris

Iris sealed with wax

www.indiandentalacademy.com
Trial of scleral prosthesis

Trial of scleral prosthesis with
iris

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Characterization
Fine embroidery threads

characterization

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Characterization
Characterization

Characterization

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Finishing & polishing
Processed prosthesis

Finished prosthesis

www.indiandentalacademy.com
Ocular prosthesis insertion
Before

After

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Ocular prosthesis insertion

Ocular prosthesis removal

www.indiandentalacademy.com
Complications
Papillary conjunctivitis

Post enucleation socket
syndrome

 Lower eye lid is stretched
Cell mediated
down ...
Maintenance
DOs










DONOTs

Cleaning of eye lids with baby
shampoo
Clean the secretions from eye
lids
Cleaned b...
Case 2

www.indiandentalacademy.com
Case 3

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Conclusion

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References







Clinical maxillo facial prosthetics—Thomas D
Tayler
Maxillo facial rehabilitation—John Beumer
Ocular...
Thank you

www.indiandentalacademy.com
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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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Rnr ocular prosthesis /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com GOOD AFTERNOON www.indiandentalacademy.com
  2. 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. 3. CONTENTS          Introduction Historical aspects Indications Types of ocular prosthesis Materials Case discussion Complications Maintenance Conclusion www.indiandentalacademy.com
  4. 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. 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. 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. 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. 8. Indications Congenital deformities   Acquired deformities Anophthalmia Microphthalmia    Irreparable traumatic damage Malignancy Cosmetic reasons. www.indiandentalacademy.com
  9. 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. 10. Materials    Glass Poly methyl methacrylate Silicon www.indiandentalacademy.com
  11. 11. Case discussion Examination www.indiandentalacademy.com
  12. 12. Steps in fabrication of ocular prosthesis Ocular impression Gauge placement www.indiandentalacademy.com
  13. 13. Plaster reinforcement Retrieval of impression www.indiandentalacademy.com
  14. 14. Split- cast Beading & boxing First pour of cast www.indiandentalacademy.com
  15. 15. Split-cast Second pour of cast Cast retrieval www.indiandentalacademy.com
  16. 16. Custom tray Custom tray www.indiandentalacademy.com
  17. 17. Custom tray with a syringe Custom tray with holes www.indiandentalacademy.com
  18. 18. Final impression with light body elastomer www.indiandentalacademy.com
  19. 19. Final impression Final impression www.indiandentalacademy.com
  20. 20. Cast preparation Master cast www.indiandentalacademy.com
  21. 21. Scleral wax pattern Pupil centralisation www.indiandentalacademy.com
  22. 22. Crown flask Investing of scleral pattern www.indiandentalacademy.com
  23. 23. Dewaxing Processed scleral pattern www.indiandentalacademy.com
  24. 24. Stock ocular prosthesis Iris of stock prosthesis www.indiandentalacademy.com
  25. 25. Creation of space for iris Iris sealed with wax www.indiandentalacademy.com
  26. 26. Trial of scleral prosthesis Trial of scleral prosthesis with iris www.indiandentalacademy.com
  27. 27. Characterization Fine embroidery threads characterization www.indiandentalacademy.com
  28. 28. Characterization Characterization Characterization www.indiandentalacademy.com
  29. 29. Finishing & polishing Processed prosthesis Finished prosthesis www.indiandentalacademy.com
  30. 30. Ocular prosthesis insertion Before After www.indiandentalacademy.com
  31. 31. Ocular prosthesis insertion Ocular prosthesis removal www.indiandentalacademy.com
  32. 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. 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. 34. Case 2 www.indiandentalacademy.com
  35. 35. Case 3 www.indiandentalacademy.com
  36. 36. Conclusion www.indiandentalacademy.com
  37. 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. 38. Thank you www.indiandentalacademy.com

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