general introduction to prosthodontics

3. Introduction to prosthodontics
 Definition:
“PROSTHESIS”
 Branches:
1. Fixed
2. Removable

6. Branches:
1. Fixed
Partial
Complete
2. Removable
3. Maxillo-facial – obturators: eye, ear, nose,
face, feeding and speaking devices
4. Implants

8.  In 1997, Richard Lee Norris, then aged 22,
arrived home drunk and got into an
argument with his mother. In the heat of the
moment, he grabbed a shotgun, pointed it
at his own face and told his mother he was
going to shoot himself. The gun went off
accidentally, shattering the lower half of Mr
Norris's face. Miraculously, he survived, but
lost his nose, jaw, teeth and most of his
tongue. As he told GQ, there was flesh,
bone and blood on all four walls of his
bedroom.

10.  Mr Norris spent the next decade living
as a recluse in Hillsville, Virginia, only
leaving home to go shopping at night.
He underwent dozens of operations to
repair his face, but conventional surgery
could only redress a small proportion of
the damage.

11. 
Read
more: http://www.dailymail.co.uk/news/a
rticle-2709112/No-one-gives-second-
look-Shotgun-victim-ambitious-face-
transplant-speaks-
transformation.html#ixzz53N5sCFJQ
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Twitter | DailyMail on Facebook

12.  In 2012, Mr Norris underwent the most
extensive face-transplant operation ever
performed; receiving teeth, a jaw and even a
tongue from a donor.
 36-hour procedure involving 150 doctors and
nurses at the University of Maryland Medical
Center, which carried only a 50 per cent chance of
survival. The transplant included tissue from the
neck to the scalp, as well as the upper and lower
jaw, teeth and a section of the tongue.
 The operation came just seven years after the first
successful partial face transplant

13. The surgery started at dawn on March 19, 2012. The
face of a recently deceased 21-year-old man came
off as one solid flap, skin, muscle, bone, nerves,
blood vessels, tongue—everything as one piece.
Rodriguez removed what was left of Richard’s
disfigured face, dissected down to the skull. He
attached the new face midway back on Richard’s
scalp. He stabilized it with screws, tapped the jaw
together, and finally draped the skin and sewed it
down like a patch on a coat or a pair of jeans.
You can see the junction; the incision actually goes
here in the coronal, extends in front of the ear, and
goes posteriorly all the way down, uh, to the neck.

15.  The donor was a 21-year old man from
Maryland, Joshua Aversano, who was
killed after being knocked down by a van
while crossing the road. Mr Norris is in
regular contact with Mr Aversano's
family.

26. Recommended text/ reference
books
 Mc Craken’s Removable Partial
Prosthodontics
 Bouchers – Prosthodontic Treat for edentulous
patients
 MCQ’S for P.G’s in Prostho by Vinaya Bhat
JAYPEE publishers
 Nella swamy
 Fenns prosthodontics
 Lab work ref book: Abdal’s lab manual for
Prostho