Abstract
A patient with extensive mid-facial defects treated in a prosthodontic manner without surgical intervention is presented. The patient was a 61-year-old male, and had a large right-side mid-facial defect involving the nose, orbital contents, cheek, upper lip and the maxilla. The right side of the upper lip was sutured to the lower lip to allow only a small orifice of the mouth. Since the patient refused a treatment plan of an implant and prosthesis with surgical intervention, a non-invasive approach was selected as a basic treatment strategy. At the first stage of the treatment, maxillary and mandibular complete dentures were fabricated and subsequently adjusted. The maxillary denture was retained with the pressure of the muscles and the reconstructed upper lip. To control the flow of liquid, a dam was added to the buccal flange of the lower denture. After the patient had become used to the prostheses comfortably, a facial prosthesis was fabricated with silicone. Adhesive material was used to retain the facial prosthesis. To increase the retention, the area for the adhesive was extended over the forehead region. Although the prostheses improved the mastication and swallowing, speech production of bilabial consonants remains difficulty.
