case_images: PMC7580757_01
case_images: Presurgical intraoral picture
case_images: CCD-11-87-g001.jpg
case_images: PMC7580757_01_CCD-11-87-g001.jpg
case_images: F1
case_images: A 40-year-old male patient, a teacher by occupation, who reported with an ulcerative growth on right maxilla [Figure 1] underwent a computed tomography (CT) scan.
case_images: Diagnostic casts, scrapped teeth on the cast, and wax-up for immediate obturator
case_images: CCD-11-87-g002.jpg
case_images: PMC7580757_01_CCD-11-87-g002.jpg
case_images: F2
case_images: Diagnostic casts were prepared, and the area to be resected was marked on a duplicated cast from 11 to 17 and scraped [Figure 2]. Wax-up of the cast was done [Figure 2].
case_images: Postsurgical intraoral view with immediate obturator in place and relined with soft liners
case_images: CCD-11-87-g003.jpg
case_images: PMC7580757_01_CCD-11-87-g003.jpg
case_images: F3
case_images: An immediate obturator was inserted after carrying out the necessary adjustments [Figure 3], and instructions were given to the patient. Relining of the obturator was done with soft liners [Figure 3], and necessary modifications were done at each regular interval.
case_images: Intraoral view after complete healing and medium body sectional impression
case_images: CCD-11-87-g004.jpg
case_images: PMC7580757_01_CCD-11-87-g004.jpg
case_images: F4
case_images: As the defect was multilocular, sectional impression technique was followed to record the defect with putty addition silicone [Figure 4]. The superficial section of the defect part had come along with the medium body impression, and rest of the sections were oriented outside [Figure 4].
case_images: Master cast, wax pattern on the refractory cast, and metal framework on the cast
case_images: CCD-11-87-g005.jpg
case_images: PMC7580757_01_CCD-11-87-g005.jpg
case_images: F5
case_images: Master cast was obtained using this impression [Figure 5], and blocking out of the unfavorable undercuts was carried out. This blocked out master cast was used to obtain a refractory cast on which wax pattern was prepared using the pattern wax [Figure 5]. This finished metal framework was made to fit the cast [Figure 5], which was tried intraorally, and then jaw relation was recorded [Figure 6].
case_images: Metal framework try-in, jaw relation, and denture try-in
case_images: CCD-11-87-g006.jpg
case_images: PMC7580757_01_CCD-11-87-g006.jpg
case_images: F6
case_images: This finished metal framework was made to fit the cast [Figure 5], which was tried intraorally, and then jaw relation was recorded [Figure 6]. Teeth arrangement followed by try-in was done [Figure 6], and the trial denture was invested.
case_images: Packing lid portion with a tin foil, lid separated after deflasking, and hollowing out of the bulb
case_images: CCD-11-87-g007.jpg
case_images: PMC7580757_01_CCD-11-87-g007.jpg
case_images: F7
case_images: The lid portion was packed first with heat-cured acrylic resin, a piece of tinfoil was placed over this portion [Figure 7], and the rest of the defect was packed and processed. The bulb was hollowed out from within an acrylic trimming bur [Figure 7], and the lid was sealed with self-cured acrylic resin.
case_images: Final finished prosthesis and denture in place
case_images: CCD-11-87-g008.jpg
case_images: PMC7580757_01_CCD-11-87-g008.jpg
case_images: F8
case_images: The finished final prosthesis was delivered to the patient with appropriate instructions [Figure 8].