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Fabrication of Occular and Auricular Prosthesis
Fabrication of Occular and Auricular Prosthesis
patient.
2. Restoration of function.
3. Protection of tissues.
5. Psychologic therapy.
Advantages:
2. The patient spends less time away from home and job
Reversible hydrocolloid
• Advantages :
• Advantages
• excellent detail reproductions,
• High cost
• Advantages are;
• inexpensive,
• Possibility of distortion,
• The cheapest and the easiest are the plastic tubs. A portion is cut out
• The external auditory canal should be blocked off with cotton wool or
Vaseline gauze
• Alginate mixed to fluid consistency is then poured. No need to provide
• When pouring the alginate pour the back part of the helix first, so as to
provide support for the helix when full amount of alginate is added.
Poured in stone.
Sculpting technique
• A wax sheet is then adapted to form the base plate. The general shape
of the ear is moulded using the marks present on the model to
ascertain the correct size.
• The carving detail of the ear is then commenced, during which the size
of silicone
• Embed the mould in plaster upto the leading edge.
• Locations are cut in the helix area of the mould to allow the second
added, and air may be removed from the mixture by placing a container in
• The colored, catalyzed, air less silicone is then placed into the mould cavity,
taking care to allow the liquid to flow into all thin areas.
• The mould is then clamped and placed into dry heat oven at
temperature
completed prosthesis.
• Colouring techniques
Intrinsic coloration
Extrinsic coloration
• Creating a facial prosthesis that appears to have a realistic skin
expertise.
casting procedure.
prosthesis that has been cured and removed from the mould.
Lighting considerations
color with the target base color of the patient’s skin and
modify as necessary.
Computerized color
formulation
• Spectrophotometry combined with computerized color formulation provides
an objective means of achieving a skin color match.
• This is accomplished by computing a pigment formula with color formulation
software that matches a measured skin color.
• The computerized formulation process involves selecting a color to measure,
measuring the color with spectrophotometer, transferring the measurement
data to the computer, calculating and mixing a formula, and preparing a
batch of colored silicone for packing.
Laminar glazes
• Laminar glazes are layers of color painted individually into
the mould before packing the base color.
• Golden tan glaze- the tan color observed in skin due to the
presence of melanin.
blood vessels and other skin marking on the contra lateral ear
prosthesis.
Retention of prosthesis
• Two main methods of retention are employed,
• Traditional methods -
• Adhesives
• Magnet or bar and clip retention are the two primary forms of
retention used in the auricular region.
sculpture should be placed onto the patient and verified for fit,
• Then the ocular segment is removed from the wax pattern and
duplicated using an alginate impression
• This segment will form a pocket in the final silicone prosthesis for
insertion of ocular segment of the prosthesis
Processing of prosthesis
• The mould cavity is prepared by coating the external tissue surface area with a
thin coat of catalyzed uncolored silicone material
• Characterization colors are chosen and mixed with the silicone polymer and
painted on the surface of the clear layer.
• When a satisfactory base color has been mixed, the silicone catalyst is added, and
air may be removed from the mixture by placing the container in a bell jar under
vacuum
• The colored catalyzed, air less silicone is then placed into the mould cavity,
taking care to allow the liquid to flow into all the thin areas.
• The mould is then clamped and placed into a dry heat oven at the
manufacturer prescribed polymerization time and temperature.
• Residual silicone may be left on the external surface of the mould to test for
complete polymerization.
supraorbital rim.
• Since the artificial eye does not track with the natural eye of the
opposite side, the patient should learn to turn his head when
• Taught how to clean the prosthesis (in warm water with a mild
soap)