A custom auricular implant healing abutment: A dental technique

Ingy Saied Ahmed Soliman; Amany A El Hadary; Mohamed Sherine El Attar; Mohamed Fata

doi:10.1016/j.prosdent.2023.05.019

A custom auricular implant healing abutment: A dental technique

J Prosthet Dent. 2023 Jul 1:S0022-3913(23)00367-0. doi: 10.1016/j.prosdent.2023.05.019. Online ahead of print.

Authors

Ingy Saied Ahmed Soliman¹, Amany A El Hadary², Mohamed Sherine El Attar³, Mohamed Fata⁴

Affiliations

¹ Lecturer, Department of Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. Electronic address: ingy.hassan@alexu.edu.eg.
² Adjunct Professor, Department of Prosthodontics, Faculty of Dentistry, Toronto University, Toronto, Ontario, Canada.
³ Professor, Department of Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
⁴ Professor, Department of Maxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

PMID: 37400331
DOI: 10.1016/j.prosdent.2023.05.019

Abstract

Skin overgrowth is a complication that hinders bone-anchored prosthetic ear rehabilitation. In order to accurately transfer the healing skin for prosthetic reconstruction, this article introduces a custom-made autopolymerizing acrylic resin auricular cap (button) through indirect pick up of the metal housing. The caps are secured during the healing stage to shape the skin, preventing surgical edema, swelling, and skin overgrowth in patients suffering from keloid reactions from covering the implant abutments. Since skin height and form are changeable, the caps can be relined directly or indirectly if greater skin compression is required. Moreover, these custom-made caps can be utilized during prosthetic silicone ear fabrication to retain the metal housing.