Case Report
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World J Clin Cases. Sep 16, 2014; 2(9): 482-487
Published online Sep 16, 2014. doi: 10.12998/wjcc.v2.i9.482
Cranioplasty with custom made alloplastic prosthetic implant: A case report
Lokendra Gupta, IN Aparna, Dhanasekar Balakrishnan, Lingeshwar Deenadayalan, Puneeth Hegde, Priyanka Agarwal
Lokendra Gupta, IN Aparna, Dhanasekar Balakrishnan, Puneeth Hegde, Department of Prosthodontics, Manipal College of Dental Sciences, Manipal 576104, India
Lingeshwar Deenadayalan, Flat No. 5 Purushotam Flat No. 64, Second Main, Gandhi Nagar, Chennai 20, India
Priyanka Agarwal, Department of Pedodontics, Manipal College of Dental Sciences, Manipal 576104, India
Author contributions: Agarwal P helping in manuscript preparation; Gupta L, Aparna IN and Balakrishnan D contributed to devise the treatment planning and prosthesis fabrication; Deenadayalan L and Hegde P helped Neurosurgeons for prosthesis adjustment and fitting, during surgical rehabilitation.
Correspondence to: Dr. Lokendra Gupta, Assistant Professor, Department of Prosthodontics, Manipal College of Dental Sciences, Karnataka, Manipal 576104, India. lokinse@gmail.com
Telephone: +91-820-2922183
Received: March 20, 2014
Revised: May 30, 2014
Accepted: June 27, 2014
Published online: September 16, 2014
Processing time: 178 Days and 16 Hours
Abstract

Cranial defects often occur due to trauma. The treatment of such defects is a challenge to the skill and knowledge of the practitioner. This article presents one such case, where a 15-year-old boy had suffered extensive loss of the right cranium following a road traffic accident. The patient required rehabilitation of the right fronto-temporal cranial anatomy and was managed using a custom made heat polymerized acrylic alloplastic implant.

Keywords: Cranioplasty; Cranial implant; Acquired defect; Heat cure poly methyl methacrylate resin

Core tip: Prefabricated heat-polymerized acrylic prosthesis, offers the benefits of reducing the tissues to residual monomer or the heat of polymerization. The other advantages are low content of residual monomer in prosthesis because of long curing cycle and prolonged immersion in water. Old orthopantomogram films were used during impression. It is an easy and economical method for recording the defect. In order to reduce the bulk of the prosthesis, the defect area was contoured with plaster. After try in, the wax pattern was covered with an aluminum foil, to check the contour radiographically. Gutta percha points were incorporated as radiopaque marker.