An artificial eye is fit when the real eye has been removed.
State-of-the-art fitting techniques are used when fitting the prosthesis. First, a custom tray is sculpted from wax to bring symmetry to the lids. Next, the iris is positioned, and the primary gaze is determined. Then an impression of the socket is taken. This will allow the even distribution of the prosthesis over the implant providing the best movement and comfort.
The prosthesis is painted using brushes, and multiple layers of paint are used to duplicate the striations of the seeing eye accurately. The pattern of blood vessels is made using proprietary methods.
The length of time needed for the process of fitting and fabrication varies with each patient. However, the eye can usually be completed in one day.
A scleral cover shell is fit over a blinded phthisical eye or when the globe is remaining. Typically they are much thinner than an artificial eye. The fitting and painting processes are the same as an artificial eye.
As the prosthesis is worn, salts and proteins gradually accumulate on the surface. These buildups can cause socket irritation and chronic discharge. Having the prosthesis polished at least once every year will minimize the protein buildup.
A maxillofacial restoration is a prosthesis that replaces a part of the face with artificial materials. An orbital restoration includes the eye, lids, lashes, and sometimes brow. Most patients who require a maxillofacial restoration have had cancer. The prosthesis skin tones and details are tattooed into silicone using micro-pigmentation techniques.
This proprietary technique adds another level of realism compared to extrinsic coloring. The fitting and fabrication process takes several visits.
The prosthesis is retained with special effects adhesive or implants placed by the physician.
****Mr. Imm completed an intensive Maxillofacial Prosthesis course at the University of Indianapolis School of Dentistry at Purdue – 50 Credit Hours***
Custom conformers are made for several reasons. A few of the reasons may be a poorly fitting stock post-op conformer, to expand the socket, or to prepare the patient for a scleral cover shell. We can provide this service to doctors upon request.