Abstract

A detailed explanation on principle of osseointegrated implants in the fabrication of orbital prosthesis, mechanism of action and the surgical steps till the final dispensing.
Osseointegration is used in the medical field for dental implants, ear prosthesis and craniofacial prosthesis. Osseointegrated Orbital Prosthesis is a new addition to the armamentarium of Orbital prosthesis and is superior to conventional spectacle mounted and adhesive retention orbital prosthesis.

Mechanism: 3-4 titanium implants(with magnetic property) go into stable bone where osteotomy is already made. The reverse pole of these implants is incorporated into the orbital prosthesis so that the prosthesis snugly clicks on and clicks off.
The surgical procedure:
Step 1: Making the osteotomy and drilling the implants
Step 2: Placement of healing abutments
Step 3: Fabrication of Ocular Prosthesis
This is a boon for patients worried about cosmetic disfigurement seeking a post-exenteration orbital prosthesis.