VOLUME 2 , ISSUE 2 ( July-December, 2025 ) > List of Articles
Yukta Trambakrao Gadhe, Amrita Pandita Bhatia, Antariksha Dod, Shilpi Tiwari, Sudarshan Pramod Pargaonkar, Kirti Ramrao Hange
Keywords : Case report, CT-based digital planning, Edentulous maxillary defect, Maxillary obturator, Maxillofacial prosthesis, Mollosil obturator, Patient-centered rehabilitation, Three-dimensional-printed resin model
Citation Information : Gadhe YT, Bhatia AP, Dod A, Tiwari S, Pargaonkar SP, Hange KR. From Scan to Solution: Patient-centered Maxillofacial Rehabilitation Using a 3D-printed Resin Model to Fabricate an Obturator: A Case Report. 2025; 2 (2):78-82.
DOI: 10.5005/jihr-11055-0018
License: CC BY-NC 4.0
Published Online: 30-04-2026
Copyright Statement: Copyright © 2025; The Author(s).
Background: Rehabilitation of edentulous postmucormycosis maxillary defects is challenging due to extensive anatomical loss, restricted intraoral access, and financial limitations. Surgical reconstruction or implant-supported prostheses may be contraindicated, while conventional acrylic obturators often fail to achieve retention and stability. Case description: A 67-year-old male with controlled diabetes, previously treated with amphotericin B following COVID-19-associated mucormycosis, presented 3 years postmaxillectomy with complete edentulism and a vertical Class II defect (>50% vertical bone loss). Symptoms included impaired mastication, swallowing difficulty, and social isolation. Prior conventional obturator attempts were unsuccessful. Intervention: Computed tomography (CT) scans (1 mm slices, Siemens Somatom) were processed using RadiAnt, Meshmixer, and Chitubox to generate STL data, which was 3D-printed (Elegoo Mars 3). A wax bulb prototype was sculpted on a 3D-printed model utilizing undercuts for retention and processed with Mollosil silicone (10:1 mix, 10 minutes at 45 °C). A vinyl polysiloxane (VPS) pickup impression enabled fabrication of a definitive heat-polymerized polymethyl methacrylate (PMMA) obturator. Mollosil bulb bonded to acrylic via Mollosil adhesive and mechanical retention. Outcome: The hybrid obturator restored retention, stability, occlusion, speech, and deglutition. Follow-ups at 48 hours, 1 week, 1 month, and 6 months confirmed sustained function, oral–nasal separation, and patient satisfaction without complications. Conclusion: This CT-based hybrid digital–conventional workflow with a flexible Mollosil bulb offers a cost-effective, minimally invasive solution when conventional methods fail.