Move your mouse over each photo to view the patient's condition before treatment

Maxillofacial Prosthetics

Maxillofacial prosthetics is the branch of dentistry that provides prostheses to replace or augment areas affected by surgery, injury, disease, or congenital effect.

"If a case can't be corrected surgically, then we use a prosthesis," explains Dr. Gotsch.

The images at right are examples of our maxillofacial prosthetic work, which constitutes about 20% of our practice.

Artificial Eyes

When a patient comes to us for an ocular prosthesis, we take an impression of their eye socket and surrounding tissue and from that fabricate a custom-made, custom-fit artificial acrylic eye from the ground up. Then we delicately hand-paint it to match the existing eye.

"Each eye contains a variety of colors," explains Dr. Gotsch. "There's usually a little bit of blue and brown and black on the outside. You have to put all those nuances in to make it look like a real eye."

Dr. Gotsch has devised a unique way to replicate the blood vessels in the sclera to ensure that each looks as natural as possible. "We place tiny red fibers on it, and we shade it to match the neighboring eye, because everyone's sclera is a different color."

In most cases, the artificial eye can be made to track with the existing eye and is very difficult to distinguish from its counterpart.

We also perform polishing and periodic maintenance of ocular prostheses.

Artificial ears, noses and
other parts of the face and neck

Many of the patients who come to us for a maxillofacial prosthesis are cancer patients or accident victims who have lost a portion of their face. Some have damage so severe that they prefer not to be seen in public.

Treatment often involves the construction of a soft silicone rubber prosthesis, which the patient applies each morning with medical-grade adhesive.

In one instance, we made a special interchangeable mouthpiece for a three year-old quadriplegic that allowed her to use pens, pencils, markers and paintbrushes for the first time.

"Once she used it, she didn't want to take it out," recalls Dr. Gotsch. "All of a sudden, she had a way to express her creativity."