Enhancing Denture Aesthetics Using a Detachable Cheek Plumper with Upper Cu-sil Denture: A Case Report

Introduction: Aesthetics plays a vital role in the treatment of completely edentulous patients. Modern prosthodontics goes beyond merely replacing missing teeth, with a strong focus on improving facial aesthetics. One of the significant concerns is the loss of support to the facial musculature, leading to sunken cheeks due to flaccid facial muscles. This change in facial appearance not only affects the aesthetics but also impacts the psychological well-being of the patient. Cheek plumper appliances are designed to provide additional support to weakened facial musculature, thereby restoring facial contours and enhancing overall aesthetics. Case Presentation: A partially edentulous patient with pronounced sunken cheeks due to the loss of facial muscle support was presented. A detachable acrylic cheek plumper appliance was fabricated to address these issues. The appliance was designed with push-button attachments, which were selected due to their durability compared to magnetic attachments, which lose their magnetic properties over time. The appliance was designed and fitted to offer adequate support and improve the patient's facial aesthetics. Discussion: Cheek plumper appliances are an effective solution for restoring facial aesthetics in edentulous patients with sunken cheeks. Traditional attachments such as magnets have been commonly used, but they tend to lose their magnetic strength over time, leading to appliance failure. In contrast, push-button attachments have been shown to offer better durability and longevity, making them a more reliable option. This report highlights how push-button attachments help cheek plumper offer reliable support and better facial aesthetics. Conclusions: Detachable acrylic cheek plumper appliances utilizing push-button attachments provide a reliable and long-lasting approach to restoring facial esthetics in completely edentulous patients. This technique provides lasting support for sunken cheeks, improving both facial aesthetics and psychological well-being. Keywords: Facial Esthetics, Sunken Cheeks, Detachable cheek-plumper, Cheek lifting appliance, push-button.