The Role of Dental Implant in Maxillofacial Prosthetic Rehabilitation in Rizgari Teaching Hospital.
DOI:
https://doi.org/10.15218/edj.2024.4Keywords:
Dental Implant, Rehabilitation, Prosthesis, Maxillofacial DefectsAbstract
Backgrounds and objectives: Loss of any maxillofacial subunit will certainly pose a functional, esthetic, and psychological problems. In addition, the mode of fixation of prosthesis is of major concern. This research aimed to study the role of dental implant in fixing maxillofacial prosthesis.
Method: A retrospective hospital-based study was designed from June 2019 to January 2023. Maxillofacial prosthetic unit is the only center in the region treating patients with lost maxillofacial subunits. Inclusion criteria were, 18 years old or above, patients who lost facial structure unit/s (mandible, maxilla, orbit, nose, auricle, etc...). Cone beam CT was used for implant site planning. All the surgeries of implant placement were done under local anesthesia through full thickness skin flaps. Implants were placed 1cm away from each other for hygienic purposes and at least 7mm away from hairy skin.
Result: A total of 28 implants were used for prosthetic rehabilitation of 10 patients (7 males and 3 females) with age range of 27-70 years. All the implants passed the period of healing and the follow up period after prosthetic rehabilitation successfully with 0% failure. No unwanted sequel like skin infection or peri implantitis or pain is reported.
Conclusion: Dental implant considered the best mode of fixation in maxillofacial rehabilitation with best functional, esthetic and psychological outcomes.
References
Chauhan, Dushyant; Roy, I. D. Viswamnara, M.; Thakur, Ashish; Athwale, Ravi. Rehabilitation of Auricular Defect with Implant-Retained Auricular Prosthesis - A Case Report. Annals of Maxillofacial Surgery 11(1): p 164-168, Jan–Jun 2021. | DOI: 10.4103/ams.ams_343_20
Bashiri, R., Khalili, M., Weiner, S. (2021). Rehabilitation of Oral Cancer Patients using Dental Implants and Maxillofacial Prosthetics. In: El Assal, R., Gaudilliere, D., Connelly, S.T. (eds) Early Detection and Treatment of Head & Neck Cancers. Springer, Cham. https://doi.org/10.1007/978-3-030-69859-1_10
Le, J., Ying, Y., Kase, M., & Morlandt, A. Surgical Reconstruction and Rehabilitation of Midface Defects using Osseointegrated Implant-supported Maxillofacial Prosthetics. Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology. 2022, 6(1). https://doi.org/10.23999/j.dtomp.2022.1.4
Beumer J, Marunick MT, Esposito SJ. Maxillofacial rehabilitation: prosthodontic and surgical management of cancer-related, acquired, and congenital defects of the head and neck. 3rd edition. Quintessence Publishing Co. Inc; 2011.
Burget GC, Walton RL. Optimal use of microvascular free flaps, cartilage grafts, and a paramedian forehead flap for aesthetic reconstruction of the nose and adjacent facial units. Plast Reconstr Surg 2007;120(5):1171–207. https://doi.org/10.1097/01.prs.0000254362.53706.91
Moreno MA, Skoracki RJ, Hanna EY, Hanasono MM. Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects. Head Neck 2010;32(7):860–8. https://doi.org/10.1002/hed.21264
Tolman DE, Desjardins RP. Extraoral application of osseointegrated implants. J Oral Maxillofac Surg 1991;49(1):33–45. https://doi.org/10.1016/0278-2391(91)90264-m
Ueda M, Hibino Y, Niimi A. Usefulness of dental implants in maxillofacial reconstruction. J Long Term Eff Med Implants 1999;9(4):349–66.
Roumanas ED, Freymiller EG, Chang TL, Aghaloo T, Buemer J III. Implant retained prosthesis for facial defects: An up to 14-year follow-up report on the survival rates of implants at UCLA. Int J Prosthodont 2002; 15: 325-32.
D’Souza, D. Role of Implants in Maxillofacial Prosthodontic Rehabilitation. In: Turkyilmaz, I., editor. Current Concepts in Dental Implantology [Internet]. London: IntechOpen; 2015 [cited 2023 Jan 16]. Available from: https://www.intechopen.com/chapters/48007 doi: 10.5772/59578
Kaltreider, S. A., & Newman, S. A. Prevention and management of complications associated with the hydroxyapatite implant. Ophthalmic plastic and reconstructive surgery,1996; 12(1): 18-31.
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