ORIGINAL RESEARCH PAPER PROSTHODONTIC MANAGEMENT SIMPLIFIED IN MAXILLOFACIAL DEFECTS: A CASE SERIES (original) (raw)
Related papers
Prosthodontic Management Simplified in Maxillofacial Defects: A Case Series
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2023
A Prosthodontist plays an important role in the rehabilitation of lost maxillofacial and stomatognathic structures. The rehabilitation of maxillofacial defects improves the quality of life in such individuals. Thus it increases the self-esteem and well-being. In this case report, three patients treatment procedure has been described. It presents the rehabilitation of ocular, auricular and nger defects which fullled the patient's needs, esthetics and psychological well-being
Literature Review : Concept of Maxillofacial Prosthetics
2021
Introduction: Maxillofacial deformities can be unesthetic and can represent in the form of congenital, developmental, post ablative surgery, and traumatic defects which may be embarrassing to the patient. These defects not only compromise with appearance but also the functional and psychological health of the patient. It negatively affects the social life of the patient as well as severely alter the quality of life posing them to severe psychiatric, social and familial problems. The deformities can vary from malformation and developmental disturbance (congenital), pathologies (acquired) and post-trauma and oncosurguries. The ultimate prognosis depends on the type and extent of the defect. Surgical reconstruction by free flaps is usually the choice of treatment but with more advancement in prosthetic rehabilitation, it has become a choice of treatment over surgical intervention due to certain advantages such as observation for recurrence of the certain tumor and other pathologies, technical simplicity, esthetic superiority and cost-effective. Thus, the procedural complexity of surgical reconstruction and post-surgical complications is making it a less preferable choice of treatment. In the past, many decades' several prostheses have been developed for the correction of the maxillofacial defect but the successful treatment will ultimately depend on the correct diagnosis and skill-full decision of the clinician. Aim of the Study: The review represents the different maxillofacial prosthetics used in different debilitating conditions, the aim of the study is to understand the origin and development, different materials and techniques available for the fabrication of maxillofacial prosthetics. Methodology: The review is a comprehensive research of PUBMED since the year 1983 to 2019. Conclusion: The rehabilitation of maxillofacial defects can be very challenging in the field of maxillofacial prosthodontics. A carefully planned prosthetics with sophisticated techniques can finally improve the structural and functional defects. The work of the surgeon and prosthetic specialist are closely allied for full rehabilitation of the patient. The prosthodontist involved should be aware of the situation so that a better service is rendered to the patient.
Maxillofacial defects are facial disfigurements resulting from congenital abnormalities, surgical resection of tumours, trauma, or a combination of these. The resulting deformity often leads to a difficult path of recovery with lifelong consequences, causing both physical disability and mental distress. The aim of maxillofacial prosthesis should be to restore the normal physiological function in these patients, various prosthesis used in the management of these defects. However, the knowledge amongst the various dental and medical practitioners about the same has been at sparse. This survey helps to evaluate the knowledge among different practitioners.
Psychological Considerations in Maxillofacial Prosthesis – A Review
Journal of Evolution of Medical and Dental Sciences
BACKGROUND The theoretical and analytical work of these authors help identify the variables that the dentist must consider. There is, however, no comprehensive structure that would bring together the various aspects of psychological awareness that are most relevant to patients undergoing maxillofacial prosthetics. Important psychological factors are involved when disease, injury, or treatment causes significant maxillofacial changes. The assessment of the patient’s behaviour is important for the success of the treatment. It helps in understanding whether the said treatment can be carried out effectively or understood and appreciated by the patient once it is completed. [1] The result for a successful treatment outcome depends upon the prosthodontist making a correct diagnosis and looking out for problems beyond the field of dentistry alone. This is even more important while dealing with patients having orofacial defects as the maxillofacial region is of utmost importance during one’...
The patients with maxillofacial deformity experience unique disruption in the normal oral/craniofacial environment and functions, which are the result of congenital, traumatic or surgical insults. This has negative impact on the psychological disposition of patients, especially, if defect also affects esthetic. In this aspect, Maxillofacial Prosthetics aim to attain the optimal evolutionary functions, such as speech and swallowing, and normalcy, most sought after. Modifying routine dental procedures, the dentist can create an interim prosthesis with immediate approach to cover defect created by missing tissue to regain optimal/suboptimal functions. This paper presents the role of interim prosthesis fabrication with an immediate approach as a positive impact factor on psychological disposition of maxillofacial patient.
Form, Function, and Esthetics in Prosthetically Rehabilitated Maxillary Defects
The Journal of craniofacial surgery, 2017
Patients with maxillofacial defects secondary to the removal of benign and malignant pathologies of midface have a profound impact on quality of life. The aim of this study was to collect and analyze the data pertaining to 4 designs of obturator by assessment of the patient with obturator functioning scale (OFS) MATERIALS AND METHODS:: This retrospective analysis included all the patients who underwent prosthetic rehabilitation of maxillary defects using 4 different types (conventional, cast partial, hollow bulb, and magnet retained) of obturators from 2009 to 2016 with minimum 1 year of follow up. Demographics, number, size, location, type of pathology, postmorbid dentition, and the treatment rendered were recorded. Obturator functioning scale was used to subjectively assess the patient satisfaction. The mean score on OFS was 5.67 (standard deviation: 1.8). There was a fair and statistical improvement in chewing/eating, speech clarity in public/on phone, swallowing of foods and liq...
MAXILLOFACIAL PROSTHETICS PART-1: A REVIEW
Maxillofacial disfigurement can be congenital, developmental, traumatic or because of ablative surgery. Such defects compromise appearance, function and render an individual, incapable of leading a relatively normal life and affect his\her psyche. As the patients quality of life is altered; social integration becomes difficult and the expectation to return to “normalcy” collapses. The prognosis for a successful treatment outcome is dependent upon making a correct diagnosis and anticipating issues beyond the realm of dentistry alone. Microvascular surgical reconstruction by free flaps is usually the treatment of choice. However, radiation therapy, anatomic complexity, possibility of recurrence, and procedural complexity may exclude it as an option. Prosthetic rehabilitation over the years has proven its mettle when it comes to such situations. It has considerable advantages; for example, observation for recurrence of disease, esthetic superiority, technical simplicity, and inexpensive care. Over decades several prostheses have been developed for this purpose, through this review our aim is to explain the salient features and the purpose of these prostheses.
Oral and Maxillofacial Surgery Clinics of North America, 2018
Maxillofacial prosthetic is a branch of prosthodontics associated with restoration and/or replacement of stomatognathic and craniofacial structure with prostheses which may or may not be removed on a regular or elective basis. After cancer ablation surgery in the head and neck region, a maxillofacial prosthesis can rehabilitate patient's appearance and functions including mastication, swallow and speech • When surgical construction of patient after cancer ablation surgery is limited. Patient's functions, esthetics can be restored by a maxillofacial prosthesis. Patient's quality of life and psychological status are improved. • A maxillofacial prosthodontist works closely with the oncologic surgeon, physicians, and others cancer care team member to deliver the best treatment outcome for the patient. SYNOPSIS Treatment of cancer in head and neck region require a team approach. Maxillofacial prosthetics and oncologic dentistry involve in many phases of the treatment. After the cancer ablation surgery, if surgical reconstruction cannot not completely restore the surgical defect site, maxillofacial prosthesis play an important role to rehabilitate the patient's mastication, swallowing and speech. For chemo-radiation therapy, the outcome is enhanced by jaw positioning stent and fluoride carrier mouthpiece. These perioperative care by maxillofacial prosthetics improve the post-treatment outcome and ensure the patient's quality of life.
The scope of maxillofacial prosthodontics
SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging, 2012
Oral cancer may affect up to 275 000 new patients per year worldwide. Many of these will be disfigured by the destruction of tissue within the face and head area. Maxillofacial prosthodontics can play a vital role in restoring such patients to a semblance of normality in appearance and function. This article will describe the role of maxillofacial prosthodontics in the treatment of these oral cancer patients.