• Title/Summary/Keyword: Maxillofacial prosthesis

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A study of introduction for Maxillofacial prosthesis in Dental Technology (치과기공의 악안면 보철분야 도입을 위한 이론적 고찰)

  • Lee, Hee-Kyung
    • Journal of Technologic Dentistry
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    • v.29 no.2
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    • pp.105-117
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    • 2007
  • As a dental technician, the aim of the present study on maxillofacial prosthesis was to research its relation with dental technology and further development aspects by looking into its history, kinds, production materials and process. Dental technicians are to expect a great potential to work as maxillofacial prosthetist if having an interest in education of maxillofacial prosthesis field, and developing and operating the education process by expanding the range of dental technology. This article is to present overall history of maxillofacial prosthesis and some background information on the materials which have been used from the past. The maxillofacial field plays essential functions of mastication and speech, as well as performs appearance, which evokes good or bad feelings as an instant and instinctive response. The use of maxillofacial prostheses is not merely the replacement of a missing part of the face, resulted from injuries, but a rehabilitation process to help individuals come back to society. Rehabilitation includes both patient's physical and psychological recovery, such as self-esteem and selfconfidence. There has been a rapid development in application potentials of maxillofacial prosthesis technology which include implant, which can penetrate skin, and new materials. In order to produce maxillofacial prosthesis, general procedures of maxillofacial laboratory work should be understood first. Maxillofacial prosthesis and the dental prosthesis have many similarities in its academic perspective and originality. Maxillofacial prosthesis should be added into the curriculum for dental technology to achieve co-enhancement of the two fields.

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Temporomandibular joint reconstruction with alloplastic prosthesis: the outcomes of four cases

  • Park, Jung-Hyun;Jo, Eun;Cho, Hoon;Kim, Hyung Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.6.1-6.6
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    • 2017
  • Background: The purpose of this study is to evaluate the outcomes of four patients receiving stock Biomet TMJ prosthesis for reconstruction of the TMJs. Methods: TMJ reconstruction with stock Biomet TMJ prosthesis was performed in four patients who had joint damages by trauma, tumor, resorption, and ankylosis, which represent the indications of alloplastic prosthesis. Results: Loss of condyle from trauma and resorption of joint are good indications for prosthesis, but the patients should be informed about limitation of jaw movement. In case of structural damage of TMJ by tumor, tumor recurrence should be considered before planning TMJ reconstruction. Considering heterotopic bone formation in case of ankylosis, periodic follow-up and special surgical technique are required. Conclusions: Given careful treatment planning and understanding the functional limitation of TMJ prosthesis, alloplastic prosthesis is a safe and effective management option for the reconstruction of TMJs.

RECONSTRUCTION OF EXTERNAL EAR WITH BONE-ANCHORED AURICULAR PROSTHESIS : A CASE REPORT AND LITERATURE REVIEW (골 부착형 악안면 보철물을 이용한 외이의 재건:증례보고 및 문헌고찰)

  • Kim, Hak-Kyun;Kim, Eun-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.1
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    • pp.93-96
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    • 2000
  • Bone-anchored auricular prosthesis have been proved that was another apporach to the treatment of the defective external ear. A 19years old woman with hemifacial microsomia was treated with osseointegrated implants for the support of craniofacial prosthesis. 3 implants were placed in temporal region and craniofacial prosthesis was retained with telescopic magnet retention system. The literatures and surgical technique are reviewed and our experience is presented.

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Relationship between squamous cell carcinoma of the tongue and the position of dental prosthesis

  • Fan, Huan;Yoon, Ki-Yong;Kim, Soung-Min;Myoung, Hoon;Lee, Jong-Ho;Kim, Myung-Jin
    • The Journal of Advanced Prosthodontics
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    • v.7 no.2
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    • pp.129-137
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    • 2015
  • PURPOSE. Squamous cell carcinoma (SCC) of the tongue has a relatively high incidence of all oral cancers. Some studies have reported a relationship between intraoral dental prosthesis and SCC of the tongue; however, this relationship remains controversial. The purpose of this study was to investigate the relationship between SCC of the tongue and the positional aspects of dental prosthesis using a retrospective analysis. MATERIALS AND METHODS. A total of 439 patients with SCC of the tongue were diagnosed and treated in the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Patients were treated over a 12.5-year period ranging from January 1, 2001 to June 30, 2013. Statistical analysis was performed to examine potential differences between the groups. RESULTS. The number of patients with a crown and/or a bridge (134, 63.5%) was significantly different than the number of patients without a prosthesis (77, 36.5%). Even after accounting for different types of prostheses such as crowns, bridges, and dentures, no significant differences were observed between the position of the prosthesis and the location of the SCC of the tongue, with significance defined as a P-value less than .05 by the Pearson-Chi square test. CONCLUSION. Patients with crowns and/or bridges exhibited more frequent SCC of the tongue compared with patients without these prosthesis. These data support the hypothesis that mechanical trauma and galvanic phenomena play a role in the etiology of SCC of the tongue.

A study on maxillofacial prosthesis: systematic considerations (악안면 보철 연구: 체계적 고찰)

  • Hwang, Seong-Sig;Im, Yong-Woon
    • Journal of Technologic Dentistry
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    • v.43 no.4
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    • pp.139-144
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    • 2021
  • Purpose: This study aimed to provide basic data to identify the current status of use of maxillofacial prosthesis across the world and discuss its application and research directions in Korea. Methods: Existing literature (study period, 2010 to 2020) from international studies was collected from PsycINFO, CINAHL, and PubMed, whereas domestic studies were searched using KISS and RISS. Maxillofacial prosthesis was used as the search word. A total of three foreign and two domestic articles were searched, and as a result, a total of 12 documents were selected for analysis. Results: A total of 3,311 studies were searched in this study. Among them, 3,253 articles contained in duplicate inspection and exclusion criteria were removed, and 12 articles were selected by removing literature that did not meet the research criteria through title and green and text reviews. Finally, two researchers selected the final 12 articles through handwritten searches. Eleven of them were case studies, and the remaining one was a descriptive study. Conclusion: This study identified the current status of studies that implemented maxillofacial prosthesis, published from January 2010 to January 2020. Facial prosthetics improve the quality of life of patients by restoring defects that appear on different types of mouth and face and promote both function and aesthetics. Therefore, they can be used to treat various conditions and have a positive impact on the future.

Alloplastic total temporomandibular joint replacement using stock prosthesis: a one-year follow-up report of two cases

  • Lee, Sang-Hoon;Ryu, Da-Jung;Kim, Hye-Sun;Kim, Hyung-Gon;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.6
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    • pp.297-303
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    • 2013
  • Alloplastic total replacement of the temporomandibular joint (TMJ) was developed in recent decades. In some conditions, previous studies suggested the rationale behind alloplastic TMJ replacement rather than reconstruction with autogenous grafts. Currently, three prosthetic products are available and approved by the US Food and Drug Administration. Among these products, customized prostheses are manufactured, via computer aided design/computer aided manufacturing (CAD/CAM) system for customized design; stock-type prostheses are provided in various sizes and shapes. In this report, two patients (a 50-year-old female who had undergone condylectomy for the treatment of osteochondroma extending to the cranial base on the left condyle, and a 21-year-old male diagnosed with left temporomandibular ankylosis) were treated using the alloplastic total replacement of TMJ using stock prosthesis. The follow-up results of a favorable one-year, short-term therapeutic outcome were obtained for the alloplastic total TMJ replacement using a stock-type prosthesis.

A CLINICAL CASE OF ALLOPLASTIC CONDYLE REPLACEMENT WITH CONDYLAR PROSTHESIS IN SEVERE DEGENERATIVE JOINT DISEASE (심한 퇴행성 악관절 질환 환자에서 보철성 과두를 이용한 하악과두 재건술의 치험례)

  • Jeon, Yong-Min;Kim, Chang-Hyun;Cha, Jeong-Seop;Min, Kyung-Gi;Kwon, Jong-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.2
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    • pp.162-167
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    • 2010
  • This is a case report about patient who had suffered from degenerative joint disease and treated by TMJ reconstruction with condylar prosthesis. The patient visited Korea University An-am hospital on 2007 complaining symptom about both TMJ pain, mouth opening limitation and open bite. From CT view there was severe resorption of both condylar head, therefore condylar prosthesis reconstruction was planned. After 3D RP model analysis for preparation, the patient was operated under general anesthesia for condylar prosthesis reconstruction and the symptom was alleviated. (increased mouth opening, reduced anterior open bite, full mouth occlusal contact achieved) Follow up was carried out monthly, but after this, patient refused follow up. After 26 months from the operation, the patient revisited for anterior open bite. In clinical evaluation, occlusal contact was remained, but anterior open bite was relapsed. From cephalometry analysis, severe resorption of glenoid fossa was found. Therefore, Autogenous disc reconstruction with alloplastic material was planned on August 2009. After another surgery, condylar prosthesis was regained its normal position in glenoid fossa, and occlusion was recovered properly.

Prosthodontic rehabilitation of a patient with bilateral auricular deformity

  • Mantri, Sneha Shivkumar;Thombre, Ram U.;Pallavi, Daigavane
    • The Journal of Advanced Prosthodontics
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    • v.3 no.2
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    • pp.101-105
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    • 2011
  • Maxillofacial prosthodontics is an art and science which provides life like appearance to the person with facial deformity. Maxillofacial prosthetic rehabilitation for acquired defects has become more complex and sophisticated with advancement in techniques and materials. This case report describes the clinical and laboratory procedure for fabricating an auricular prosthesis for a patient with trauma related bilateral auricular deformity. Ear prosthesis was fabricated in two parts taking retention from external auditory canal.

Advancements in craniofacial prosthesis fabrication: A narrative review of holistic treatment

  • Jazayeri, Hossein E.;Kang, Steve;Masri, Radi M.;Kuhn, Lauren;Fahimipour, Farahnaz;Vanevenhoven, Rabecca;Thompson, Geoffrey;Gheisarifar, Maryam;Tahriri, Mohammadreza;Tayebi, Lobat
    • The Journal of Advanced Prosthodontics
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    • v.10 no.6
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    • pp.430-439
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    • 2018
  • The treatment of craniofacial anomalies has been challenging as a result of technological shortcomings that could not provide a consistent protocol to perfectly restore patient-specific anatomy. In the past, wax-up and impression-based maneuvers were implemented to achieve this clinical end. However, with the advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology, a rapid and cost-effective workflow in prosthetic rehabilitation has taken the place of the outdated procedures. Because the use of implants is so profound in different facets of restorative dentistry, their placement for craniofacial prosthesis retention has also been widely popular and advantageous in a variety of clinical settings. This review aims to effectively describe the well-rounded and interdisciplinary practice of craniofacial prosthesis fabrication and retention by outlining fabrication, osseointegrated implant placement for prosthesis retention, a myriad of clinical examples in the craniofacial complex, and a glimpse of the future of bioengineering principles to restore bioactivity and physiology to the previously defected tissue.