Craniofacial implants: what maxillofacial surgeon needs to understand

doi:10.28933/ijdrr-2020-12-0705

Abstract

Since discovery of the osseointegration of titanium in the 1950s, dental implants have been made of titanium the 1960s. In 1977, the first extraoral titanium implant was inserted for craniofacial rehabilitation aims. Craniofacial implants start to be popular for craniofacial reconstruction and rehabilitation. Craniofacial implants become as revaluation in rehabilitation fields, to day even large facial defect can be reconstructed via this surgical –prosthetic technique. The aim of this review is to explain and clarify the indications and techniques for such procedure.

Highlights

Facial defects almost always lead to a severe emotional burden requiring rehabilitation .In order to reconstruct the facial defects, the surgeon has two main path ways: either surgical option purely of surgical-prosthetic pathway1,2. prefabricated surgical template or guidance is highly recommended for accurate term of time consuming as well patient satisfaction
Ear reconstruction via prosthetic option is superior than pure advantages, some disadvantages have been documented in the literature as following: 1. necessity of prosthetic/implant maintenance. 2. prosthesis may be dislodged at inopportune times such as social or athletic events.[2,3] surgical option in such area cosmetically and in
For example the guide or templates softwares, craniofacial implants can be very will used the contralateral ear to easy and safe procedure as computer guided determine the position of affected ear[3]

Summary

Introduction

Facial defects almost always lead to a severe emotional burden requiring rehabilitation .In order to reconstruct the facial defects , the surgeon has two main path ways: either surgical option purely (autogenous reconstruction ) of surgical-prosthetic pathway (craniofacial implant)1,2. prefabricated surgical template or guidance is highly recommended for accurate term of time consuming as well patient satisfaction. Facial defects almost always lead to a severe emotional burden requiring rehabilitation .In order to reconstruct the facial defects , the surgeon has two main path ways: either surgical option purely (autogenous reconstruction ) of surgical-prosthetic pathway (craniofacial implant). Prefabricated surgical template or guidance is highly recommended for accurate term of time consuming as well patient satisfaction. Craniofacial implant can be adhesive or implant- retained, the advantages of implants are as following: 1. 2. enhance the patient’s quality of life. 3. Skin reaction is much less compared to adhesive techniques

As implants is providing a very considerable

Disadvantages over prosthetic pathway

Findings

Intraoral and Intranasal Implants