Abstract

Maxillofacial defects arising due to developmental anomalies, trauma or ablative cancer surgeries pose a challenge to an individual due to alteration in form, function and esthetics. Face is considered to be a reflection of one’s personality and existence. Any alteration in facial structures or symmetry alters the esthetics of an individual. This may have a deep psychological impact on the patient affecting self-confidence, self-worth and ability to interact among peers. Maxillofacial Prosthodontics is a specialty that deals with rehabilitation of missing or deformed structures of orofacial region to achieve normalcy as much as practically feasible. A multidisciplinary approach is required to evaluate the psychological status, understand the impact of defect altering esthetics and mental make-up of the patient and follow an organized approach to alleviate the impact of maxillofacial defects in overall life of an individual. This chapter highlights the impact of maxillofacial defect on esthetics of an individual and psychological impact of the same.

Highlights

  • Any defect in the maxillofacial region leads to loss of form, function and esthetics

  • Acquired defects produce a deeper impact as the individual is not born with the same and is affected later in life, resulting in drastic change in appearance, post-surgical or after Prosthodontic intervention. They alter the integrity of craniofacial region leading to disruption in normal functioning, maintenance of form and esthetic appearance of an individual affecting overall psychological status of the patient

  • If a patient taken up for Prosthodontic rehabilitation, but shows frequent bouts of crying or abrupt temper tantrum is indicative of a depressive mental state or altered psychological condition including panic disorder, obsessive-compulsive disorder (OCD), posttraumatic stress disorder (PTSD), mood disorder or a bipolar state

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Summary

Introduction

“It is the God given right of every human being to appear human” [1]. Beauty is the quality or an aggregate of qualities in a person/ thing that gives pleasure to the senses or pleasurable exalts to the mind or spirit. Any defect in the maxillofacial region leads to loss of form, function and esthetics It compromises the integrity of craniofacial region and poses a Beauty - Cosmetic Science, Cultural Issues and Creative Developments deeper impact on an individual altering his personal and social acceptability to a major extent. Rehabilitation of these defects surgically or Prosthodontically restores the function, esthetics to near normalcy and elevates the sense of ‘incomplete’ to an extent but deep seated insecurities and psychological impact needs to be dealt with, to ensure complete rehabilitation of patient and acceptance in society. Due to variations in the site and size of defect, the impact of defect on various spheres of an individual’s life, the psychological make-up and ability to cope up, esthetic expectations titrated with the realistic rehabilitation options makes maxillofacial rehabilitation a challenging task

Loss and grief in maxillofacial defect
Esthetic impact of maxillofacial defect
Psychological impact of maxillofacial defect
Psychological classification and interpretation
Management
Patient awareness, early diagnosis & prompt treatment
Role of Healthcare specialist / worker
Postoperative care
Extended care & Team work
Case summary
Conclusion
Full Text
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