Craniofacial prosthetic rehabilitation using a conical extraoral implant: experimental study and a case report

Osseointegrated implants have acquired an important role in the prosthetic rehabilitation of patients with craniofacial defects. This study presents a histomorphometric analysis of craniofacial implant of different shape, diameter and surface placed in the tibia of rabbits and case report of craniofacial rehabilitation. Five craniofacial implants with porous surface, conical shape, 4.3 mm in diameter with 5 mm in length (Conexão, Sistema de Próteses, São Paulo, Brazil) were implanted in the tibia of adult female New Zealand white rabbits. The animals were sacrificed 12 weeks after installation of implants. Bone specimens were prepared for histomorphometric assessment of the bone-to-implant contact and the bone volume formation between implant threads. A case report, a male patient received three orbital implants after surgical resection of an espinocellular cancer in his left orbit. The value of bone-to-implant contact was 76.80 ± 5.58% and bone volume formation between implant threads was 85.73% ± 3.10. This new craniofacial implant showed a osseointegration and no adverse skin reactions in peri-implant tissues, the patient was monitored for 24 months. There were greater values in bone-to-implant contact and bone volume formation between implant threads with porous surface implants and conical shape should be considered a viable alternative to craniofacial rehabilitation.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Craniofacial prosthetic rehabilitation using a conical extraoral implant: experimental study and a case report

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