Maxillary reconstruction with and individualized titanium prosthesis

Introduction: Maxillary reconstruction after ablative surgery is a challenge to the surgeon. Among the current alternatives of reconstruction, the use of a dental obturator to fill the space left by the resected tumor, allows the patient adequate masticatory function, phonatory function and an aesthetically acceptable appearance. Another option is the use of a free osteo-myo-cutaneous flap, ideally to fill the gap of the defect. However, functional and aesthetic rehabilitation is very difficult to achieve, and also requires a duly trained surgical team.

Purpose: The aim of this study is to present an alternative for maxillary reconstruction based on a titanium prosthesis that replaces the bone loss tissues, and includes titanium dental implants that also allow adequate dental rehabilitation.

Patients and methods: Three patients were rehabilitated using a CT scan of the bone defect. A stereolotographic model was used to design the prostheses, which was then fabricated with the dental implants included. The follow-up periods were of 36, 18 and 10 months, respectively. All patients have their implant-retained dental rehabilitation.

Results: Patients were assessed functionally by using masticatory function, speech and retention of dental prosthesis as parameters. Aesthetic evaluation and facial symmetry were assessed by filling in the volume loss and the aesthetics of the denture.

Conclusion: Based on the work presented, we conclude that the replacement maxillary titanium prosthesis with dental implants is a good alternative for maxillectomized patients.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Maxillary reconstruction with and individualized titanium prosthesis
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