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Retention systems to implant-supported craniofacial prostheses
Marcelo Coelho Goiato1, Juliana Aparecida Delben, Douglas Roberto Monteiro
1Department of Dental Materials and Prosthodontics, Araçatuba Dental School, São Paulo State University, São Paulo, Brazil. goiato@foa.unesp.br
The Journal of Craniofacial Surgery
|April 8, 2009
Summary
Osseointegrated implants enhance craniofacial prostheses. Successful osseointegration for dental implants relies on proper surgical methods and effective retention systems for optimal patient outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Biomaterials Science
- Prosthodontics
Background:
- Osseointegrated implants significantly improve the retention, stability, comfort, and safety of craniofacial prostheses.
- Successful osseointegration is contingent upon biomechanical principles, including adequate surgical techniques and appropriate retention systems for favorable tension distribution.
Purpose of the Study:
- To present an overview of available retention systems for implant-supported craniofacial prostheses.
- To highlight the advantages, indications, and limitations of various retention systems used in craniofacial reconstruction.
Main Methods:
- A comprehensive literature review was performed using the MEDLINE database.
- The review included 16 articles and 2 textbooks that met the predefined inclusion criteria.
Main Results:
- Various retention systems exist for implant-supported craniofacial prostheses, each with specific benefits and drawbacks.
- The selection of a retention system must consider patient expectations, esthetics, function, and anatomical limitations.
Conclusions:
- Successful craniofacial rehabilitation using osseointegrated implants necessitates a combination of adequate surgical technique and careful selection of the retention system.
- The choice of retention system plays a critical role in maintaining osseointegration and achieving favorable long-term outcomes in implant-supported prostheses.
