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Prosthetic Rehabilitation Options in Post-Ablative Maxillomandibular Microvascular Reconstructions
V Manju1, V N Krishnapriya1, Anna Serene Babu1
1Department of Prosthodontics and Implantology, Amrita School of Dentistry, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala India.
Journal of Maxillofacial and Oral Surgery
|April 12, 2023
Summary
Rehabilitating head and neck cancer defects with prostheses presents challenges. Implant-assisted prostheses offer a stable, functional solution for improved quality of life after maxillomandibular reconstruction.
Area of Science:
- Oral and Maxillofacial Surgery
- Prosthodontics
- Oncology
Background:
- Surgery is primary for head and neck neoplasms.
- Prosthetic rehabilitation addresses defects post-resection.
- Challenges include space, bulk, and occlusal disharmony.
Purpose of the Study:
- Review clinical challenges in maxillomandibular defect reconstruction.
- Discuss effective prosthetic treatment options.
- Highlight advancements in digital dentistry for cancer treatment.
Main Methods:
- Review of clinical experiences in prosthetic rehabilitation.
- Analysis of prosthetic options for reconstructed defects.
- Focus on implant-assisted prostheses and digital workflow.
Main Results:
- Endosseous dental implants provide stable, reliable reconstruction.
- Implant-assisted prostheses improve chewing efficiency and quality of life.
- Misch's classification (FP3-RP5) guides prosthetic options.
Conclusions:
- Occlusion-driven/prosthetic-driven implant-assisted prostheses ensure stable oral rehabilitation.
- Free fibula flap reconstruction benefits from implant support.
- Multidisciplinary teamwork is crucial for optimal patient outcomes.
Keywords:
Fixed prosthesisImplant-assisted denturesMicrovascular reconstructionProsthetic rehabilitationRemovable prosthesis
