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A challenging journey of maxillofacial implants placement and rehabilitation in an irradiated exenterated socket.
- Source :
-
Journal of oral biology and craniofacial research [J Oral Biol Craniofac Res] 2022 May-Jun; Vol. 12 (3), pp. 319-323. Date of Electronic Publication: 2022 Apr 04. - Publication Year :
- 2022
-
Abstract
- Rehabilitation of a post-exenterated orbital defect is a necessity, to restore a patient's esthetic appearance and help overcome the associated psychosocial stigma. An implant supported prosthesis enjoys a better patient acceptance due to its superior retention and stability. This clinical report highlights the challenges faced in planning, designing and placement of maxillofacial implants in the supra-orbital rim of an exenterated socket post-radiotherapy along with the management of the unexpected complications which developed subsequently. Administration of hyperbaric oxygen therapy, fabrication of a digitally designed surgical guide to ensure predictable implant placement, selection of surface treated implants for better biomechanical anchorage, and a gentler surgical technique for recovery of irradiated hard and soft tissues were measures undertaken during the treatment phase. An effort has been made to point-out the fact that despite the various approaches adopted in an irradiated patient, success of implant placement in such a situation remains a challenge.<br />Competing Interests: The authors report no conflict of interest.<br /> (© 2022 Craniofacial Research Foundation. Published by Elsevier B.V. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2212-4268
- Volume :
- 12
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of oral biology and craniofacial research
- Publication Type :
- Academic Journal
- Accession number :
- 35433244
- Full Text :
- https://doi.org/10.1016/j.jobcr.2022.03.011