Treatment For a Severe Maxillofacial Condition

By

J. A. Smith

In partial fulfilment of

BTech: Dental technology Den.Tech

Contents

Patient history and backgroundCurrent conditionPossible treatment plansThe most suited treatment planThe treatment plan of choicePossible technical treatment optionsMost suitable technical treatment optionThe technical treatment plan of choice

Contents (cont.)

Clinical procedures

Laboratory procedures

Desired outcome

Patient History and Background

Diagnosed at 5 years of age

Hemangiopericytoma

Tumour removed

5

Current Condition

38 years of age

Unemployed

Facial defect

Physically healthy

Possible Treatment Plans

Bone transplant and plastic surgery

Facial prosthesis including an ear

Facial prosthesis with stock eye

Facial prosthesis with custom eye

The Most Suited Treatment Plan

Facial prosthesisLightweight

Economical

Good aesthetics

Life-like appearance

Easily manageable

Lasts for long time

Custom eyeExcellent aesthetics+/- R8 000

1

1

The Treatment Plan of Choice

Facial prosthesisLight in weight

Economical

Good aesthetics

Life-like appearance

Easily manageable

Lasts for long time

Stock eyeEconomical +\- R280

Easily available

Good aesthetics

Eye colour matched1

Possible Technical Treatment Options

Prosthetic adhesives

Implants with ball attachments

Implants with metal substructure

The Most Suitable Technical Treatment Option

Not bone transplant

Implants

The Technical Treatment Plan of Choice

Metal substructure on implantsEnough space available

Sufficient bone support

Excellent stability

Provides even load distribution

4

3

Clinical Procedures

Facial impression Model poured

Laboratory Procedures

Wax-up done Wax-up duplicated

Laboratory Procedures (cont.)

Duplication finalized

Simulation of final product

Laboratory Procedures (cont.)

Acrylic stent manufactured

Laboratory Procedures (cont.)

Implant position

Waiting for surgery

Desired Outcome (example)

2

2

2

Acknowledgements

Prof. Morkel

Dr. Van Zyl

Ms. C. L. Spies

Mr. Mazeema

Mrs. J. Wright

Mr. L. A. Steyn

References

1. Taylor, T. D., Clinical Maxillofacial Prosthetics. Quintessence Publishing Co, Inc. Chicago, Berlin, London, Tokyo, Paris, Barcelona, Sao Paulo, Moscow, Prague, and Warsaw. 2000: 237,271.

2. McKinstry, R. E. Fundamentals of Facial Prosthetics. ABI Professional Publications. Arlington, USA. 1995: 117.

3. Branemark, P.,Craniofacial Prosthetics: Anaplastology and Osseointegration. Quintessence Publishing Co, Inc. London. 1999: 102.

References (cont.)

4. Branemark, P. and Tolman, D. E., Osseointegration in Craniofacial Reconstruction. Quintessence Publishing Co, Inc. London. 1998: 215.

5. Farman, A. G., Oral and Maxillofacial Diagnostic Imaging. Mosby. London. 1993: 305.