Osseointegrated implants in facial prosthetics.
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Biomedical subjects
Publications and source records attributed to B Shipman.
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Primary to the development of an acceptable and functional facial prosthesis is the impression procedure. The fabrication of a facial prosthesis combines the art and science of anatomy, cosmesis, and function, to develop a nonliving substitute to replace altered, missing, or defective regions of the head and neck area. Success depends on patient's cooperation, motivation, and commitment to treatment as well as the technical and artistic scope of the facial prosthetic service.
The replacement of any anatomic structure by artificial means remains a challenge. This is particularly true in the facial area. The replacement must be one which blends with the adjacent tissues as well as replaces the missing structures. Careful planning and meticulous attention to detail in fabrication of a prosthesis can enable the maxillofacial prosthodontist to make a major contribution in the rehabilitation of the patient with an orbital defect.
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By utilizing the giant press and the plastic pipe flask, large facial prostheses can be flasked and processed to allow thin, well-adapted margins without distortion. The plastic flask is easily stored for a remake of the prosthesis at a future date if it should be necessary.
No overt clinical oral candidiasis was noted upon either direct oral examination or review of medical records. No significant change in percent of Candida species as compared to other populations is seen in this study. Varying percents of individual species do differ from other reports. Alimentary and digestive tract tumors represented over 56% of the primary malignancies. There was a significant correlation between decrease in salivary pH and increase in percent of Candida species growth. Most significantly, however, the preliminary data in this study might eventually contribute to continuing investigation of Candida species in human cancer patients.
The improvement in survival and local control rates in children with neoplasms in the head and neck region can be expected to demonstrate increased iatrogenic adverse effects of treatment. The authors report on mandibular growth and developmental abnormalities in 3 children with Hodgkin disease treated by external beam megavoltage therapy. Radiations to the mandible during mantle field therapy were measured and found to be significant. Possible methods of dose reduction are discussed.
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A stable record base is critical to the making of an accurate centric jaw relation record. This is attained by meeting three criteria: (1) a well adapted, adequately extended record base, (2) adequate support of the alveolar bone to prevent excessive movement of the record bases, and (3) accurate tissue integrity to allow good base adaption, maximum tissue contact, and minimum movement. If these criteria cannot be met--and they cannot in the bilateral subtotal maxillectomy patient--then an alternative method must be used. The combination jaw relation record-impression technique using the patient's pre-existing occlusion is an alternate method for the fabrication of a stable prosthesis. This method has been tested in several maxillofacial prosthodontic centers and has proved to constitute a realistic approach to the management of the subtotal maxillectomy patient.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.