Jazayeri Hossein E, Kang Steve, Masri Radi M, Kuhn Lauren, Fahimipour Farahnaz, Vanevenhoven Rabecca, Thompson Geoffrey, Gheisarifar Maryam, Tahriri Mohammadreza, Tayebi Lobat
Oral and Maxillofacial Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA.
Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland School of Dentistry, Baltimore, MD, USA.
J Adv Prosthodont. 2018 Dec;10(6):430-439. doi: 10.4047/jap.2018.10.6.430. Epub 2018 Dec 19.
The treatment of craniofacial anomalies has been challenging as a result of technological shortcomings that could not provide a consistent protocol to perfectly restore patient-specific anatomy. In the past, wax-up and impression-based maneuvers were implemented to achieve this clinical end. However, with the advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology, a rapid and cost-effective workflow in prosthetic rehabilitation has taken the place of the outdated procedures. Because the use of implants is so profound in different facets of restorative dentistry, their placement for craniofacial prosthesis retention has also been widely popular and advantageous in a variety of clinical settings. This review aims to effectively describe the well-rounded and interdisciplinary practice of craniofacial prosthesis fabrication and retention by outlining fabrication, osseointegrated implant placement for prosthesis retention, a myriad of clinical examples in the craniofacial complex, and a glimpse of the future of bioengineering principles to restore bioactivity and physiology to the previously defected tissue.
由于技术上的缺陷，无法提供一个一致的方案来完美恢复患者特定的解剖结构，颅面畸形的治疗一直具有挑战性。过去，人们通过蜡型制作和基于印模的操作来实现这一临床目标。然而，随着计算机辅助设计和计算机辅助制造（CAD/CAM）技术的出现，修复性康复中快速且经济高效的工作流程已经取代了过时的程序。由于种植体在修复牙科的不同方面应用广泛，其用于颅面假体固位在各种临床环境中也广受欢迎且具有优势。本综述旨在通过概述制作过程、用于假体固位的骨整合种植体植入、颅面复合体中的众多临床实例以及对生物工程原理未来的展望，以恢复先前缺损组织的生物活性和生理功能，来有效描述颅面假体制作和固位全面且跨学科的实践。
