de Caxias Fernanda Pereira, Dos Santos Daniela Micheline, Bannwart Lisiane Cristina, de Moraes Melo Neto Clovis Lamartine, Goiato Marcelo Coelho
Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.
Center for Oral Oncology, UNESP, Araçatuba, São Paulo, Brazil.
Int J Dent. 2019 Jul 18;2019:8657619. doi: 10.1155/2019/8657619. eCollection 2019.
This review presents a classification system for maxillofacial prostheses, while explaining its types. It also aims to describe their origin and development, currently available materials, and techniques, predicts the future requirements, and subsequently discusses its avenues for improvement as a restorative modality. A literature search of the PubMed/Medline database was performed. Articles that discussed the history, types, materials, fabrication techniques, clinical implications, and future expectations related to maxillofacial prostheses and reconstruction were included. Fifty-nine articles were included in this review. Maxillofacial prostheses were classified as restorative or complementary with subclassifications based on the prostheses finality. The origin of maxillofacial prostheses is unclear; however, fabrication techniques and materials have undergone several changes throughout history. Currently, silicones and acrylic resins are the most commonly used materials to fabricate customized prostheses. Maxillofacial prostheses not only restore several types of orofacial defects but also improve the patients' quality of life. Although the current clinical scenario concerning the field of maxillofacial prostheses is promising, improvements in material quality and techniques for maxillofacial prostheses may be expected in the future, to produce better results in the treatment of patients.
本综述介绍了颌面修复体的分类系统，并对其类型进行了解释。它还旨在描述其起源和发展、当前可用的材料和技术，预测未来的需求，并随后讨论其作为一种修复方式的改进途径。对PubMed/Medline数据库进行了文献检索。纳入了讨论与颌面修复体和重建相关的历史、类型、材料、制作技术、临床意义及未来期望的文章。本综述共纳入59篇文章。颌面修复体根据其最终用途分为修复性或补充性，并进一步细分。颌面修复体的起源尚不清楚；然而，制作技术和材料在历史上经历了几次变革。目前，硅酮和丙烯酸树脂是制作定制修复体最常用的材料。颌面修复体不仅能修复多种类型的口腔颌面缺损，还能提高患者的生活质量。尽管目前颌面修复体领域的临床情况很有前景，但未来可能期望在颌面修复体的材料质量和技术方面有所改进，以便在患者治疗中取得更好的效果。
