This atlas presents the prosthetic rehabilitation of maxillofacial defects and an overview of their patterns and classifications, along with step-by-step procedures for fabricating the forms or appliances for treating them.
ISBN: 4-87417-796-4
119 pp; 673 illus (415 color)
Contents
Preface
Section 1: Foundations of Maxillofacial Prosthetics
1. Classification of Maxillofacial Prostheses
Masaro Matsuura/Hirohumi Kido/Kan-ichi Seto
2. Surgical Simulation for Maxillofacial Prosthesis
Yoshimasa Yamaguchi/Nobuhiro Noguchi/Masaaki Goto
3. Conversation, Mastication, and Deglutition
Hideki Sekiya/Koji Kawaguchi/Kan-ichi Seto
Section 2: Maxillary Defects
4. Defect Patterns and Classifications of Maxillary Defects
Masaro Matsuura/Hirohumi Kido/Kazuo Shimozato
5. Structures and Names of Parts of Maxillodental Prosthesis
Takayoshi Nomura/Masao Matsuura/Kan-ichi Seto
6. Measures for Treatment of Disturbance of Mouth Opening
Hideharu Usui/Kazuo Shimozato
7. Impression Taking
Takayoshi Nomura/Masaro Matsuura/Kan-ichi Seto
8. Forms of Maxillodental Prostheses and Features of Obturators
Takayoshi Nomura/Masaro Matsuura/Kan-ichi Seto
9. Retention of Maxillodental Prostheses
Takayoshi Nomura/Kazuo Shimozato
10. From Placement of Implants to Insertion of Upper Structures
Koichro Ihara/Masaaki Goto/Takayoshi Nomura
11. Immediate Postoperative Start of Prosthetics and Rapid Fabrication of Maxillodental Prosthesis
Takayoshi Nomura/Masaro Matsuura/Kan-ichi Seto/Hideharu Usui/Kazuo Shimozato
12. Changes of Maxillary Defects
Hideharu Usui/Kazuo Shimozato
Section 3: Defects of Palate and Oropharyngeus
13. Soft Palate Defect Prostheses
Hideharu Usui/Kazuo Shimozato
14. Appliances for Cleft Lip and Palate
Yoshio Yamashita/Yoshimasa Yamaguchi/Masaaki Goto
Section 4: Mandibular Defects
15. Classifications of Mandibular Defects and Treatment Planning
Michio Shikimori/Masaaki Goto
16. Fabrication Method for Mandibular Prostheses—From Impression Taking to Placement
Hideharu Usui/Kazuo Shimozato
17. Retainer of Mandibular Prostheses
Hideharu Usui/Kazuo Shimozato
18. From Placement of Implants to Fabrication of Prostheses
Koichiro Ihara/Masaaki Goto
19. Alveolar Reconstruction
Koichiro Ihara/Masaaki Goto
Section 5: Facial Defects
20. Patterns and Classifications of Facial Defects
Masaro Matsuura/Hirohumi Kido
21. Fabrication Methods of Facial Prostheses
Takayoshi Nomura/Masaro Matsuura/Kan-ichi Seto
22. Retention Methods for Facial Prostheses
Hideharu Usui/Yukinobu Satoh/Kazuo Shimozato
23. From Installation of Implants to Placement of Facial Prostheses
Koichiro Ihara/Yoshimasa Yamaguchi/Masaaki Goto
24. Camouflage of Facial Prostheses
Hideharu Usui/Yukinobu Satoh/Kazuo Shimozato
Section 6: Radiation Stents
25. Appliances for Radiation Therapy
Motoo Yokoi
Index
Preface
Oral and maxillofacial rehabilitation means that where any function or physical structure in the oral-maxillofacial region has been lost, restoration is made to the extent that patients can return to a normal social life. Even though it might be assumed that defects in the oral and maxillofacial region most commonly have their origin in congenital malformation, injury, or inflammation, defects resulting from surgical treatment for malignancy are, in fact, currently much more frequent. Recent enormous advances in reconstructive surgery have allowed the range of curable cancers to be greatly expanded; therefore, the cure rate for malignancies of the oral cavity has increased dramatically. However, under present circumstances, full use of various techniques such as pedicles or free flaps has not always led to a complete reconstruction of function. Furthermore, defect reconstruction of the hard palate or of the alveolus with dentition covered by masticatory mucosa or sites presenting complex forms, such as those involving the orbit or auricle, is difficult. Maxillofacial prosthetic techniques employing artificial forms or appliances based upon dental practice are required for such defects. Within the academic system, as reconstructive surgery and maxillofacial prosthetics developed independently, mutual exchange of information was notably minimal. However, at present when a defect involving a large field is encountered, affected areas are spread across several zones, owing to the expansion of the curable cancerous region. The simultaneous use of both surgical and dental prosthetic techniques has compelled their fusion and integration within the treatment system.
Incidentally, the Japanese Academy of Maxillofacial Prosthetics has a history of special development, having initiated a multidisciplinary dental academy based upon the initiative of oral and maxillofacial surgeons and prosthodontists. This undertaking has continued into the present era and is proving its worth in current practice. In future, we intend to pursue our development as an Academy of Maxillofacial Rehabilitation in response to changing patient needs. This will include all dental and relevant medical fields as well as reconstructive surgery. Since oral and maxillofacial functionality is of fundamental importance and of a complexity far beyond ordinary considerations, the rehabilitation of patients suffering defects of the parenchyma can never be easy.
Although a dedicated technological work on oral and maxillofacial rehabilitation has long been desired, particularly in Southeast Asia, which has a high incidence of oral cavity cancer, in practical terms none has been available. We, frankly speaking, feel some anxiety as to whether the present volume can fully meet that need. However, we consider that, at least, we can supply documented and illustrated information regarding current technological standards based upon the establishment of a concept of maxillofacial rehabilitation in Japan. We will be quite satisfied if this volume serves as a foundation for future international development in this field.
To provide the most widespread help to people who lose oral and maxillofacial functions and forms, who suffer due to the exigencies of war, or from diseases such as oral cancer, we would be extraordinarily happy if the present volume were to pass into the hands of the surgical team in an underprivileged hospital, an underfinanced dental college, a rural clinic, or a remote tropical dental laboratory.
It is brought to notice that the present volume was published with considerable support from a Non-Profit Organization, Asia Fight against Oral Cancer (AFOC).
Kan-ichi Seto, DDS, PhD
Professor and Chairman
1st Dept. of Oral and Maxillofacial Surgery
School of Dental Medicine
Tsurumi University
Japan
