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Volume 32 , Issue 6
November/December 2017

Pages e255–e258

Virtual Treatment Planning for Implant-Retained Nasal Prosthesis: A Clinical Report

Muaiyed Mahmoud Buzayan, BDS, MClinDent/Norsiah Binti Yunus, BDS, MSc/Ha Kien Oon, BDS, MBBS, FDSRCS/Omar Tawfiq, BDS, MSc

PMID: 29140385
DOI: 10.11607/jomi.4302

Osseointegrated craniofacial implants have improved retention and patients’ perceptions of implant-retained nasal prostheses; however, the determination of the available bone sites for implant placement post-rhinectomy is difficult. This case report describes the use of cone beam computed tomography scanning and computer-assisted virtual planning in conjunction with digital photographs for rehabilitation of a facial defect with an implant-retained silicon nasal prosthesis. Two implants were planned in the anatomical area with adequate bone volume to achieve favorable cosmetic outcomes and accessibility for hygiene maintenance. The implant-retained nasal prosthesis resulted in a meaningful improvement in the esthetics without the need for plastic surgery. In such cases, the post-rhinectomy reconstruction surgery should be limited to preparation of the surgical defect area for an implant-retained prosthesis. Silicone prostheses are reliable alternatives to surgery and should be considered in selected cases.

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