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Transcript of Treatment For a Severe Maxillofacial Condition By J. A. Smith In partial fulfilment of BTech: Dental...
![Page 1: Treatment For a Severe Maxillofacial Condition By J. A. Smith In partial fulfilment of BTech: Dental technology Den.Tech.](https://reader035.fdocuments.us/reader035/viewer/2022062301/56649edc5503460f94bece20/html5/thumbnails/1.jpg)
Treatment For a Severe Maxillofacial Condition
By
J. A. Smith
In partial fulfilment of
BTech: Dental technology Den.Tech
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Contents
Patient history and backgroundCurrent conditionPossible treatment plansThe most suited treatment planThe treatment plan of choicePossible technical treatment optionsMost suitable technical treatment optionThe technical treatment plan of choice
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Contents (cont.)
Clinical procedures
Laboratory procedures
Desired outcome
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Patient History and Background
Diagnosed at 5 years of age
Hemangiopericytoma
Tumour removed
5
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Current Condition
38 years of age
Unemployed
Facial defect
Physically healthy
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Possible Treatment Plans
Bone transplant and plastic surgery
Facial prosthesis including an ear
Facial prosthesis with stock eye
Facial prosthesis with custom eye
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The Most Suited Treatment Plan
Facial prosthesisLightweight
Economical
Good aesthetics
Life-like appearance
Easily manageable
Lasts for long time
Custom eyeExcellent aesthetics+/- R8 000
1
1
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The Treatment Plan of Choice
Facial prosthesisLight in weight
Economical
Good aesthetics
Life-like appearance
Easily manageable
Lasts for long time
Stock eyeEconomical +\- R280
Easily available
Good aesthetics
Eye colour matched1
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Possible Technical Treatment Options
Prosthetic adhesives
Implants with ball attachments
Implants with metal substructure
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The Most Suitable Technical Treatment Option
Not bone transplant
Implants
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The Technical Treatment Plan of Choice
Metal substructure on implantsEnough space available
Sufficient bone support
Excellent stability
Provides even load distribution
4
3
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Clinical Procedures
Facial impression Model poured
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Laboratory Procedures
Wax-up done Wax-up duplicated
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Laboratory Procedures (cont.)
Duplication finalized
Simulation of final product
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Laboratory Procedures (cont.)
Acrylic stent manufactured
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Laboratory Procedures (cont.)
Implant position
Waiting for surgery
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Desired Outcome (example)
2
2
2
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Acknowledgements
Prof. Morkel
Dr. Van Zyl
Ms. C. L. Spies
Mr. Mazeema
Mrs. J. Wright
Mr. L. A. Steyn
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References
1. Taylor, T. D., Clinical Maxillofacial Prosthetics. Quintessence Publishing Co, Inc. Chicago, Berlin, London, Tokyo, Paris, Barcelona, Sao Paulo, Moscow, Prague, and Warsaw. 2000: 237,271.
2. McKinstry, R. E. Fundamentals of Facial Prosthetics. ABI Professional Publications. Arlington, USA. 1995: 117.
3. Branemark, P.,Craniofacial Prosthetics: Anaplastology and Osseointegration. Quintessence Publishing Co, Inc. London. 1999: 102.
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References (cont.)
4. Branemark, P. and Tolman, D. E., Osseointegration in Craniofacial Reconstruction. Quintessence Publishing Co, Inc. London. 1998: 215.
5. Farman, A. G., Oral and Maxillofacial Diagnostic Imaging. Mosby. London. 1993: 305.