口腔再建における顎補綴のための手術手技

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  • The Surgical Procedures of Immediate Oral Reconstruction for Maxillo-facial Prosthesis

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Purposes: The maxillofacial prosthodontist should participate in maxillo-mandibular reconstructive surgery to achieve ideal prosthodontics through pre- to post-surgery. Reconstruction of the new jaw and alveolus based on various and simple surgical procedures. This article has reviewed the variation and characteristics for prosthodontics of such procedures. <br>Surgical Procedures: For framework reconstruction, there are four main procedures: no bridging, artifact, non-vascularized bone graft, and vascularized bone containing free flap. For the lining, there are four main procedures: direct closure of the remaining mucosa, secondary intension, skin paddle of the free flap, and skin graft. And a combination of these procedures is possible. <br>Case Presentations: A maxillofacial prosthodontist preoperatively made guide-splints of the ideal alveolus from the dental plaster cast, checked the position of the bone graft and intraoperatively reconstructed the alveolus using the guide-splint, postoperatively adjusted the splint for a better shape of the reconstructed alveolus, and finally set dentures in 2 cases. <br>Conclusions: Prosthodontics is only one of the goals of jaw reconstruction, but if it is planned pre-surgically for a patient, it should certainly be achieved. For better prosthodontics, a guide-splint making the jaw and alveolus in a top-down style is a good solution for prosthodontists and reconstructive surgeons.

収録刊行物

  • 顎顔面補綴

    顎顔面補綴 39 (2), 42-48, 2016

    一般社団法人 日本顎顔面補綴学会

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