Literature DB >> 15733133

Implant-supported facial prostheses provided by a maxillofacial unit in a U.K. regional hospital: longevity and patient opinions.

S M Hooper1, T Westcott, P L L Evans, A P Bocca, D C Jagger.   

Abstract

PURPOSE: The aim of this study was to acquire information on the types and longevity of implant-retained facial prostheses and the opinions of patients on several factors related to their prostheses.
MATERIALS AND METHODS: A survey of 75 maxillofacial prosthetic patients currently under treatment and review at the Maxillofacial Unit, Morriston Regional Hospital was conducted through a 23-question postal questionnaire. These patients were selected as representative of a group of individuals receiving treatment or under review for the fabrication of maxillofacial prostheses.
RESULTS: Of the prosthetic replacements, 83% were ear prostheses, 8% nose, 6% eye, and 2% combination prostheses. Of the 47 respondents, 8 (17%) reported that they were currently wearing their original prostheses. The remaining 39 (83%) respondents had all been provided with at least 1 replacement prosthesis. The mean lifetime of the prostheses was found to be 14 months (range: 4-36 months). The majority of replacement prostheses in this study were provided as a result of color fade or wear of the silicone material of the previous prosthesis. Individuals with no previous experience wearing a prosthesis had an unrealistic expectation of their prosthesis longevity, with a mean value of 17.8 months. In comparison, individuals with previous experience had reduced expectations, with a mean of 14.4 months. In terms of the patients' opinions of the overall quality of their prostheses, the results demonstrated that a large number of patients were satisfied. Thirty-five patients rated their prostheses as excellent and 9 as good. At 7-12 months, 4 patients rated their prostheses as excellent and 8 as good. At 13 months, 4 patients rated their prostheses as excellent and 5 as good.
CONCLUSIONS: It is important that advice be given to patients on the expected average longevity of their prostheses, together with information on factors affecting the longevity (i.e., environmental staining, cosmetics, and cleaning regimes). In this study, 26% of the replacement prostheses were provided due to color fading of the original prosthesis. This highlights the need for continuing research in the development of materials used for the construction of facial prostheses with improved properties, and in particular, improved color stability. Copyright 2005 by The American College of Prosthodontists

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Year:  2005        PMID: 15733133     DOI: 10.1111/j.1532-849X.2005.00004.x

Source DB:  PubMed          Journal:  J Prosthodont        ISSN: 1059-941X            Impact factor:   2.752


  13 in total

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8.  Stability of the prosthetic screws of three types of craniofacial prostheses retention systems.

Authors:  Antonio Gabriel Lanata-Flores; Eder Alberto Sigua-Rodriguez; Douglas Rangel Goulart; Veber Luiz Bomfim-Azevedo; Sergio Olate; José Ricardo de Albergaria-Barbosa
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9.  A simplified approach to rehabilitate an ocular defect: Ocular prosthesis.

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10.  Bond strength between acrylic resin and maxillofacial silicone.

Authors:  Marcela Filié Haddad; Marcelo Coelho Goiato; Daniela Micheline dos Santos; Nádia de Marchi Crepaldi; Aldiéris Alves Pesqueira; Lisiane Cristina Bannwart
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