ABSTRACT
The urethanes, PVC, acrylic resins, and silicones are still the most popular among a large number of materials being used to fabricate facial prostheses. Each material has advantages and disadvantages. The ideal material is not yet available. It was found that Silastic medical adhesive type A, a preparation of methyl triacetoxy silane crosslinked silicone, possesses a wide range of biologic, clinical, and technical advantages over other materials. However, the poor adheophilic properties of this material remain its most significant disadvantage. A processing technique for methyl triacetoxy silane crosslinked silicone is presented. Further investigations are being conducted to improve this material.
Subject(s)
Maxillofacial Prosthesis , Silicone Elastomers , Color , Evaluation Studies as Topic , Humans , Prosthesis DesignSubject(s)
Consumer Behavior , Head and Neck Neoplasms/rehabilitation , Maxillofacial Prosthesis/psychology , Adolescent , Adult , Aged , Attitude , Child , Esthetics , Female , Humans , Male , Middle AgedSubject(s)
Breast Neoplasms/drug therapy , Cyclophosphamide/therapeutic use , Dental Plaque/complications , Doxorubicin/therapeutic use , Fluorouracil/therapeutic use , Oral Hygiene , Stomatitis/etiology , Cyclophosphamide/administration & dosage , Doxorubicin/administration & dosage , Female , Fluorouracil/administration & dosage , Humans , Injections, Intravenous , Neoplasm MetastasisSubject(s)
Bacteria/cytology , Dental Caries/etiology , Immunoglobulins/analysis , Mouth/radiation effects , Radiotherapy/adverse effects , Saliva/radiation effects , Blood Proteins/analysis , DMF Index , Dental Plaque/etiology , Dietary Carbohydrates/administration & dosage , Fluorides, Topical , Humans , Immunoglobulin A/analysis , Mouth/microbiology , Muramidase/analysis , Oral Hygiene , Saliva/immunology , Saliva/microbiology , Salivary Proteins and Peptides/analysis , Streptococcus mutans/cytology , Sucrose/administration & dosage , Xerostomia/physiopathologyABSTRACT
Dental management of the patient with cancer, especially when the disease process involves the head and neck region, should be an integral part of the patient's overall treatment plan. By utilizing the team approach and detailed advance planning, stressing both immediate treatment to control the patient's disease and short- and long-term rehabilitation, the best possible treatment for each patient can be formulated with a minimum of posttreatment complications. If an institution is to make the commitment to treat patients with cancer, a comprehensive dental support program with a maxillofacial prosthodontist is a necessity. As the benefits of a dental department are recognized, the utilization of this service increases and the overall treatment and rehabilitation of the patient with cancer is improved.
Subject(s)
Head and Neck Neoplasms/rehabilitation , Maxillofacial Prosthesis , Bacterial Infections/etiology , Biocompatible Materials , Dental Caries/prevention & control , Fluorides, Topical/therapeutic use , General Surgery , Head and Neck Neoplasms/drug therapy , Head and Neck Neoplasms/physiopathology , Head and Neck Neoplasms/psychology , Head and Neck Neoplasms/radiotherapy , Head and Neck Neoplasms/surgery , Humans , Mandible/surgery , Mandibular Prosthesis , Maxilla/surgery , Mouth/radiation effects , Mouth/surgery , Palatal Obturators , Patient Care Planning , Patient Care Team , Physicians, Family , Prosthodontics , Radiation Protection/instrumentation , Stomatitis/chemically inducedABSTRACT
Injury to surrounding tissues during radiotherapy for oral cancer can have devastating physical and psychologic consequences for the patient. Oral complications include xerostomia, dental decay, mucositis, taste loss, osteoradionecrosis, infection, and trismus. In many instances, these problems can be eradicated or controlled with appropriate treatment.
Subject(s)
Mouth Diseases/etiology , Mouth Neoplasms/radiotherapy , Radiotherapy/adverse effects , Adult , Ageusia/etiology , Ageusia/therapy , Candidiasis, Oral/etiology , Candidiasis, Oral/therapy , Dental Caries/etiology , Dental Caries/prevention & control , Female , Humans , Jaw Diseases/etiology , Male , Nutrition Disorders/etiology , Osteoradionecrosis/etiology , Osteoradionecrosis/therapy , Radiation Injuries/etiology , Stomatitis/etiology , Trismus/etiology , Trismus/therapy , Xerostomia/etiology , Xerostomia/therapyABSTRACT
Three caries preventative regimens: oral hygiene; oral hygiene and topical fluoride; and oral hygiene, typical fluoride, and sucrose restriction were evaluated in patients with cancer given xerostomia-producing radiotherapy. The oral hygiene-fluoride gel combination was remarkably effective in protecting these high risk patients from caries, regardless of the cariogenicity of the diet.
Subject(s)
Dental Caries/prevention & control , Head and Neck Neoplasms/radiotherapy , Xerostomia/etiology , Adolescent , Adult , Aged , Dental Caries/etiology , Diet , Female , Fluorides, Topical/therapeutic use , Gels , Humans , Male , Middle Aged , Oral Hygiene , Salivation/radiation effectsSubject(s)
Mandible/surgery , Mandibular Prosthesis , Biocompatible Materials , Bone Transplantation , Cartilage/transplantation , Ceramics , Dental Alloys , Dental Implantation, Endosseous , Humans , Metals , Plastics , Polytetrafluoroethylene , Ribs/transplantation , Silicone Elastomers , Transplantation, Autologous , Transplantation, Heterologous , Transplantation, HomologousABSTRACT
A method of incorporating vertical and horizontal tissues in an obturator impression using an open palate impression tray is presented. The laboratory technique of obturator construction from this impression allows for a definitive (heat-cured) or interim (cold-cured) prosthesis for an edentulous or dentulous patient.
Subject(s)
Denture Design , Palatal Obturators , Dental Impression Technique , HumansSubject(s)
Dental Implantation , Mandible/surgery , Surgery, Plastic , Adolescent , Adult , Aged , Female , Humans , Male , Middle AgedSubject(s)
Denture Design , Mouth Neoplasms/radiotherapy , Radiation Protection/instrumentation , Radiotherapy/instrumentation , Alloys , Bismuth , Humans , TinABSTRACT
A review of the literature reveals little concerning prosthetic support of the visual apparatus following radical resection of the orbital floor. Three methods of obtaining support of the visual apparatus using intraoral restorations have been reviewed.
