Application of a universal system of epitesis fixation in the rehabilitation of patients with maxillofacial defects

Nikolaenko S.A.; Khalapyan A.A.; Ilchenko O.A.; Shapiro L.A.

doi:https://doi.org/10.17116/stomat202210102136

Nikolaenko S.A.

Clinic of Professor Nikolayenko;
Federal Medical Production Center «Epitetica»;
Center of Additional Professional Education «Professorship practice»

Khalapyan A.A.

Clinic of Professor Nikolayenko;
Federal Medical Production Center «Epitetica»

Ilchenko O.A.

Clinic of Professor Nikolayenko;
Federal Medical Production Center «Epitetica»;
Center of Additional Professional Education «Professorship practice»

Shapiro L.A.

Voino-Yasenetsky Krasnoyarsk State Medical University

Application of a universal system of epitesis fixation in the rehabilitation of patients with maxillofacial defects

Authors:

Nikolaenko S.A., Khalapyan A.A., Ilchenko O.A., Shapiro L.A.

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Journal: Stomatology. 2022;101(2): 36‑41

DOI: 10.17116/stomat202210102136

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To cite this article:

Nikolaenko SA, Khalapyan AA, Ilchenko OA, Shapiro LA. Application of a universal system of epitesis fixation in the rehabilitation of patients with maxillofacial defects. Stomatology. 2022;101(2):36‑41. (In Russ.)
https://doi.org/10.17116/stomat202210102136

Подписка 2026 Стоматология (Stomatology)

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Abstract:

OBJECTIVE

The aim of the study was the creation of a universal epithesis fixation system that increases the reliability of its functioning in prosthetics of patients with maxillofacial defects of various genesis.

MATERIAL AND METHODS

After the surgical preparation of patients, in accordance with the indications of the underlying disease, epithesis was made from rigid silicone elastomers using CAD/CAM technologies. For the production of attachments, the VT1-0 titanium alloy common in medicine was used.

RESULTS

A universal epithesis fixation system was used for prosthetics of various parts of the patient’s face. Depending on the clinical situation and the size of the prosthetics area, an intermediate lattice plate (mesostructure) of the appropriate size and configuration was selected. Two types of attachments were used to fix epithets: magnetic with a counterpart and non-magnetic mushroom-shaped. The universal epithesis attachment system is distinguished by the possibility of using each hole of the lattice, both for attaching it to the bone structure and for installing attachments, which makes it easy to fix the lattice to residual bone fragments and center the position of the transition elements and attachments depending on the aesthetic and functional needs of the structure in whole.

CONCLUSION

The success of prosthetics largely depends on the epithesis attachment system. The proposed universal epithesis fixation system allows its use in various clinical situations and also reduces the cost of prosthetics for patients with maxillofacial defects.

Keywords:

epithetic

magnet fixation

maxillofacial defects

mesostructure

Authors:

Nikolaenko S.A.

Clinic of Professor Nikolayenko;
Federal Medical Production Center «Epitetica»;
Center of Additional Professional Education «Professorship practice»

Khalapyan A.A.

Clinic of Professor Nikolayenko;
Federal Medical Production Center «Epitetica»

Ilchenko O.A.

Clinic of Professor Nikolayenko;
Federal Medical Production Center «Epitetica»;
Center of Additional Professional Education «Professorship practice»

Shapiro L.A.

Voino-Yasenetsky Krasnoyarsk State Medical University

Received:

28.05.2021

Accepted:

24.08.2021

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References:

Nazaryan DN, Kharazyan AE, Chausheva SI, Yarantsev SV, Chernenkiy MM. Complex rehabilitation of patients with combined defects of midface using cranial implants with immediate loading. Plastic surgery and cosmetology. 2015;3:233-344. (In Russ.).
Ariani N, Visser A, van Oort RP, Kusdhany L, Rahardjo TB, Krom BP, van der Mei HC, Vissink A. Current state of craniofacial prosthetic rehabilitation. Int J Prosthodont. 2013;26(1):57-67. https://doi.org/10.11607/ijp.3220.
Ethunandan M, Downie I, Flood T. Implant-retained nasal prosthesis for reconstruction of large rhinectomy defects: the Salisbury experience. Int J Oral Maxillofac Surg. 2010;39(4):343-349. https://doi.org/10.1016/j.ijom.2010.01.003
Klimczak J, Helman S, Kadakia S, Sawhney R, Abraham M, Vest AK, Ducic Y. Prosthetics in Facial Reconstruction. Craniomaxillofac Trauma Reconstr. 2018;11(1):6-14. https://doi.org/10.1055/s-0037-1603459
Voigt A, Christ S, Klein M. Experimental analysis of retention forces of different magnetic devices for bone-anchored auricular facial prostheses. Int J Oral Maxillofac Surg. 2008;37(7):664-668. https://doi.org/10.1016/j.ijom.2008.02.010
Brandão TB, Vechiato Filho AJ, de Souza Batista VE, de Oliveira MC, Visser A, de Faria JC, Júnior GC, Santos-Silva AR. A systematic comparison of bar-clips versus magnets. J Prosthet Dent. 2017;117(2):321-326.e2. https://doi.org/10.1016/j.prosdent.2016.05.020
Guttal SS, Nadiger RK, Shetty P. Cytotoxic effect of indigenously fabricated dental magnets for application in prosthodontics. J Indian Prosthodont Soc. 2018;18(1):29-34. https://doi.org/10.4103/jips.jips_114_17
Antonova IN, Kalakutsky NV, Veselova KA, Kalakutsky IN, Gromova NV. Facial exoprosthetics as a modern way of rehabilitation of patients with defects in the maxillofacial region. Institute of Dentistry. 2018;1(78):98-100. (In Russ.).
Buzayan MM. Prosthetic management of mid-facial defect with magnet-retained silicone prosthesis. Prosthet Orthot Int. 2014;38(1):62-67. https://doi.org/10.1177/0309364613484052
Elhelow KM, Al-Thobaiti YE, Gomawi AA. The prosthetic rehabilitation of a patient with a lateral postsurgical defect using a 2-piece magnet-retained facial prosthesis: A clinical report. J Prosthet Dent. 2018;119(5):848-851. https://doi.org/10.1016/j.prosdent.2017.05.021
Kim SM, Cho YJ, Eo MY, Kim JS, Lee SK. Silicone Facial Prosthesis: A Preliminary Report on Silicone Adhesion to Magnet. J Craniofac Surg. 2018; 29(1):6-8. https://doi.org/10.1097/scs.0000000000003986
Nikolaenko SA, Zubarev AI, Shapiro LA, Bit M, Fedorov YuV. Prosthetic rehabilitation of patients with acquired maxillofacial defects with adhesive-fixed epitheses. Clinical Dentistry. 2016;4(80):42-45. (In Russ.).