Eview: Retentive Aids in Maxillofacial Prosthodontics - A Review
Eview: Retentive Aids in Maxillofacial Prosthodontics - A Review
Eview: Retentive Aids in Maxillofacial Prosthodontics - A Review
Rajesh Gurjar,1Sunil Kumar M.V.,2 Harikesh Rao,3 Alok Sharma,4 Sumit Bhansali5
Retention has always been a problem in prosthodontics. Maxillofacial prosthetic therapy for acquired
Prosthodontists have always been struggling with retention in a defects has become more complex and sophisticated
maxillofacial prosthesis . Increased retention improves comfort as with advances in surgical and radiation treatment
well as the confidence in the patient while wearing a facial
procedures. More people are now surviving disfiguring
prosthesis at work and in social settings. Advances in techniques
used for retention of maxillofacial prosthesis and the materials
injuries and diseases, which formerly claimed their
used have been remarkable in the past several years. The journey lives. A team effort is essential for the effective and
from using metal bands to using adhesives to placing implants for efficient treatment of patients with maxillofacial
retaining a maxillofacial prosthesis has been fascinating and problems.
satisfying to many, but, the aim of achieving the full potential still
remains incomplete.
ANATOMIC RETENTION:
Eyeglass:
Parr GR 5 proposed a possible means of retaining a
nasal prosthesis by utilizing newly designed eyeglass
frames for the patients who has had the bridge of the
nose surgically removed. The eyeglass frame should be
opaque in color rather than translucent to prevent
retention marks from becoming visible.
Less expensive as compared Some patients may develop Matsamura et al (2000) described fabrication
to implants allergic or irritative responses procedure of a removable sectional denture connected
to adhesives by a cobalt-samarium magnetic retention system for a
patient with severe maxillary defect (Fig 2).
Table 1: Advantages and Disadvantages of Bio-Adhesives
Fig 4. Use of single implant helps retain posterior aspect of Fig 5. Radiograph showing the position of the zygomaticus
obturator. implants.
References
1] Behrman SJ. The implantation of magnets in the
jaw to aid denture retention. J Prosthet Dent
1960;10:807–41.